Summary: Single photon emission computed tomography (SPECT) with 99mTc-d,l-hexamethylpropyleneamine ox ime (99mTc-d,I-HMPAO) was used to determine global and regional CBF in 53 healthy subjects aged 21-83 years. For the whole group, global CBF normalized to the cer ebellum was 86.4% ± 8.4 (SD). The contribution of age, sex, and atrophy to variations in global CBF was studied using stepwise mUltiple regression analysis. There was a significant negative correlation of global CBF with sub jective ratings of cortical atrophy, but not with ratings of ventricular size, Evans ratio, sex, or age. In a subgroup of 33 subjects, in whom volumetric measurements of atro phy were performed, cortical atrophy was the only sig nificant determinant for global CBF, accounting for 27% of its variance. Mean global CBF as measured with the Tomographic measurement of regional CBF (rCBF) in humans was made possible several years ago with the development of a brain-dedicated dy namic single photon emission computed tomogra phy (SPECT) system designed for inhalation or in jection of the diffusible tracer \33Xe (Stokely et ai., 1980). This technique offers easy, repetitive, and quantitative measurements with a spatial and tem poral resolution sufficient for studying cerebrovas cular disease.The recent development of tracers that are re tained in the brain for several hours and, if ideal, "trapped" in proportion to regional blood flow has