NEUROLOGY PROCEDURES

NEUROLOGY PROCEDURES

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cisterno

petfdg

tomocervei

CAT neuro01

CISTERNOGRAPHY

DESCRIPTION: Evaluation of the dynamics of the cerebrospinal fluid (CSF).

PREPARATION: No previous preparation is necessary. No fasting is required.

INDICATIONS: Diagnosis of normotensive hydrocephalus. Identification of liquorrheae or cerebrospinal fluid fistulae (CSF). Determination of the permeability of surgical derivations.

DURATION OF PROCEDURE: 48 hours.

CAT neuro02

18F-FDG BRAIN PET-CT

DESCRIPTION: Study of the glucose metabolism of the brain.

PREPARATION: Four to six-hour fasting. The patients should take the usual medication. There is the possibility of withdrawing the psychotropic drugs. Diabetic patients should take their usual medication. If needed, a sedation will be performed 20 minutes after the administration of FDG, preferably before images acquisition, according to the anesthesia procedure.

INDICATIONS: Early and differential diagnosis of dementias. Study of movement disorders, for the characterization of atypical parkinsonisms. Delimitation of the epileptographic focus of interictal phase in epilepsy. Evaluation of some psychiatric disorders (schizophrenia, depression, obsessive-compulsive disorder). Evaluation of cranioencephalic traumatisms and cerebrovascular pathologies.

DURATION OF PROCEDURE: 30 minutes.

CAT neuro03

BRAIN TOMOSCINTIGRAPHY (SPET/SPET-TC) WITH TUMORAL AFFINITY OR METABOLIC ACTIVITY RADIOTRACERS

DESCRIPTION: Evaluation of the encephalic uptake of thallium or technetium compounds by tumors.

PREPARATION: No previous preparation is necessary.

INDICATIONS: Evaluation of the degree of malignancy and metabolic activity of brain tumors. Evaluation of the therapeutic response of brain tumors to surgery or radiotherapy and detection of recurrences, allowing differentiation of radionecrosis. Differential diagnosis between lymphoma and other brain masses (toxoplasmosis …) in HIV-positive patients.

DURATION OF PROCEDURE: 2 to 24 hours.

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angiocerebral

datscan

amiloide

CAT neuro04

BRAIN ANGIOSCINTIGRAPHY

BRAIN SCINTIGRAPHY FOR ENCEPHALIC DEATH

PREFUSION BRAIN TOMOGRAPHY (SPET)

POST-PHARMACOLOGICAL INTERVENTION
PERFUSION BRAIN TOMOGRAPHY (SPET)

POST-NEUROACTIVATION PERFUSION BRAIN TOMOGRAPHY (SPET)

DESCRIPTION: Evaluation of cerebral perfusion and brain metabolic activity through the administration of a perfusion/neuronal metabolism radiotracer.

PREPARATION: No special preparation is required. It is recommended to avoid the use of drugs acting on the central nervous system.

INDICATIONS: Evaluation of cerebral perfusion. Diagnosis of thromboembolic or infarct disease. Diagnosis of brain death.

TOMOGRAPHIC STUDIES: Differential diagnosis of dementias (Alzheimer’s, Pick, multi-infarction). Pre-surgical evaluation of the epileptic patient: location of the epileptographic focus on complex partial crises and assessment of cerebral perfusion during the amobarbital test. Evaluation of some psychiatric disorders (schizophrenia, depression, obsessive-compulsive disorder). Determination of cerebral vascular pathologies. Determination of Chronic Fatigue Syndrome. Evaluation of cranioencefacial traumatisms. Evaluation of clinical-radiological dissociation. Diagnosis of systemic diseases (LES, Behçet, etc.).

DURATION OF PROCEDURE: 40 minutes.

CAT neuro05

DATSCAN BRAIN TOMOSCINTIGRAPHY

DOPAMINE (123I-IOFLUPANE) TRANSPORTERS BRAIN TOMOSCINTIGRAPHY (SPECT)

DESCRIPTION: Evaluation of the capture of ioflupane in the presynaptic dopaminergic receptors of the basal ganglia. Presynaptic study of the nigrostriatal way.

PREPARATION: No previous preparation required. Twenty drops of lugol (iodine solution) are administered 45-60 minutes before the procedure.

INDICATIONS: Differential diagnosis of Parkinson’s disease and Parkinsonian syndromes.

DURATION OF PROCEDURE: 4 hours.

CAT neuro06

PET-CT FOR THE DETECTION OF AMYLOID PLAQUE

DESCRIPTION: Evaluation of the presence of β-Amyloid in the brain.

PREPARATION: No previous preparation needed.

INDICATIONS: Early and differential diagnosis of dementias by determining the presence or absence of β-Amyloid.

DURATION OF PROCEDURE: 1 to 2 hours.

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neuroblasdopa



NeuroblastomaPediatricFDOPA

18F-DOPA PET-CT FOR THE PEDIATRIC
EVALUATION OF NEUROBLASTOMAS
AND OTHER NEUROENDOCRINE TUMORS

DESCRIPTION: Study of dopaminergic uptake in neuroblastomas and other NET in children. 

PREPARATION: Minimum 4-hour fasting before the procedure.

INDICATIONS: Evaluation of neuroblastomas and other neuroendocrine tumors.

DURATION OF PROCEDURE: 1 hour.


CISTERNOGRAPHY

DESCRIPTION

Evaluation of the dynamics of the cerebrospinal fluid (CSF).

PREPARATION

  • No previous preparation is necessary.

  • No fasting is required.

INDICATIONS

  • Diagnosis of normotensive hydrocephalus.
  • Identification of liquorrheae or cerebrospinal fluid fistulae (CSF).
  • Determination of the permeability of surgical derivations.

DURATION OF PROCEDURE

48 hours.

18F-FDG BRAIN PET-CT

DESCRIPTION

Study of the glucose metabolism of the brain.

PREPARATION

  • Four to six-hour fasting.

  • The patients should take the usual medication. There is the possibility of withdrawing the psychotropic drugs.

  • Diabetic patients should take their usual medication.

  • If needed, a sedation will be performed 20 minutes after the administration of FDG, preferably before images acquisition, according to the anesthesia procedure.

INDICATIONS

  • Early and differential diagnosis of dementias.

  • Study of movement disorders, for the characterization of atypical parkinsonisms.

  • Delimitation of the epileptographic focus of interictal phase in epilepsy.

  • Evaluation of some psychiatric disorders (schizophrenia, depression, obsessive-compulsive disorder).

  • Evaluation of cranioencephalic traumatisms and cerebrovascular pathologies.

DURATION OF PROCEDURE

30 minutes.

BRAIN TOMOSCINTIGRAPHY (SPET/SPET-TC)
WITH TUMORAL AFFINITY OR METABOLIC
ACTIVITY RADIOTRACERS

DESCRIPTION

Evaluation of the encephalic uptake of thallium or technetium compounds by tumors.

PREPARATION

No previous preparation is necessary.

INDICATIONS

  • Evaluation of the degree of malignancy and metabolic activity of brain tumors.

  • Evaluation of the therapeutic response of brain tumors to surgery or radiotherapy and detection of recurrences, allowing differentiation of radionecrosis.

  • Differential diagnosis between lymphoma and other brain masses (toxoplasmosis …) in HIV-positive patients.

DURATION OF PROCEDURE

2 to 24 hours.

BRAIN ANGIOSCINTIGRAPHY

BRAIN SCINTIGRAPHY FOR ENCEPHALIC DEATH

PREFUSION BRAIN TOMOGRAPHY (SPET)

POST-PHARMACOLOGICAL INTERVENTION
PERFUSION BRAIN TOMOGRAPHY (SPET)

POST-NEUROACTIVATION PERFUSION
BRAIN TOMOGRAPHY (SPET)

DESCRIPTION

Evaluation of cerebral perfusion and brain metabolic activity through the administration of a perfusion/neuronal metabolism radiotracer.

PREPARATION

  • No special preparation is required.

  • It is recommended to avoid the use of drugs acting on the central nervous system.

INDICATIONS

  • Evaluation of cerebral perfusion.

  • Diagnosis of thromboembolic or infarct disease.

  • Diagnosis of brain death.

TOMOGRAPHIC STUDIES:

  • Differential diagnosis of dementias (Alzheimer’s, Pick, multi-infarction). 
  • Pre-surgical evaluation of the epileptic patient: location of the epileptographic focus on complex partial crises and assessment of cerebral perfusion during the amobarbital test. 
  • Evaluation of some psychiatric disorders (schizophrenia, depression, obsessive-compulsive disorder). 
  • Determination of cerebral vascular pathologies. 
  • Determination of Chronic Fatigue Syndrome. 
  • Evaluation of cranioencefacial traumatisms. 
  • Evaluation of clinical-radiological dissociation. 
  • Diagnosis of systemic diseases (LES, Behçet, etc.).

DURATION OF PROCEDURE

40 minutes.

DATSCAN BRAIN TOMOSCINTIGRAPHY

DOPAMINE (123I-IOFLUPANE) TRANSPORTERS
BRAIN TOMOSCINTIGRAPHY (SPECT)

DESCRIPTION

  • Evaluation of the capture of ioflupane in the presynaptic dopaminergic receptors of the basal ganglia. 

  • Presynaptic study of the nigrostriatal way.

PREPARATION

  • No previous preparation required.

  • Twenty drops of lugol (iodine solution) are administered 45-60 minutes before the procedure.

INDICATIONS

Differential diagnosis of Parkinson’s disease and Parkinsonian syndromes.

DURATION OF PROCEDURE

4 hours.

PET-CT FOR THE DETECTION
OF AMYLOID PLAQUE

DESCRIPTION

Evaluation of the presence of β-Amyloid in the brain.

PREPARATION

No previous preparation needed.

INDICATIONS

Early and differential diagnosis of dementias by determining the presence or absence of β-Amyloid.

DURATION OF PROCEDURE

1 to 2 hours.

PET-CT FOR THE PEDIATRIC EVALUATION OF
NEUROBLASTOMAS AND OTHER
NEUROENDOCRINE TUMORS WITH 18F-DOPA

DESCRIPTION

Study of dopaminergic uptake in neuroblastomas and other NET in children. 

PREPARATION

Minimum 4-hour fasting before the procedure.

INDICATIONS

Evaluation of neuroblastomas and other neuroendocrine tumors.

DURATION OF PROCEDURE

1 hour.

Logo-SIMM-Largo

Josep Irla & Bosch Street, 5-7, Basement, Barcelona 08034, Catalonia, Spain
(+34) 93 204 6439 & (+34) 93 254 0470 Fax (+34) 93 204 9641 info@simm.barcelona

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Logo-SIMM-Largo

Carrer Josep Irla & Bosch, 5,7, Basement, Barcelona 08034, Catalonia, Spain
Phones (+34) 93 204 6439 & (+34) 93 254 0470 Fax (+34) 93 204 9641
Email info@simm.barcelona

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