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Research ArticleNeurointervention

Comparison of Technetium Tc 99m Hexamethylpropyleneamine Oxime Single-Photon Emission Tomograph with Stump Pressure During the Balloon Occlusion Test of the Internal Carotid Artery

Noriaki Tomura, Koichi Omachi, Satoshi Takahashi, Ikuo Sakuma, Takahiro Otani, Jiro Watarai, Kazuo Ishikawa, Hiroyuki Kinouchi and Kazuo Mizoi
American Journal of Neuroradiology September 2005, 26 (8) 1937-1942;
Noriaki Tomura
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Koichi Omachi
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Satoshi Takahashi
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Ikuo Sakuma
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Takahiro Otani
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Jiro Watarai
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Kazuo Ishikawa
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Hiroyuki Kinouchi
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Kazuo Mizoi
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Figures

  • Fig 1.
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    Fig 1.

    Graph shows the relationship between the minimum mean stump pressure and number of regions of interest (ROIs) with hypoperfusion. There was a significant correlation (P < .005 by Spearman rank correlation).

  • Fig 2.
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    Fig 2.

    Graph shows that the number of regions of interest (ROIs) with hypoperfusion was significantly (P < .001 by Mann–Whitney U test) greater in patients with a minMSP <40 mm Hg (31.5 ± 13.7) than in patients with minMSP ≥40 mm Hg (5.1 ± 4.0).

  • Fig 3.
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    Fig 3.

    In a 73-year-old man with hypopharyngeal carcinoma on the left side, the minMSP was 30 mm Hg during balloon test occlusion of the left internal carotid artery. SPECT using technetium Tc 99m HMPAO showed hypoperfusion of the cerebral hemisphere on the left side.

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    Fig 4.

    In a 64-year-old man with meningioma invading the left internal carotid artery, the MSP was 64 mm Hg during balloon test occlusion of the left internal carotid artery. SPECT using technetium Tc 99m HMPAO showed no hypoperfusion areas of the cerebral hemisphere on the left side.

  • Fig 5.
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    Fig 5.

    Graph shows the relationship between the number of regions of interest (ROIs) with hypoperfusion and the pressure ratio of the minMSP to the minimum mean systemic pressure.

  • Fig 6.
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    Fig 6.

    Graph shows that the number of regions of interest (ROIs) with hypoperfusion was significantly (P < .001 by Mann–Whitney U test) greater in patients with a pressure ratio <0.5 (26.7 ± 15.8) than in patients with a pressure ratio ≥0.5 (4.5 ± 3.5)

  • Fig 7.
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    Fig 7.

    Graph shows the relationship between the minMSP and the mean L/n ratio (the radioactivity count of the occluded side / the radioactivity count of the contralateral normal side). There was a significant positive relationship (linear regression analysis; y = mean L/n ratio, x = minMSP; y = 0.71 + 0.005x; r = 0.497, P = .0084).

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American Journal of Neuroradiology: 26 (8)
American Journal of Neuroradiology
Vol. 26, Issue 8
1 Sep 2005
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Cite this article
Noriaki Tomura, Koichi Omachi, Satoshi Takahashi, Ikuo Sakuma, Takahiro Otani, Jiro Watarai, Kazuo Ishikawa, Hiroyuki Kinouchi, Kazuo Mizoi
Comparison of Technetium Tc 99m Hexamethylpropyleneamine Oxime Single-Photon Emission Tomograph with Stump Pressure During the Balloon Occlusion Test of the Internal Carotid Artery
American Journal of Neuroradiology Sep 2005, 26 (8) 1937-1942;

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Comparison of Technetium Tc 99m Hexamethylpropyleneamine Oxime Single-Photon Emission Tomograph with Stump Pressure During the Balloon Occlusion Test of the Internal Carotid Artery
Noriaki Tomura, Koichi Omachi, Satoshi Takahashi, Ikuo Sakuma, Takahiro Otani, Jiro Watarai, Kazuo Ishikawa, Hiroyuki Kinouchi, Kazuo Mizoi
American Journal of Neuroradiology Sep 2005, 26 (8) 1937-1942;
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