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Objective: Evaluate the application values of 99mTc-2 β [ N, N-bis( 2-mercaptoethy1 ) ethylenediamino ] methyl, 3 β -(4-chlorophenyl) tropane ( TRODAT-1 ) dopamine transporter (DAT) SPECT imaging in children autism, and offer the academic foundation to etiology, mechanism and clinical therapy of autism. Methods:Ten autistic children and ten healthy controls were examined with 99mTc-TRODAT-1 DAT SPECT imaging.Striatal specific uptake of 99mTc-TRODAT-1 was calculated with region of interest analysis according to the ratios between striatum and cerebellum [ (STR-BKG)/BKG]. Results:There was no difference in semiquantitative dopamine transporter between bilateral striatum in autistic children ( P = 0. 562) and in normal controls ( P = 0. 573 ); dopamine transporter in brain of patients with autism increased more significantly than that in normal controls ( P = 0. 017 ). Conclusion: Dopaminergic nervous system is dysfunction in human brain with children autism, and DAT 99mTc-TRODAT-1 SPECT imaging on human brain will help the imaging diagnosis of children autism.