By M. Elizabeth Oates, Vincent L. Sorrell
This publication will function a finished reference resource and self-assessment consultant for physicians and technologists who perform myocardial perfusion SPECT imaging. Readers will learn how to determine a wide selection of findings except the left ventricle, together with these within the chest, the stomach, and the proper center. it's defined which findings are clinically proper and regarding the cause of the myocardial perfusion imaging exam and that are incidental, without or with vital scientific ramifications. The insurance incorporates a wide array of universal and unusual focal lesions (e.g., benign or malignant neoplasms) and organ/systemic ailments (e.g., emphysema, cirrhosis and its sequelae, cholecystitis, duodenogastric reflux/gastroparesis, end-stage renal ailment) that could be detected with myocardial perfusion SPECT imaging. additionally, advice is equipped within the popularity of commonplace artifacts, which can seem both “hot” or “cold” at the uncooked (unprocessed) and processed SPECT photos, and, thereby, within the avoidance of capability interpretative pitfalls.
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Extra resources for Myocardial Perfusion Imaging - Beyond the Left Ventricle: Pathology, Artifacts and Pitfalls in the Chest and Abdomen
Example text
2003). , related to known clinical conditions) or unexpected and can be significant enough to warrant communication to the referring physician. Sources of “hot” artifacts (such as radiopharmaceutical or radioactive urine contamination, liver activity, and/or stomach activity) and “cold” artifacts (such as metallic objects, breast tissue, fluid collections, left hemidiaphragm) may have significant bearing on the accurate interpretation of cardiac findings (Burrell and MacDonald 2006; Chamarthy and Travin 2010; Holly et al.
2005) Chamarthy and Travin (2010) García-Talavera et al. (2013) Gedik et al. (2007) Hawkins et al. (2007) Niederkohr et al. (2009) Raza et al. (2005c) Seo et al. (2005) Slavin et al. (1998) Vijayakumar et al. (2005) Watanabe et al. (1997) Chamarthy and Travin (2010) Kasi et al. (2002) Williams et al. 2 (continued) “Above the Diaphragm” Organ system “Hot” finding Right atrium Prominent right and right ventricular wall ventricle (coronary artery disease, valvular disease, pulmonary hypertension) Brown adipose tissue Prominent right auricular appendage Neoplasm, primary or metastatic Vascular Contamination during system injection Extravasation at injection site Retention in central veins Retention in central venous catheters/ports Pulmonary arterial wall “Cold” finding Enlarged atria References Chamarthy and Travin (2010) Goetze et al.
1996) Shih et al. (2002) Strauss et al. (2008) Tallaj and Iskandrian (2000) Aktolun et al. (1994) Aktolun and Bayhan (1994) Chamarthy and Travin (2010) Gedik et al. (2007) Gentili et al. (1994) Mlikotic and Mishkin (2000) Shih et al. (1999, 2002) Taillefer et al. (1995, 1998) Waxman (1997) Williams et al. (2003) Chamarthy and Travin (2010) Friedman et al. (1989) Gedik et al. (2007) Hendel et al. (1999) Howarth et al. (1996) Pitman et al. , colon carcinoma) Rapid physiologic clearance Cyst/hydatid cyst Post-thermal ablation cyst Polycystic disease Neoplasm, primary Neoplasm, metastasis Postoperative change Biliary system and gallbladder Biliary ectasia with stasis Common bile duct obstruction Inadequate or prolonged fasting Cholecystitis (acute, chronic) Biliary stricture/stone at ampulla of Vater References Burrell and MacDonald (2006) Chamarthy and Travin (2010) Hendel et al.