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99mTc-甲氧基异丁基异腈甲状旁腺闪烁扫描中因医源性微栓塞引起的肺部局灶性摄取。

Focal Pulmonary Uptake on 99mTc-Sestamibi Parathyroid Scintigraphy Due to Iatrogenic Microembolism.

机构信息

From the Department of Nuclear Medicine, West China Hospital of Sichuan University, Chengdu, Sichuan, People's Republic of China.

出版信息

Clin Nucl Med. 2018 Jan;43(1):33-35. doi: 10.1097/RLU.0000000000001867.

Abstract

A middle-aged woman underwent Tc-sestamibi parathyroid scintigraphy because of parathyroid disease, and a focal pulmonary uptake of Tc-sestamibi was incidentally found on both planar and SPECT/CT images without corresponding pulmonary abnormality on the CT images. After 10 days, a subsequent parathyroid scintigraphy revealed no pulmonary accumulation. Therefore, the pulmonary intense Tc-sestamibi focus that once appeared in the first scan might be an artifact of iatrogenic microembolism from injection site.

摘要

一位中年女性因甲状旁腺疾病接受了 Tc-sestamibi 甲状旁腺闪烁显像,在平面和 SPECT/CT 图像上均意外发现 Tc-sestamibi 肺摄取,而 CT 图像上无相应的肺部异常。10 天后,随后进行的甲状旁腺闪烁显像显示无肺部聚集。因此,第一次扫描中出现的肺部强烈的 Tc-sestamibi 焦点可能是注射部位医源性微栓塞的伪影。

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