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Radiology
Nuclear Brain Imaging
Built from Fundamentals of Diagnostic Radiology
What’s inside
5 sections · 57 slides
Overview
- Scope of nuclear brain imaging
PET and SPECT fundamentals
Tracers that cross the blood–brain barrier, and how the scans are acquired
- How PET and SPECT see the brain
- FDG PET: preparing the patient
- Brain perfusion SPECT: technique
- Normal HMPAO brain perfusion SPECT
- Normal HMPAO brain perfusion SPECT
Clinical interpretation
Dementia, seizures, stroke, tumours, trauma and Parkinson disease
- Alzheimer disease pattern on functional imaging
- FDG-PET in Alzheimer disease
- Stereotactic surface projection (SSP)
- Three-dimensional SSP display in Alzheimer disease
- Alzheimer disease versus Lewy body dementia
- Frontotemporal and vascular dementia
- Two variants of frontotemporal dementia
- Seizure focus localisation
- Ictal versus interictal patterns
- Ictal and interictal SPECT in complex partial epilepsy
- Interictal PET in epilepsy
- Acute stroke on functional imaging
- Cerebral infarction with crossed cerebellar diaschisis
- Subcortical cerebral infarct on Tc-99m ECD SPECT
- Vasospasm after subarachnoid haemorrhage
- Subarachnoid haemorrhage and cerebral vasospasm
- Luxury perfusion after infarction
- Acetazolamide vascular reserve testing
- Acetazolamide vascular reserve testing
- PET for brain tumours
- Brain trauma
- Parkinson disease and the dopamine transporter
- DaTscan technique
- Reading the striatum
- I-123 ioflupane (FP-CIT) SPECT in Parkinson disease
Cerebral perfusion and planar imaging
Brain death, the blood–brain barrier and perfusion reserve
- Cerebral perfusion imaging with HMPAO and ECD
- Brain death: perfusion criteria
- Brain perfusion planar scans in brain death
- Planar brain imaging and the blood–brain barrier
- Reading planar brain images
- Brain death on planar imaging
Cerebrospinal fluid studies
Cisternography for hydrocephalus, CSF leak and shunt patency
- CSF flow pathway
- Tracers and cisternography
- Standard cisternogram technique
- Normal pressure hydrocephalus
- Normal pressure hydrocephalus on cisternogram
- CSF leak detection
- Shunt and reservoir studies
- Localising a shunt blockage
- Overshunting
- Takeaways
- Suggested readings
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- Brant and Helms' Fundamentals of Diagnostic Radiology