瞭解腦部機能檢查報告：PET Score與T-Sum的含義及解讀-神經內科

CEREBRAL PERFUSION SCAN WITH SPECT 腦部功能檢查 報告請益？

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醫師好：
感謝撥冗解答，以下為家父(78歲) 2024/２/21
CEREBRAL PERFUSION SCAN WITH SPECT 檢查結果，請益如下：

(1) Alzheimer discrimination result:
PET Score: 0.5996（請問 分數 0.5996 正常嗎？標準 為幾分呢？）
T-Sum within AD regions:5714.393（總分 5714.393在 正常範圍？）

- PMOD analysis: (read only with AD pattern):
The T-sum was 11089.6
(normal 95% limit is < 11089.681, error probability < 0.3179. Ref: NeuroImage 17, 302)

(2) Impression： Cortical hypometabolism at bilateral superior parietal and left basal ganglia
Ｑ：依上述檢查醫師Impression，疾病進程會發展至 Alzheimer's disease and 帕金森氏症 嗎？
（請問 現狀 該如何治療？十分感謝！）

（報告原文如下）
－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－
Report:
History: memory deterioration
Age: 78; Sex: male;
Reason for exam: dementia differential diagnosis and follow up.
Procedure: injection of 5 mCi of F-18 FDG (i.v.)
Findings:
- Hypometabolic lesions at:
frontal (no);
temporal (no);
parietal (bilateral superior parietal);
occipital (no);
subcortical (left basal ganglia);
posterior fossa (no)

Alzheimer discrimination result:
PET Score: 0.5996
T-Sum within AD regions:5714.393

- PMOD analysis: (read only with AD pattern):
The T-sum was 11089.6
(normal 95% limit is < 11089.681, error probability < 0.3179. Ref: NeuroImage 17, 302)

Impression:
- Cortical hypometabolism at bilateral superior parietal and left basal ganglia,
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順頌 醫安！

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Ms.Lin，40~49歲女性，詢問日期：2024/02/29