Abstract
The validity of cerebral serial scintigraphy (CSS) with 99mTc-pertechnetate in the evaluation of cerebral vascular diseases has been assessed by many authors (RÖSLER et al. , 1970; STRAUSS et al. , 1973; TYSON et al. , 1974). The noninvasive sequential scintigraphy (stage I of CSS), i.e., the fast series of Polaroid photos taken immediately after the appearance of 99mTc in the carotid arteries, is a method comparable to the invasive contrast carotid angiography (CCA). It is obvious that this cerebral radionuclide angiography (CRA) cannot image arteries and their arborization in the same detailed way as CCA. However, areas supplied by major cerebral arteries can be examined by CRA with respect to the symmetry of regional blood flow, to the extent of unperfused regions, and to increased blood flow as far as aneurysms (GOODMAN and HAYES, 1974), angiomas, and other tumors are concerned (BÜLL et al. , 1976). It is known that CT procedures do not as yet include a correlative method to the noninvasive CRA as far as blood-flow dynamics are concerned. Findings by contrast enhancement in CT correspond with the findings of stage II (blood content of the vascular pool) and those of stage III (leaking of radio nuclides across the blood-brain barrier) of CSS, as was recently shown by GADO et al. (1975).
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Büll, U., Tongendorff, J., Rothe, R., Fischer, K. (1976). Results of Serial Scintigraphy with 99mTC-Pertechnetate in Comparison with Angiography and Computerized Tomography in Cerebrovascular Diseases. In: Lanksch, W., Kazner, E. (eds) Cranial Computerized Tomography. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-66494-6_38
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DOI: https://doi.org/10.1007/978-3-642-66494-6_38
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