title: The use of 99Tcm-HSA dynamic vascular examination in the staging and therapy monitoring of reflex sympathetic dystrophy.
abstract: Evaluation of the local haemodynamic changes was performed in 93 patients with untreated reflex sympathetic dystrophy, based upon a simple dynamic vascular examination technique, using 99Tcm-HSA. According to the disease stage, opposite observations were made: in stage I (n = 72) an increase in both blood flow and blood volume was found, in stage II (n = 21) in contrast, both blood flow and blood volume decreased. These findings show that reflex sympathetic dystrophy can be staged according to haemodynamic changes. It is obvious, moreover, that a careful haemodynamic staging is most important for the choice of the right vasoactive treatment; e.g. calcitonin (vasoconstrictive) versus guanethidine (vasodilating).
authors.affiliation: Department of Nuclear Medicine, Antwerp University Hospital, Edegem, Belgium.
authors.forename: P
authors.initials: P
authors.lastname: Blockx
authors.forename: M
authors.initials: M
authors.lastname: Driessens
mesh_terms: D002116:Calcitonin / Q000627:therapeutic use; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D011877:Radionuclide Imaging; D012019:Reflex Sympathetic Dystrophy / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000503:physiopathology; D013668:Technetium Tc 99m Aggregated Albumin
chemical_list: D013668:Technetium Tc 99m Aggregated Albumin; D002116:Calcitonin