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XeCT 2 System allows physiological cerebral
blood flow (CBF) measurments with your existing CT.
NOTE: Sales and Installation of the XeCT 2 product line is now handled exclusively by NeuroLogica Corp. Please contact them for current information.
Telephone: +1.978.564.8500
Toll-Free: 1.877.564.8520
Fax: 978.560.0602
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Xenon CT
System is used in the quantitative determination of CBF with equal accuracy in
both cortical and deep brain tissue. Xenon CT CBF provides direct anatomic
correlation between flow and anatomy as seen on the CT images. XeCT/CBF studies
may be repeated at 15-20 minute intervals to follow rapidly occurring events,
evaluate the effect of physiologic challenges (for example, to assess
hemodynamic reserve) and to evaluate therapy. XeCT/CBF provides physiological
information not available from alternative CBF modalities.
Data produced by the XeCT/CBF System correlate well with data obtained using
other CBF modalities in both animals and humans.
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Xenon CT System Components:
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Enhancer 3000
gas delivery system with patient monitor is remotely controlled by the Xe/CT
system computer and is mobile such that it can be moved between CT scanners. The
control panel on top of the Enhancer 3000 provides an alternative to remote
control from the CT operator's room.
The XeCT 2 System also includes the operator's console with high-speed
personal computer and flat LCD monitor(high-resolution color printer optional)
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When "Time is Brain", our technology delivers unsurpassed information to quantify your patient’s condition quickly and expedite appropriate treatment.
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XeCT/CBF studies are useful in the
early diagnosis and management of acute, subacute, and chronic stroke. The
different etiologies of stroke require different management strategies. A CT
image may not be altered for hours or days following an irreversible ischemic
injury. A XeCT/CBF study may be performed immediately following the head CT, which
most stroke patients undergo upon presentation to the hospital. XeCT/CBF studies
can differentiate between infarction and regions of low cerebral blood flow.
This permits appropriate selection of patients who will benefit from
thrombolytic therapy, and identification of other patients in whom therapy to
increase flow or induce perfusion would likely result in no clinical benefit
while carrying a risk of producing a hemorrhage. XeCT/CBF studies are beneficial
in identifying flow below the threshold for irreversible ischemia
(15mL/100g/min). Irreversible brain injury may be predicted with confidence if
the absence of flow is observed 3 to 4 hours after injury onset. Irreversible
ischemic flow within the brain stem, which is vital for supporting life
function, may be defined soon after clinical deterioration, and aid in the
definition of brain death. In addition, patients with low CBF (15mL/100g/min)
may be candidates for acute aggressive interventions to augment flow and prevent
conversion of a reversible to an irreversible ischemic region if identified
prior to 3 to 4 hours post onset. In subacute disorders, XeCT/CBF examination
followed by a second study accompanied by a vasodilatory challenge may provide
insight as to whether regions around infarction are at increased risk for
converting to irreversibly injured tissue. In patients with intracerebral
hemorrhage, identification of ischemia in brain tissue around the hemorrhage can
help determine whether evacuation of the clot is indicated.
XeCT/CBF studies are medically
and neurologically safe.
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Xenon CT/CBF, other clinical indications:
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XeCT/CBF studies have been used extensively to evaluate and manage patients
with occlusive vascular disease, head trauma, aneurysm and arteriovenous
malformation. This technique has also been used in a wide variety of other
conditions, including chronic ischemia, limb-shaking ischemia, subarachnoid
hemorrhage and vasospasm, brain death, carotid resection/sacrifice, STA-MCA
bypass, Moyamoya disease, epilepsy, glioma, cranial defects, vascular and
Alzheimer’s dementia, hepatic failure, periventricular radiolucency,
hydrocephalus, chronic subdural hematomas, subclavian steal syndrome,
alcoholism, degenerative disease, migraine, multiple sclerosis and sleep
disorders.
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Summary of Safety:
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Xenon gas used in XeCT/CBF studies is not radioactive. Xenon is a metabolically inert, monatomic, lipid-soluble and readily diffusible tracer,
that rapidly crosses the blood brain barrier and is preferentially distributed
within the highly lipid cells of the brain. Despite its lack of chemical
reactivity, xenon associates preferentially but transiently with red blood
cells, particularly the globin structure. There is no evidence that
exposure to 26% xenon for 4.5 minutes can cause significant adverse local
or systemic effects in humans. Sensory changes occur in some patients, and are
usually benign and transient. The most common effects are euphoria and
lightheadedness. The incidence of respiratory depression is extremely low and is
easily reversed by the monitoring staff reminding the patient to breathe.
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