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Published in: EJNMMI Research 1/2011

Open Access 01-12-2011 | Original research

Brain perfusion CT compared with15O-H2O-PET in healthy subjects

Authors: Julie Marie Grüner, Rune Paamand, Liselotte Højgaard, Ian Law

Published in: EJNMMI Research | Issue 1/2011

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Abstract

Background

Regional cerebral blood flow [rCBF] measurements are valuable for identifying angiogenically active tumours, and perfusion computed tomography [CT] has been suggested for that purpose. This study aimed to validate rCBF measurements by perfusion CT with positron-emission tomography [PET] and15O-labelled water [15O-H2O] in healthy subjects.

Methods

RCBF was measured twice in 12 healthy subjects with15O-H2O PET and once with perfusion CT performed over the basal ganglia. Matching rCBF values in regions of interest were compared.

Results

Measured with perfusion CT, rCBF was significantly and systematically overestimated. White matter rCBF values were 17.4 ± 2.0 (mean ± SD) mL min-1 100 g-1 for PET and 21.8 ± 3.4 mL min-1 100 g-1 for perfusion CT. Grey matter rCBF values were 48.7 ± 5.0 mL min-1 100 g-1 for PET and 71.8 ± 8.0 mL min-1 100 g-1 for perfusion CT. The overestimation of grey matter rCBF could be reduced from 47% to 20% after normalization to white matter rCBF, but the difference was still significant.

Conclusion

RCBF measured with perfusion CT does contain perfusion information, but neither quantitative nor relative values can substitute rCBF measured by15O-H2O PET yet. This, however, does not necessarily preclude a useful role in patient management.
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Metadata
Title
Brain perfusion CT compared with15O-H2O-PET in healthy subjects
Authors
Julie Marie Grüner
Rune Paamand
Liselotte Højgaard
Ian Law
Publication date
01-12-2011
Publisher
Springer Berlin Heidelberg
Published in
EJNMMI Research / Issue 1/2011
Electronic ISSN: 2191-219X
DOI
https://doi.org/10.1186/2191-219X-1-28

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