Abstract
The quantitative imaging of the hemodynamic and metabolic changes occurring in brain regions responding to distinct stimulation or involved in tie performance of specific tasks is one of the most intriguing applications of positron emission tomography (PET) (Phelps et al. 1982; Pawlik and Heiss 1989). Depending on the chosen paradigm, PET activation studies can serve many purposes. While elementary and stepwise paradigms are geared primarily at the elucidation of normal functional neuroanatomy, more complex tasks causing widespread activation may be better suited for the assessment of the regional reserve capacity especially in dysfunctional association areas because brain lesions are rarely restricted to primary cortex. Furthermore, even in regions showing no gross structrual abnormality, lesions at the cellular or synaptic level may interfere with the ability to respond to specific stimulation by appropriate neuronal recruitment that cannot be assessed with purely vascular stimuli like forced hypercapnia. This report describes our experience with a few cognitive and behavioral activation paradigms in various common neurological diseases.
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References
Baron JC (1987) Ischemic stroke studied by 150-labeled compounds: misery perfusion and luxury perfusion. In: Heiss WD, Pawlik G, Herholz K, Wienhard K (eds) Clinical efficacy of positron emission tomography. Nijhoff, Dordrecht, pp 15–23
DeKosky ST, Scheff SW (1990) Synapse loss in frontal cortex biopsies in Alzheimer’s disease: correlation with cognitive severity. Ann Neurol 27:457–464
DiChiro G (1986) Positron emission tomography using (18F) fluorodeoxyglucose in brain tumors. A powerful diagnostic and prognostic tool. Invest Radiol 22:360–371
Engel J Jr (1989) Seizures and epilepsy. Davis, Philadelphia
Engel J Jr, Henry TR, Risinger MW, Mazziotta JC, Sutherling WW, Levesque MF, Phelps ME (1990) Presurgical evaluation for partial epilepsy: relative contributions of chronic depth- electrode recordings versus FDG-PET and scalp-sphenoidal ictal EEG. Neurology 40:1679–1677
Eriksson L, Böhm C, Kesselberg M, Blomqvist G, Litton J, Widen L, Bergström M, Ericson K, Greitz T (1982) A four ring positron camera system for emission tomography of the brain. IEEE Trans Nucl Sci [New Series] 29:539–543
Feeney DM, Baron JC (1986) Diaschisis. Stroke 17:817–830
Gibbs JM, Wise RJS, Leenders KL, Jones T (1984) Evaluation of cerebral perfusion reserve in patients with carotid-artery occlusion. Lancet 1:310–314
Heiss WD, Pawlik G, Herholz K, Wagner R, Göldner H, Wienhard K (1984) Regional kinetic constants and CMRglu in normal human volunteers determined by dynamic positron emission tomography of (18F)-2-fluoro-2-deoxy-D-glucose. J Cereb Blood Flow Metab 4:212–223
Heiss WD, Herholz K, Pawlik G, Heboid I, Klinkhammer P, Szelies B (1989) PET findings in dementia disorders. Contributions to differential diagnosis and objectivizing of therapeutic effects. Keio J Med 38:111–135
Herholz K, Pawlik G, Wienhard K, Heiss WD (1985) Computer assisted mapping in quantitative analysis of cerebral positron emission tomograms. J Comput Assist Tomogr 9:154–161
McKhann G, Drachman D, Folstein M, Katzman R, Price D, Stadlan EM (1984) Clinical diagnosis of Alzheimer’s disease. Neurology (NY) 34:939–944
Mies G, Auer LM, Ebhardt G, Traupe H, Heiss WD (1983) Flow and neuronal density in tissue surrounding chronic infarction. Stroke 14:22–27
Mintun MA, Raichle ME, Martin WRW, Herscovitch P (1984) Brain oxygen utilization measured with 0–15 radiotracers and positron emission tomography. J Nucl Med 25:177–187
Pawlik G, Heiss WD (1989) Positron emission tomography and neuropsychological function. In: Bigler E, Yeo RA, Turkheimer E (eds) Neuropsychological function and brain imaging. Plenum, New York, pp 65–138
Pawlik G, Herholz K, Beil C, Wagner R, Wienhard K, Heiss WD (1985) Remote effects of focal lesions on cerebral blood flow and metabolism. In: Heiss WD (ed) Functional mapping of the brain in vascular disorders. Springer, Berlin Heidelberg New York, pp 59–84
Pawlik G, Herholz K, Wienhard K, Beil C, Heiss WD (1986) Some maximum likelihood methods useful for the regional analysis of dynamic PET data on brain glucose metabolism. In: Bacharach SL (ed) Information processing in medical imaging. Nijhoff, Dordrecht, pp 298–310
Pawlik G, Heiss WD, Beil C, Grünewald G, Herholz K, Wienhard K, Wagner R (1987) Three- dimensional patterns of speech-induced cerebral and cerebellar activation in healthy volunteers and in aphasic stroke patients studied by positron emission tomography of 2(18F)-fluoro- deoxyglucose. In: Meyer JS, Lechner H, Reivich M, Ott EO (eds) Cerebral vascular disease 6. Excerpta Medica, Amsterdam, pp 207–210
Phelps ME, Mazziotta JC, Huang SC (1982) Study of cerebral function with positron emission tomography. J Cereb Blood Flow Metab 2:113–162
Powers WJ, Tempel LW, Grubb RL Jr (1989) Influence of cerebral hemodynamics on strokerisk: one-year follow-up of 30 medically treated patients. Ann Neurol 25:325–330
Reisberg B, Ferris SH, DeLeon MJ, Crook T (1982) The global deterioration scale for assessment of primary degenerative dementia. Am J Psychiatry 139:1136–1139
Tyler JL, Leblanc R, Meyer E, Dagher A, Yamamoto YL, Diksic M, Hakim A (1989) Hemodynamic and metabolic effects of cerebral arteriovenous malformations studied by positron emission tomography. Stroke 20:890–898
Wienhard K, Pawlik G, Herholz K, Wagner R, Heiss WD (1985) Estimation of local cerebral utilization by positron emission tomography of (18F)-2-fluoro-2-deoxy-D-glucose: a critical appraisal of optimization procedures. J Cereb Blood Flow Metab 5:115–125
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© 1992 Springer-Verlag, Berlin Heidelberg
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Pawlik, G., Fink, G.R., Pietrzyk, U., Grond, M., Heiss, WD. (1992). Positron Emission Tomography Activation Studies in Neurological Patients. In: Schmiedek, P., Einhäupl, K., Kirsch, CM. (eds) Stimulated Cerebral Blood Flow. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-77102-6_14
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DOI: https://doi.org/10.1007/978-3-642-77102-6_14
Publisher Name: Springer, Berlin, Heidelberg
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