Hepatic falciform ligament Tc-99m-macroaggregated albumin activity on SPECT/CT prior to Yttrium-90 microsphere radioembolization: prophylactic measures to prevent non-target microsphere localization via patent hepatic falciform arteries
| Autor: | Li Ser Khoo, Richard Hoau Gong Lo, Yung Hsiang Kao, Andrew E. H. Tan, Anthony S. W. Goh, Pierce K. H. Chow |
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| Rok vydání: | 2010 |
| Předmět: |
Male
medicine.medical_specialty Single-photon emission computed tomography Radiation Dosage Microsphere Non target medicine Humans Radiology Nuclear Medicine and imaging Yttrium Radioisotopes Falciform ligament Radiation treatment planning Technetium Tc 99m Aggregated Albumin Tomography Emission-Computed Single-Photon Ligaments medicine.diagnostic_test business.industry Selective internal radiation therapy General Medicine Arteries Middle Aged medicine.disease Embolization Therapeutic Microspheres medicine.anatomical_structure Liver Hepatocellular carcinoma Radiology business Nuclear medicine Tomography X-Ray Computed Artery |
| Zdroj: | Annals of nuclear medicine. 25(5) |
| ISSN: | 1864-6433 |
| Popis: | Yttrium-90 (Y-90) selective internal radiation therapy (SIRT) is increasingly used to treat inoperable hepatocellular carcinoma. We describe two patients where hepatic falciform ligament Technetium-99m-macroaggregated albumin (Tc-99m-MAA) activity was identified on single photon emission computed tomography with integrated low-dose CT (SPECT/CT) scan during pre-therapy planning, and the steps taken to prevent radiation dermatitis. The first patient underwent prophylactic coil embolization of the patent hepatic falciform artery; the second patient underwent super-selective infusion of Y-90 resin microspheres to avoid the patent hepatic falciform artery. The incidence of falciform ligament Tc-99m-MAA activity detected on SPECT/CT at our institution is 10%. Tc-99m-MAA SPECT/CT scan provides valuable diagnostic information for treatment planning prior to Y-90 SIRT. |
| Databáze: | OpenAIRE |
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