Decreased perfusion of the bilateral thalami in patients with chronic pain detected by Tc-99m-ECD SPECT with statistical parametric mapping
The purpose of this study was to examine whether the Tc-99m-ECD SPECT can detect any difference between the brain perfusion in patients with chronic pain and normal controls by means of the Statistical Parametric Mapping (SPM96). The subjects were twelve patients with chronic pain (CP group) and twe...
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Veröffentlicht in: | Annals of nuclear medicine 2001-10, Vol.15 (5), p.459-463 |
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description | The purpose of this study was to examine whether the Tc-99m-ECD SPECT can detect any difference between the brain perfusion in patients with chronic pain and normal controls by means of the Statistical Parametric Mapping (SPM96). The subjects were twelve patients with chronic pain (CP group) and twelve normal controls (NC group). After informed consent was obtained, 720 MBq of Tc-99m-ECD was intravenously injected as a bolus. The SPECT data were acquired once for 20 mins from 5 mins after i.v. injection of Tc-99m-ECD, with a triple-head rotating gamma camera. The SPECT data were transformed into a standard stereotactic space, and group comparisons between CP and NC groups were performed on a voxel-by-voxel basis. The subset of voxels exceeding a threshold of p < 0.001 in omnibus comparisons and remaining significant after correction for multiple comparison (p < 0.05) was displayed as a volume image rendered in three orthogonal projections. There was a significant decrease in perfusion in the bilateral thalami in the CP group, suggesting that perfusion in the thalamus generally decreases in patients with chronic pain. Tc-99m-ECD SPECT with SPM96 may be useful for studies of the mechanisms of chronic pain. |
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The subjects were twelve patients with chronic pain (CP group) and twelve normal controls (NC group). After informed consent was obtained, 720 MBq of Tc-99m-ECD was intravenously injected as a bolus. The SPECT data were acquired once for 20 mins from 5 mins after i.v. injection of Tc-99m-ECD, with a triple-head rotating gamma camera. The SPECT data were transformed into a standard stereotactic space, and group comparisons between CP and NC groups were performed on a voxel-by-voxel basis. The subset of voxels exceeding a threshold of p < 0.001 in omnibus comparisons and remaining significant after correction for multiple comparison (p < 0.05) was displayed as a volume image rendered in three orthogonal projections. There was a significant decrease in perfusion in the bilateral thalami in the CP group, suggesting that perfusion in the thalamus generally decreases in patients with chronic pain. Tc-99m-ECD SPECT with SPM96 may be useful for studies of the mechanisms of chronic pain.</description><identifier>ISSN: 0914-7187</identifier><identifier>EISSN: 1864-6433</identifier><identifier>DOI: 10.1007/BF02988354</identifier><identifier>PMID: 11758955</identifier><language>eng</language><publisher>Japan: Springer Nature B.V</publisher><subject>Adult ; Algorithms ; Chronic Disease ; Chronic pain ; Cysteine - analogs & derivatives ; Data acquisition ; Female ; Humans ; Image Enhancement - methods ; Informed consent ; Male ; Mapping ; Organotechnetium Compounds ; Pain ; Pain - diagnostic imaging ; Pain - physiopathology ; Pain management ; Perfusion ; Radionuclide Imaging ; Radiopharmaceuticals ; Single photon emission computed tomography ; Statistics ; Thalamus ; Thalamus - blood supply ; Thalamus - diagnostic imaging</subject><ispartof>Annals of nuclear medicine, 2001-10, Vol.15 (5), p.459-463</ispartof><rights>Springer 2001</rights><rights>Springer 2001.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c454t-3c3e2ee038ee4fd24defcfa48d84812e0d07a5ccfbe96769e3e3bff5262470403</citedby><cites>FETCH-LOGICAL-c454t-3c3e2ee038ee4fd24defcfa48d84812e0d07a5ccfbe96769e3e3bff5262470403</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785,27929,27930</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11758955$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nakabeppu, Y</creatorcontrib><creatorcontrib>Nakajo, M</creatorcontrib><creatorcontrib>Gushiken, T</creatorcontrib><creatorcontrib>Tsuchimochi, S</creatorcontrib><creatorcontrib>Tani, A</creatorcontrib><creatorcontrib>Kanmura, Y</creatorcontrib><title>Decreased perfusion of the bilateral thalami in patients with chronic pain detected by Tc-99m-ECD SPECT with statistical parametric mapping</title><title>Annals of nuclear medicine</title><addtitle>Ann Nucl Med</addtitle><description>The purpose of this study was to examine whether the Tc-99m-ECD SPECT can detect any difference between the brain perfusion in patients with chronic pain and normal controls by means of the Statistical Parametric Mapping (SPM96). The subjects were twelve patients with chronic pain (CP group) and twelve normal controls (NC group). After informed consent was obtained, 720 MBq of Tc-99m-ECD was intravenously injected as a bolus. The SPECT data were acquired once for 20 mins from 5 mins after i.v. injection of Tc-99m-ECD, with a triple-head rotating gamma camera. The SPECT data were transformed into a standard stereotactic space, and group comparisons between CP and NC groups were performed on a voxel-by-voxel basis. The subset of voxels exceeding a threshold of p < 0.001 in omnibus comparisons and remaining significant after correction for multiple comparison (p < 0.05) was displayed as a volume image rendered in three orthogonal projections. There was a significant decrease in perfusion in the bilateral thalami in the CP group, suggesting that perfusion in the thalamus generally decreases in patients with chronic pain. Tc-99m-ECD SPECT with SPM96 may be useful for studies of the mechanisms of chronic pain.</description><subject>Adult</subject><subject>Algorithms</subject><subject>Chronic Disease</subject><subject>Chronic pain</subject><subject>Cysteine - analogs & derivatives</subject><subject>Data acquisition</subject><subject>Female</subject><subject>Humans</subject><subject>Image Enhancement - methods</subject><subject>Informed consent</subject><subject>Male</subject><subject>Mapping</subject><subject>Organotechnetium Compounds</subject><subject>Pain</subject><subject>Pain - diagnostic imaging</subject><subject>Pain - physiopathology</subject><subject>Pain management</subject><subject>Perfusion</subject><subject>Radionuclide Imaging</subject><subject>Radiopharmaceuticals</subject><subject>Single photon emission computed tomography</subject><subject>Statistics</subject><subject>Thalamus</subject><subject>Thalamus - blood supply</subject><subject>Thalamus - diagnostic imaging</subject><issn>0914-7187</issn><issn>1864-6433</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqF0t1qFDEYBuAgil1rT3oBEiooCFPzO0kOdbtVoVDB7fGQyXxxU-bPJIP0GrxpU3ahULAehSTP94bAi9ApJeeUEPXx8yVhRmsuxTO0oroWVS04f45WxFBRKarVEXqV0i0hTEvNXqIjSpXURsoV-nMBLoJN0OEZol9SmEY8eZx3gNvQ2wzR9mVnezsEHEY82xxgzAn_DnmH3S5OY3DltFx1kMHlktTe4a2rjBmqzfoC__i-WW_3POUynXJwJXO20Q6QY5ke7DyH8edr9MLbPsHJYT1GN5eb7fprdXX95dv601XlhBS54o4DAyBcAwjfMdGBd94K3WmhKQPSEWWlc74FU6vaAAfeei9ZzYQigvBj9H6fO8fp1wIpN0NIDvrejjAtqTFEiFoKw4t896RUjHMmpfwvZJQyafT9228fwdtpiWP5bsOUVkzUlJmizv6pqCRCMiUK-rBHLk4pRfDNHMNg411DSXNfjOahGAW_OSQu7QDdAz00gf8FBHiyFg</recordid><startdate>20011001</startdate><enddate>20011001</enddate><creator>Nakabeppu, Y</creator><creator>Nakajo, M</creator><creator>Gushiken, T</creator><creator>Tsuchimochi, S</creator><creator>Tani, A</creator><creator>Kanmura, Y</creator><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7RV</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7QO</scope><scope>8FD</scope><scope>FR3</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>20011001</creationdate><title>Decreased perfusion of the bilateral thalami in patients with chronic pain detected by Tc-99m-ECD SPECT with statistical parametric mapping</title><author>Nakabeppu, Y ; Nakajo, M ; Gushiken, T ; Tsuchimochi, S ; Tani, A ; Kanmura, Y</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c454t-3c3e2ee038ee4fd24defcfa48d84812e0d07a5ccfbe96769e3e3bff5262470403</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Adult</topic><topic>Algorithms</topic><topic>Chronic Disease</topic><topic>Chronic pain</topic><topic>Cysteine - 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Academic</collection><jtitle>Annals of nuclear medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nakabeppu, Y</au><au>Nakajo, M</au><au>Gushiken, T</au><au>Tsuchimochi, S</au><au>Tani, A</au><au>Kanmura, Y</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Decreased perfusion of the bilateral thalami in patients with chronic pain detected by Tc-99m-ECD SPECT with statistical parametric mapping</atitle><jtitle>Annals of nuclear medicine</jtitle><addtitle>Ann Nucl Med</addtitle><date>2001-10-01</date><risdate>2001</risdate><volume>15</volume><issue>5</issue><spage>459</spage><epage>463</epage><pages>459-463</pages><issn>0914-7187</issn><eissn>1864-6433</eissn><abstract>The purpose of this study was to examine whether the Tc-99m-ECD SPECT can detect any difference between the brain perfusion in patients with chronic pain and normal controls by means of the Statistical Parametric Mapping (SPM96). The subjects were twelve patients with chronic pain (CP group) and twelve normal controls (NC group). After informed consent was obtained, 720 MBq of Tc-99m-ECD was intravenously injected as a bolus. The SPECT data were acquired once for 20 mins from 5 mins after i.v. injection of Tc-99m-ECD, with a triple-head rotating gamma camera. The SPECT data were transformed into a standard stereotactic space, and group comparisons between CP and NC groups were performed on a voxel-by-voxel basis. The subset of voxels exceeding a threshold of p < 0.001 in omnibus comparisons and remaining significant after correction for multiple comparison (p < 0.05) was displayed as a volume image rendered in three orthogonal projections. There was a significant decrease in perfusion in the bilateral thalami in the CP group, suggesting that perfusion in the thalamus generally decreases in patients with chronic pain. Tc-99m-ECD SPECT with SPM96 may be useful for studies of the mechanisms of chronic pain.</abstract><cop>Japan</cop><pub>Springer Nature B.V</pub><pmid>11758955</pmid><doi>10.1007/BF02988354</doi><tpages>5</tpages></addata></record> |
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subjects | Adult Algorithms Chronic Disease Chronic pain Cysteine - analogs & derivatives Data acquisition Female Humans Image Enhancement - methods Informed consent Male Mapping Organotechnetium Compounds Pain Pain - diagnostic imaging Pain - physiopathology Pain management Perfusion Radionuclide Imaging Radiopharmaceuticals Single photon emission computed tomography Statistics Thalamus Thalamus - blood supply Thalamus - diagnostic imaging |
title | Decreased perfusion of the bilateral thalami in patients with chronic pain detected by Tc-99m-ECD SPECT with statistical parametric mapping |
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