Document Detail


Cerebral hypoperfusion in medication resistant, depressed patients assessed by Tc99m HMPAO SPECT.
MedLine Citation:
PMID:  8988448     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Functional imaging studies generally show decreased cerebral metabolism and perfusion in depressed patients relative to normal controls, although the location of the deficits varies. We used Tc99m HMPAO SPECT to compare cerebral blood flow in medication resistant, depressed patients and a normal control group. HMPAO uptake ratios (adjusted for age) were significantly lower in the depressed patients in the transaxial slices 4 cm and 6 cm above the orbitomeatal line (OML) on the left side. Examining individual regions of interest (corrected for age and multiple testing), we found significantly lower perfusion in the left superior temporal, right parietal and bilateral occipital regions in the patient group. These findings are in limited agreement with previous HMPAO SPECT studies. Methodological differences between studies, particularly variability in adjusting data for age, lead to a divergence in findings. Future research should seek to standardize protocols and data analysis in order to generate comparable results.
Authors:
O Bonne; Y Krausz; M Gorfine; H Karger; Y Gelfin; B Shapira; R Chisin; B Lerer
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of affective disorders     Volume:  41     ISSN:  0165-0327     ISO Abbreviation:  J Affect Disord     Publication Date:  1996 Dec 
Date Detail:
Created Date:  1997-04-02     Completed Date:  1997-04-02     Revised Date:  2009-09-28    
Medline Journal Info:
Nlm Unique ID:  7906073     Medline TA:  J Affect Disord     Country:  NETHERLANDS    
Other Details:
Languages:  eng     Pagination:  163-71     Citation Subset:  IM    
Affiliation:
Biological Psychiatry Laboratory, Hadassah-Hebrew University Medical Center, Jerusolem 91120, Israel.
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MeSH Terms
Descriptor/Qualifier:
Adult
Affective Disorders, Psychotic / drug therapy,  psychology,  radionuclide imaging
Aged
Antidepressive Agents / therapeutic use*
Bipolar Disorder / drug therapy,  psychology,  radionuclide imaging
Brain Mapping
Cerebral Cortex / blood supply*,  radionuclide imaging
Depressive Disorder / drug therapy,  psychology,  radionuclide imaging*
Dominance, Cerebral / drug effects,  physiology
Female
Humans
Male
Middle Aged
Organotechnetium Compounds / diagnostic use
Oximes / diagnostic use
Reference Values
Regional Blood Flow / drug effects,  physiology
Technetium Tc 99m Exametazime
Tomography, Emission-Computed, Single-Photon*
Chemical
Reg. No./Substance:
0/Antidepressive Agents; 0/Organotechnetium Compounds; 0/Oximes; 100504-35-6/Technetium Tc 99m Exametazime

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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