Nuclear Cerebral Angiography

Abstract
Regional cerebral circulation was evaluated in 25 patients using scintiphotos in the vertex projection during the initial passage of a bolus of intravenously administered sodium pertechnetate Tc 99m. These nuclear cerebral angiograms (NCA) and brain scans were compared to contrast angiograms. If the NCA was normal and the scan revealed a lesion that did not correspond to the area supplied by a major arterial distribution, the probability of a mass lesion was high. If the NCA showed decreased flow and the scan was normal or showed a lesion in a major arterial distribution, most probably the patient had cerebral vascular disease. If the NCA showed increased flow in the region of a scan abnormality, either a glioblastoma or an arteriovenous malformation was likely. In all cases the diagnosis was established by contrast angiography or surgery or both.