TY - JOUR
T1 - Pitfalls in the Performance and Interpretation of Scintigraphic Imaging for Pleuroperitoneal Shunt
AU - Covington, Matthew F.
AU - Choudhary, Gagandeep
AU - Avery, Ryan J.
AU - Kuo, Phillip H
PY - 2016/11/1
Y1 - 2016/11/1
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=85028243352&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85028243352&partnerID=8YFLogxK
M3 - Article
C2 - 27488430
AN - SCOPUS:85028243352
VL - 41
SP - 858
EP - 861
JO - Clinical Nuclear Medicine
JF - Clinical Nuclear Medicine
SN - 0363-9762
IS - 11
ER -