Figure 8.
Ictal and Interictal SPECT (A–C) Example of SPECT scan studies cited in TTASAAN report. Perfusion tracer is iodinated N,N,N'-trimethyl-N'-(2-hydroxy-3– methyl-5-iodobenzyl)-1,3-propane-diamine (HIPDM). Anatomical details are lacking [The figure was originally published in JNM. © SNMMI (149)]. (D,E) Modern 2021 HMPAO SPECT perfusion scans for seizure localization. (D) Ictal scan. (E) Interictal scan. (F) SISCOM image wherein interictal scan data is subtracted from ictal scan data and the resulting data is overlayed on an anatomical MRI. Images courtesy of– Leonard Numerow MD FRCP(C), Radiology and Nuclear Medicine, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.