How can I improve Brain Tumor Perfusion Scanning?1


The contrast injection plays an important role.
In comparison to stroke perfusion, tumor perfusion demands a good contrast enhancement as well as a contrast plateau.This increases the numerical stability of the patlak analysis.
To achive this plateau we recommend a bi-phasic contrast (CM) protocol:

1. 30 ml CM @ 5 ml/s
2. 30 ml CM @ 1 ml/s
3. 20 ml NaCl @ 1 ml/s

The high-concentrated CM is pre-heated and a 18 G needle is used.

Courtesy of Dr. Schramm, University Hospital Göttingen, Germany

1The information presented in this article is for illustration only and is not intended to be relied upon by the reader for instruction as to the practice of medicine. Any health care practitioner reading this information is reminded that they must use their own learning, training and expertise in dealing with their individual patients. This material does not substitute for that duty and is not intended by Siemens to be used for any purpose in that regard.