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
Hauptverfasser: Nakabeppu, Y, Nakajo, M, Gushiken, T, Tsuchimochi, S, Tani, A, Kanmura, Y
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container_issue 5
container_start_page 459
container_title Annals of nuclear medicine
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creator Nakabeppu, Y
Nakajo, M
Gushiken, T
Tsuchimochi, S
Tani, A
Kanmura, Y
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.
doi_str_mv 10.1007/BF02988354
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source MEDLINE; SpringerNature Journals; Alma/SFX Local Collection
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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