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Journal of Nuclear Medicine Technology

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OtherIMAGING

Technical Review and Considerations for a Cerebrospinal Fluid Leakage Study

Vesper V. Grantham, Brian Blakley and Jan Winn
Journal of Nuclear Medicine Technology March 2006, 34 (1) 48-51;
Vesper V. Grantham
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Brian Blakley
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Jan Winn
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  • FIGURE 1. 
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    FIGURE 1. 

    Example 6-h postinjection image demonstrating normal dose flow in spinal column. Kidneys and bladder are not seen.

  • FIGURE 2. 
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    FIGURE 2. 

    Example 4-h postinjection image with dose extravasation indicated by bladder visualization.

  • FIGURE 3. 
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    FIGURE 3. 

    Example 24-h postinjection images demonstrating no evidence of CSF leakage. From left to right are anterior, right lateral, and left lateral views.

  • FIGURE 4. 
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    FIGURE 4. 

    Example anterior image demonstrating swallowed radiopharmaceutical and dose accumulation in stomach (arrow) during CSF leakage study. This presentation is considered positive for leakage.

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    TABLE 1

    Quantitative Data for CSF Leakage Study

    Plasma serumPledget
    ParameterBackgroundLeftRight
    Sample A count2764,4307,8994,501
    Sample B count2864,4857,7514,523
    Average count2814,4577,8254,512
    Net count4,1767,5444,231
    Fluid grams1.71.92.1
    Average net count per gram2,456.43,970.52,014.7
    Sample-to-serum ratio1.62:10.82:1
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Journal of Nuclear Medicine Technology: 34 (1)
Journal of Nuclear Medicine Technology
Vol. 34, Issue 1
March 2006
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Technical Review and Considerations for a Cerebrospinal Fluid Leakage Study
Vesper V. Grantham, Brian Blakley, Jan Winn
Journal of Nuclear Medicine Technology Mar 2006, 34 (1) 48-51;

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Technical Review and Considerations for a Cerebrospinal Fluid Leakage Study
Vesper V. Grantham, Brian Blakley, Jan Winn
Journal of Nuclear Medicine Technology Mar 2006, 34 (1) 48-51;
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