Focal hyperemia on RBC blood-flow imaging. A scintigraphic marker of arterioportal venous shunting in hepatic cavernous hemangiomas?

Abstract:

PURPOSE:To investigate the significance of increased perfusion associated with some hepatic hemangiomata during radionuclide blood volume imaging. METHODS:Immediate dynamic planar projections and delayed SPECT imaging of a hepatic lesion were obtained after the administration of Tc-99m-labeled RBC. Scintigraphic data were compared with X-ray CT, contrast angiography and postresection histopathology. RESULTS:A surgically proven, cavernous hemangioma with typical findings on delayed radionuclide blood-pool imaging showed markedly increased perfusion by scintigraphy. This correlated with arterioportal venous shunting (AVPS) on contrast angiography. CONCLUSION:Increased perfusion on radionuclide blood-volume imaging of hepatic hemangiomata may be a scintigraphic marker of AVPS. This may serve to identify patients with increased risk for spontaneous rupture or may identify them for the development of portal hypertension.

journal_name

Clin Nucl Med

authors

Dwamena BA,Belcher KK,Dasika N,Frey KA

doi

10.1097/00003072-199708000-00006

subject

Has Abstract

pub_date

1997-08-01 00:00:00

pages

542-5

issue

8

eissn

0363-9762

issn

1536-0229

journal_volume

22

pub_type

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