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NEUROLOGY 1976;26:803
© 1976 American Academy of Neurology

Optimal utilization of computerized cranial tomography and radionuclide brain imaging

PHILIP O. ALDERSON, M.D., MICHAEL MIKHAEL, M.D., R. EDWARD COLEMAN, M.D. and MOKHTAR GADO, M.D.

From the Edward Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, Missouri.

The results of computerized cranial tomography and radionuclide brain imaging in 490 patients were compared in relationship to the patients' clinical presentation. In 195 patients with focal neurologic abnormalities, both tests detected most lesions, but computerized cranial tomography was slightly more accurate overall. Results of both studies were normal in 69 percent of 295 patients with nonfocal neurologic presentations, and radionuclide imaging failed to detect lesions in only five patients with nonfocal presentations. These results suggest that radionuclide imaging can be used to accurately screen most patients with nonfocal neurologic presentations. An exception is the patient presenting with dementia, in whom computerized cranial tomography provides details of the anatomy of the ventricular cavities and cerebral cortex. This study demonstrates a continuing role of importance for radionuclide imaging in the evaluation of patients with neurologic disease and provides data to allow a rational approach to the optimum use of both techniques.

Reprint requests should be addressed to Dr. Alderson, Department of Radiology, 510 S. Kingshighway Blvd., St. Louis, MO 63110.

Received for publication November 3, 1975.






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