SUPRAOPHTHALMIC CHEMOTHERAPY WITH LONG TAPERED CATHETER - DISTRIBUTION EVALUATED WITH INTRAARTERIAL AND INTRAVENOUS TC-99M HMPAO

被引:14
作者
AOKI, S
TERADA, H
KOSUDA, S
SHITARA, N
FUJII, H
SUZUKI, K
KUTSUKAKE, Y
TANAKA, J
SASAKI, Y
OKUBO, T
SHIROUZU, I
MACHIDA, T
SASAKI, Y
机构
[1] TOKYO METROPOLITAN KOMAGOME HOSP,DEPT NEUROSURG,TOKYO,JAPAN
[2] UNIV TOKYO,FAC MED,DEPT RADIOL,BUNKYO KU,TOKYO 113,JAPAN
[3] TOHO UNIV,SCH MED,DEPT RADIOL 2,TOKYO 143,JAPAN
[4] NATL DEF MED UNIV,DEPT RADIOL,SAITAMA,JAPAN
关键词
BRAIN; RADIONUCLIDE STUDIES; BRAIN NEOPLASMS; THERAPY; CATHETERS AND CATHETERIZATION; TECHNOLOGY; CHEMOTHERAPEUTIC INFUSION;
D O I
10.1148/radiology.188.2.8327676
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Supraophthalmic intraarterial chemotherapy has not become popular due to a high incidence of damage to the normal brain and eye. This damage is due to inhomogeneous distribution of the agent secondary to streaming and other flow-related phenomena. To try to minimize this complication, the authors developed a catheter and studied different infusion techniques. A 4.5-F catheter tapered to 2.5 F was used to perform supraophthalmic intraarterial chemotherapy in 26 patients with malignant gliomas. Forty-one of 45 catheterizations were successful. In 17 patients (20 procedures), technetium-99m hexamethyl-propyleneamine oxime (HMPAO) was then injected through the catheter and single photon emission computed tomography was performed to assess the cerebral distribution of the radiopharmaceutical with either a pulsatile or continuous infusion technique. Diffuse and relatively homogeneous distribution of Tc-99m HMPAO was observed with fast pulsatile infusion (10 of 10 procedures); however, inhomogeneous distribution was mostly seen with slow continuous infusion (eight of 10 procedures).
引用
收藏
页码:347 / 350
页数:4
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