Clinical evaluation of SPECT/CT fusion imaging for the diagnosis and determination of localisation of cerebrospinal rhinorrhea

Abstract Objective The objective was to evaluate the clinical value of the single photon emission computerized tomography/computed tomography (SPECT/CT) fusion imaging for the diagnosis and determination of localisation of cerebrospinal rhinorrhea. Methods A total of 33 patients with cerebrospinal r...

Full description

Saved in:
Bibliographic Details
Published in:Clinical imaging 2013-09, Vol.37 (5), p.847-851
Main Authors: Zhang, Guoxu, Wang, Zhiguo, Hao, Shanhu, Zhang, Tong, Zhang, Wenwen, Guo, Jia, Zhang, Zongpeng
Format: Article
Language:English
Subjects:
Accuracy
Adolescent
Adult
Cerebrospinal Fluid Rhinorrhea - diagnostic imaging
Cerebrospinal rhinorrhea
Diagnosis
Female
Fusion imaging
Holes
Humans
Imaging
Leakage
Localisation
Male
Medical imaging
Methods
Middle Aged
Nose
Patients
Photon emission
Radioactivity
Radiology
Sinuses
Technetium Tc 99m Pentetate
Tomography
Tomography, Emission-Computed, Single-Photon - methods
Tomography, X-Ray Computed - methods
Young Adult
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Abstract Objective The objective was to evaluate the clinical value of the single photon emission computerized tomography/computed tomography (SPECT/CT) fusion imaging for the diagnosis and determination of localisation of cerebrospinal rhinorrhea. Methods A total of 33 patients with cerebrospinal rhinorrhea were preoperatively injected with99m Tc-diethylenetriamine pentaacetic acid (DTPA) through lumbar puncture and then subjected to planar imaging of the cistern 120 min and 180 min after operation. CT and ECT were then performed. Finally, the rhinorrhea ventage and leaking path were confirmed by fusion image analysis. Results Thirty-one patients who underwent fusion imaging and 30 patients who underwent planar imaging showed abnormal nuclide activity in the cavity between the basis cranii and the nose. After operation, 30 patients who underwent fusion imaging and 18 patients who underwent planar imaging showed complete correction of the leakage. The diagnosis sensitivity and positional accuracy of fusion imaging were 93.9% (31/33) and 90.9% (30/33) at P > .05. The values of planar imaging were 93.5% (29/31) and 79.3% (23/29) at P < .05. Conclusion99m Tc-DTPA SPECT/CT fusion imaging of the cistern is an efficient, simple, and accurate method that may be used for diagnosing and determining the localisation of cerebrospinal rhinorrhea ventage and leakage path.
ISSN:0899-7071
1873-4499
DOI:10.1016/j.clinimag.2013.05.014