TY - JOUR
T1 - Tissue pertechnetate and iodinated contrast material in ischemic stroke
AU - Anderson, David C.
AU - Coss, David T.
AU - Jacobson, Ronald L.
AU - Meyer, Maurice W.
PY - 1980/1/1
Y1 - 1980/1/1
N2 - Isotope uptake during static radionuclide scanning and contrast enhancement during CT scanning, which may result from similar pathophyslologlc mechanisms after ischemic infarction, were investigated in an animal model. Infarction was produced by transorbital occlusion of the middle cerebral artery in cats killed one, 2, 4, 8, or 16 days later. Sodium pertechnetate containing technetium-99m and 30% methylglucaraine iothalamate labeled with 1-125 were administered intravenously 60 and 15 min respectively prior to sacrifice. A coronal section through the infarct was parceled into 30 portions which were assayed for concentration of each isotope. Adjacent brain was prepared for histopatbologic correlation. Concentrations of the 2 materials were highest in infarcted brain at 4 and 8 days. Strong positive correlation was found between tissue concentrations of the 2 materials in all brain samples. Elevated tissue levels correlated with necrosis, macrophage infiltration, and vascular byperplasia. The results support the probability that radionuclide scan positivity and CT contrast enhancement reflect the same pathophysiologic development, probably extravasation of the respective labels, after ischemic stroke.
AB - Isotope uptake during static radionuclide scanning and contrast enhancement during CT scanning, which may result from similar pathophyslologlc mechanisms after ischemic infarction, were investigated in an animal model. Infarction was produced by transorbital occlusion of the middle cerebral artery in cats killed one, 2, 4, 8, or 16 days later. Sodium pertechnetate containing technetium-99m and 30% methylglucaraine iothalamate labeled with 1-125 were administered intravenously 60 and 15 min respectively prior to sacrifice. A coronal section through the infarct was parceled into 30 portions which were assayed for concentration of each isotope. Adjacent brain was prepared for histopatbologic correlation. Concentrations of the 2 materials were highest in infarcted brain at 4 and 8 days. Strong positive correlation was found between tissue concentrations of the 2 materials in all brain samples. Elevated tissue levels correlated with necrosis, macrophage infiltration, and vascular byperplasia. The results support the probability that radionuclide scan positivity and CT contrast enhancement reflect the same pathophysiologic development, probably extravasation of the respective labels, after ischemic stroke.
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U2 - 10.1161/01.STR.11.6.617
DO - 10.1161/01.STR.11.6.617
M3 - Article
C2 - 7210067
AN - SCOPUS:0019122292
SN - 0039-2499
VL - 11
SP - 617
EP - 622
JO - Stroke
JF - Stroke
IS - 6
ER -
