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Literature DB >> 27540433

Vertebral Uptake of Tc-99m Macroaggregated Albumin (MAA) with SPECT/CT Occurring in Superior Vena Cava Obstruction.

Shawn Karls¹, Hani Hassoun¹, Vilma Derbekyan¹.

Abstract

A 67-year-old male presented with dyspnea for which lung scintigraphy was ordered to rule out pulmonary embolus. Planar images demonstrated abnormal midline uptake of Tc-99m macroaggregated albumin, which SPECT/CT localized to several thoracic vertebrae. Thoracic vertebral uptake on perfusion lung scintigraphy was previously described on planar imaging. Radionuclide venography and contrast-enhanced CT subsequently demonstrated superior vena cava (SVC) obstruction with collateralization through the azygous/hemiazygous system and vertebral venous plexus. SPECT/CT differentiated residual esophageal/tracheal ventilation activity, a clinically insignificant finding, from vertebral uptake indicative of SVC obstruction, a potentially life-threatening condition.

Entities: Chemical Disease

Keywords: Collateral circulation; Nuclear medicine; Pulmonary embolism; SPECT; Superior vena cava obstruction; Tc-99m-MAA

Year: 2016 PMID： 27540433 PMCID： PMC4977247 DOI： 10.1007/s13139-015-0372-y

Source DB: PubMed Journal: Nucl Med Mol Imaging ISSN： 1869-3474

10 in total

1. Focal hepatic "hot spot" in superior vena cava obstruction: correlation between radiocolloid hepatic SPECT and contrast-enhanced CT.

Authors: T Yamada; K Takahashi; N Shuke; R Katada; M Mineta; K Nagasawa; Y Saitou; T Aburano
Journal: Clin Nucl Med Date: 1999-07 Impact factor: 7.794

2. Liver and vertebral visualization on lung perfusion scan.

Authors: G Meristoudis; I Ilia; A Tsaroucha; V Giannakopoulos; J Christakopoulou
Journal: Rev Esp Med Nucl Date: 2008 Sep-Oct

3. Systemic to pulmonary venous shunting in superior vena cava obstruction. Unusual myocardial and thyroid visualization.

Authors: B Gale; C Chen; K J Chun; J Lan; J Cynamon; L M Freeman
Journal: Clin Nucl Med Date: 1990-04 Impact factor: 7.794

4. Pseudopathologic vertebral body enhancement in the presence of superior vena cava obstruction on computed tomography.

Authors: Yoon Kyung Kim; Yon Mi Sung; Kyung Hoon Hwang; Eun Kyung Cho; Hye-Young Choi
Journal: Spine J Date: 2013-10-07 Impact factor: 4.166

5. Global Hepatic Uptake of (99m)Tc-MAA During VQ Scintigraphy Secondary to Synchronous Superior and Inferior Vena Caval Obstruction: a Demonstration of Trans-Portal Venous Collateral Pathways.

Authors: Oliver Conway; Simon Lloyd; Thomas Grüning
Journal: Nucl Med Mol Imaging Date: 2013-09-13

1 in total

1. Vertebral uptake of ^99mTc-macroaggregated albumin during lung perfusion scanning.

Authors: Philippe D'Abadie; Benoit Ghaye; François Jamar
Journal: World J Nucl Med Date: 2019-11-07

1 in total

Vertebral Uptake of Tc-99m Macroaggregated Albumin (MAA) with SPECT/CT Occurring in Superior Vena Cava Obstruction.

1. Focal hepatic "hot spot" in superior vena cava obstruction: correlation between radiocolloid hepatic SPECT and contrast-enhanced CT.

2. Liver and vertebral visualization on lung perfusion scan.

3. Systemic to pulmonary venous shunting in superior vena cava obstruction. Unusual myocardial and thyroid visualization.

4. Pseudopathologic vertebral body enhancement in the presence of superior vena cava obstruction on computed tomography.

5. Global Hepatic Uptake of (99m)Tc-MAA During VQ Scintigraphy Secondary to Synchronous Superior and Inferior Vena Caval Obstruction: a Demonstration of Trans-Portal Venous Collateral Pathways.

6. Abnormal extrapulmonary accumulation of 99mTc-MAA during lung perfusion scanning.

7. Uptake of Tc-99m MAA by the liver during a thromboscintigram/lung scan.

8. Where there is blood, there is a way: unusual collateral vessels in superior and inferior vena cava obstruction.

9. Spinal uptake mimicking metastasis in SPECT/CT bone scan in a patient with superior vena cava obstruction.

10. Liver and vertebral uptake of Tc-99m macroaggregated albumin (MAA).

1. Vertebral uptake of ^99mTc-macroaggregated albumin during lung perfusion scanning.