Nuclide imaging and computed tomography in cerebral vascular disease
| Autor: | Rolf L. Schapiro, James H. Christie, Lee C. Chiu |
|---|---|
| Rok vydání: | 1977 |
| Předmět: |
Male
medicine.medical_specialty Ischemia Infarction Vascular occlusion medicine.artery Occlusion Humans Medicine Radiology Nuclear Medicine and imaging cardiovascular diseases Radionuclide Imaging Vertebral Artery Aged Cerebral Hemorrhage business.industry Vascular disease Cerebral infarction Intracranial Embolism and Thrombosis Middle Aged medicine.disease Cerebrovascular Disorders Ischemic Attack Transient Basilar Artery Middle cerebral artery cardiovascular system Female Cerebral Arterial Diseases Radiology Tomography medicine.symptom Tomography X-Ray Computed business Nuclear medicine |
| Zdroj: | Seminars in Nuclear Medicine. 7:175-195 |
| ISSN: | 0001-2998 |
| DOI: | 10.1016/s0001-2998(77)80017-2 |
| Popis: | This report presents our experience with computed tomographic and radionuclide scans in 224 patients with ischemic or hemorrhagic infarcts or intracerebral hematomas secondary to cerebral occlusive vascular diseases. The results vary according to the site of vascular occlusion. The radionuclide angiograms and static scintigrams show four distinct patterns in cases of occlusion of the middle cerebral artery. Computed tomographic scans exhibit less variation in appearance and have a higher sensivitity in cases of recent ischemic infarction. The "tentorial confluence sign" is an important finding on static scintigrams in patients with occipital infarction; if this sign is not present, this diagnosis should be suspect. Earlier reports have established the value of computed tomography and radionuclide scans in the evaluation of cerebral infarction. 1–3 In individual cases, however, each of these modalities may render nondiagnostic or false negative findings; combining both types of examinations and comparing results yield a greater likelihood of an accurate diagnosis of cerebrovascular disease. Computed tomography is clearly more valuable than radionuclide scans in the diagnosis and follow-up of hemorrhagic infarcts or parenchymal hematomas. |
| Databáze: | OpenAIRE |
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