Skip to main content
Journal of Neurology, Neurosurgery, and Psychiatry logoLink to Journal of Neurology, Neurosurgery, and Psychiatry
. 1978 Jan;41(1):1–10. doi: 10.1136/jnnp.41.1.1

Study of regional cerebral metabolism and blood flow relationships in man using the method of continuously inhaling oxygen-15 and oxygen-15 labelled carbon dioxide.

G L Lenzi, T Jones, C G McKenzie, P D Buckingham, J C Clark, S Moss
PMCID: PMC492955  PMID: 621525

Abstract

A new technique for assessing regional oxygen use and blood flow has been applied to a wide range of neurological patients. The method couples the brain's high metabolic demand for oxygen with a shortlived radioactive form of this metabolite, namely oxygen-15 (half life: 2.1 min). This combination produces during the continuous inhalation of either molecular oxygen-15 or labelled carbon dioxide, steady state functional images of the brain which are relatively free of contribution from extracerebral tissues. These are complementary images in that they relate to regional oxygen uptake and blood flow and hence offer a direct insight to the regional demand-to-supply relationships within the brain in physiological and pathological conditions. In the clinical groups studied, metabolic and circulatory defects were observed and instances of cerebrovascular insufficiency and relative luxury perfusion were defined which hitherto have been deduced from indirect methods. The clinical acceptability of this non-invasive approach allowed us to study those categories of patients which normally do not warrant invasive examination.

Full text

PDF
4

Images in this article

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Hoop B., Hnatowich D. J., Brownell G. L., Jones T., McKusick K. A., Ojemann R. G., Parker J. A., Subramanyam R., Taveras J. M. Techniques for positron scintigraphy of the brain. J Nucl Med. 1976 Jun;17(6):473–479. [PubMed] [Google Scholar]
  2. Hougaard K., Oikawa T., Sveinsdottir E., Skinoj E., Ingvar D. H., Lassen N. A. Regional cerebral blood flow in focal cortical epilepsy. Arch Neurol. 1976 Aug;33(8):527–535. doi: 10.1001/archneur.1976.00500080005002. [DOI] [PubMed] [Google Scholar]
  3. Jones T., Chesler D. A., Ter-Pogossian M. M. The continuous inhalation of oxygen-15 for assessing regional oxygen extraction in the brain of man. Br J Radiol. 1976 Apr;49(580):339–343. doi: 10.1259/0007-1285-49-580-339. [DOI] [PubMed] [Google Scholar]
  4. Kety S. S., Schmidt C. F. THE NITROUS OXIDE METHOD FOR THE QUANTITATIVE DETERMINATION OF CEREBRAL BLOOD FLOW IN MAN: THEORY, PROCEDURE AND NORMAL VALUES. J Clin Invest. 1948 Jul;27(4):476–483. doi: 10.1172/JCI101994. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Raichle M. E., Grubb R. L., Jr, Gado M. H., Eichling J. O., Ter-Pogossian M. M. Correlation between regional cerebral blood flow and oxidative metabolism. In vivo studies in man. Arch Neurol. 1976 Aug;33(8):523–526. doi: 10.1001/archneur.1976.00500080001001. [DOI] [PubMed] [Google Scholar]
  6. Risberg J., Halsey J. H., Wills E. L., Wilson E. M. Hemispheric specialization in normal man studied by bilateral measurements of the regional cerebral blood flow. A study with the 133-Xe inhalation technique. Brain. 1975 Sep;98(3):511–524. doi: 10.1093/brain/98.3.511. [DOI] [PubMed] [Google Scholar]
  7. SCHEINBERG P., BLACKBURN I., RICH M., SASLAW M. Effects of aging on cerebral circulation and metabolism. AMA Arch Neurol Psychiatry. 1953 Jul;70(1):77–85. doi: 10.1001/archneurpsyc.1953.02320310083007. [DOI] [PubMed] [Google Scholar]
  8. Ter-Pogossian M. M., Eichling J. O., Davis D. O., Welch M. J. The measure in vivo of regional cerebral oxygen utilization by means of oxyhemoglobin labeled with radioactive oxygen-15. J Clin Invest. 1970 Feb;49(2):381–391. doi: 10.1172/JCI106247. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Ter-Pogossian M. M., Phelps M. E., Hoffman E. J., Mullani N. A. A positron-emission transaxial tomograph for nuclear imaging (PETT). Radiology. 1975 Jan;114(1):89–98. doi: 10.1148/114.1.89. [DOI] [PubMed] [Google Scholar]
  10. WEST J. B., DOLLERY C. T. Uptake of oxygen-15-labeled CO2 compared with carbon-11-labeled CO2 in the lung. J Appl Physiol. 1962 Jan;17:9–13. doi: 10.1152/jappl.1962.17.1.9. [DOI] [PubMed] [Google Scholar]
  11. Westerman B. R., Glass H. I. Physical specification of a gamma camera. J Nucl Med. 1968 Jan;9(1):24–30. [PubMed] [Google Scholar]
  12. Wilkinson I. M., Bull J. W., Duboulay G. H., Marshall J., Russell R. W., Symon L. Regional blood flow in the normal cerebral hemisphere. J Neurol Neurosurg Psychiatry. 1969 Oct;32(5):367–378. doi: 10.1136/jnnp.32.5.367. [DOI] [PMC free article] [PubMed] [Google Scholar]

Articles from Journal of Neurology, Neurosurgery, and Psychiatry are provided here courtesy of BMJ Publishing Group

RESOURCES