Tc-99m HMPAO and Tl-201 SPECT, MRI, and overlay images

Tc-HMPAO
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201-Thallium
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T1-MRI
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T2-MRI
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HMPAO-MRI overlay
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Tl-MRI overlay
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MRI: Changes secondary to radiation treatment. Signal
enhancement in the region of the tumor bed is suspicious for tumor
recurrence. Thallium SPECT: Intense focus of thallium
uptake in deep right temporal lobe. Tc-99m HMPAO SPECT:
Hyperemia corresponding to Tl-201 uptake in temporal lobe. There is a
second focus of hyperemia in the left anterior temporal cortex
without corresponding Tl-201 uptake.
Impression
Metastatic tumor focus. Anterior temporal hyperemia
may represent silent seizure focus.



B. Leonard Holman .
. . Puneet K. Chandak . . .
Basem M. Garada

Last updated: Oct 05, 1995