Pitfalls in the Performance and Interpretation of Scintigraphic Imaging for Pleuroperitoneal Shunt.

Abstract:

:Ascites can cause pleural effusions when the peritoneal fluid crosses the diaphragm through a pleuroperitoneal shunt in the setting of hepatic cirrhosis (hepatic hydrothorax) or malignant ascites. Scintigraphic imaging for pleuroperitoneal shunt requires intraperitoneal injection of Tc-SC or Tc-macroaggregated albumin followed by planar imaging of the chest and abdomen. Pleuroperitoneal shunt is confirmed by identifying radiotracer crossing the diaphragm from the peritoneal to pleural space. An atlas of pleuroperitoneal shunt imaging pitfalls is presented to facilitate optimal performance and interpretation of nuclear pleuroperitoneal shunt examinations. Examples include cases of nondiagnostic radiotracer injections, processing errors, and nontarget uptake.

journal_name

Clin Nucl Med

authors

Covington MF,Choudhary G,Avery RJ,Kuo PH

doi

10.1097/RLU.0000000000001326

subject

Has Abstract

pub_date

2016-11-01 00:00:00

pages

858-861

issue

11

eissn

0363-9762

issn

1536-0229

journal_volume

41

pub_type

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