To investigate the effects of a wake-promoting drug, Provigil on regional cerebral blood flow (rCBF) in healthy volunteers, we performed (99m)Tc-ethylcysteinate dimer single photon emission computed tomography (SPECT) before and after Provigil or placebo administration. Twentyone healthy subjects received single doses of 400 mg Provigil or placebo in a double blind randomized crossover study design.
Administrations of Provigil or placebo in a subject were separated by a 2-week washout. Brain SPECT was performed twice before and 3 h after Provigil or placebo administration. For statistical parametric mapping analysis, all SPECT images were spatially normalized to the standard SPECT template and then smoothed using a 12-mm full width at half-maximum Gaussian kernel.

