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锝- sestamibi心肌灌注显像时右半膈肌膨出继发肝心并列。

Hepato-cardiac juxtaposition secondary to right hemi-diaphragmatic eventration on Tc-Sestamibi myocardial perfusion scintigraphy.

作者信息

Parihar Ashwin Singh, Singh Harpreet, Bhansali Anil, Vadi Shelvin Kumar, Parmar Madan

机构信息

Department of Nuclear Medicine, Post Graduate Institute of Medical Education and Research, Chandigarh, 160012, India.

Department of Endocrinology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

出版信息

J Nucl Cardiol. 2021 Apr;28(2):750-751. doi: 10.1007/s12350-020-02033-3. Epub 2020 Jan 22.

DOI:10.1007/s12350-020-02033-3
PMID:31970679
Abstract

Liver radiotracer activity interfering with the inferior myocardial wall in a patient undergoing myocardial perfusion imaging (MPI) with Tc-Sestamibi is a known pitfall. We report a patient with pituitary macroadenoma who was subjected to stress-MPI study for pre-anesthetic clearance. The post-stress raw image showed the liver radiotracer activity in close approximation to the anteroseptal wall of the left ventricular myocardium, secondary to right hemi-diaphragmatic eventration.

摘要

在接受锝- sestamibi心肌灌注显像（MPI）的患者中，肝脏放射性示踪剂活性干扰下壁心肌是一个已知的陷阱。我们报告了一名患有垂体大腺瘤的患者，该患者接受了应激MPI研究以进行麻醉前评估。应激后原始图像显示肝脏放射性示踪剂活性紧邻左心室心肌的前间隔壁，这是右半膈肌膨出的继发表现。

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本文引用的文献

1
Minimizing liver, bowel, and gastric activity in myocardial perfusion SPECT.在心肌灌注单光子发射计算机断层显像中尽量减少肝脏、肠道和胃部的放射性活性。
J Nucl Med. 2000 Aug;41(8):1315-7.
2
Eventration of the diaphragm.膈膨出
Chest Surg Clin N Am. 1998 May;8(2):315-30.