원저 : 99mTc DTPA와 99mTc HMPAO를 이용한 뇌사결정 ( Determination of Brain Death by 99mTc DTPA and 99mTc HMPAO Imgaes ) () |
Author |
김종규(Jong Kyu Kim),손형선(Hyung Sun Sohn),김성훈(Sung Hoon Kim),양우진(Woo Jin Yang),이성용(Sung Yong Lee),정수교(Soo Kyo Chung),박석희(Seog Hee Park),김춘열(Choon Yul Kim),박용휘(Yong Whee Bahk),신경섭(Kyung Sub Shinn), |
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Affiliation |
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Abstract |
To evaluate availability of cerebral radionuclide
imaging for diagnosis of brain death, we examined 25
patients with a suspected clinical diagnosis of brain
death. 8 patients were studied by Tc-99m-DTPA and 15
patients were by Tc-99m-HMPAO (Hexamethyl
propyleneamine oxime). Seven patients with Tc-99M-DTPA
studies revealed absence of cerebral blood flow and
sagittal sinus activity. All of 15 patients with Tc-
99m-HMPAO studies revealed complete absence of cerebral
perfusion. The results of the cerebral radionuclide
studies of brain death correlated with other clinical
conditions, such as intracranial pressure(ICP), EEG,
transcranial doppler sono- graphy(TCDS), and neurologic
examination. The ICP of 8 patients, who are confirmed
by brain death with Tc-99m-HMPAO study are elevated in
all cases. In conclusion, cerebral radionuclide imaging
for diagnosis of brain death is available. Tc-99m-HMPAO
imaging is unequivocal, easily interpreted, well
reflect the physiologic state of increased ICP, and
provides adequate assessment of posterior fossa
activity. In addition, the SPECT imaging with Tc-99m-
HMPAO produces more accurate results due to it's
superiority of image contrast and proper localization
of radiopharmaceutical distribution than conventional
planar imaging. |
Keyword |
Brain death, 99mTc DTPA, 99mTc HMPAO |
Full text Article |
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