Skip to main content

Main menu

  • Home
  • Content
    • Current
      • JNMT Supplement
    • Ahead of print
    • Past Issues
    • Continuing Education
    • JNMT Podcast
    • SNMMI Annual Meeting Abstracts
  • Subscriptions
    • Subscribers
    • Rates
    • Journal Claims
    • Institutional and Non-member
  • Authors
    • Submit to JNMT
    • Information for Authors
    • Assignment of Copyright
    • AQARA Requirements
  • Info
    • Reviewers
    • Permissions
    • Advertisers
    • Corporate & Special Sales
  • About
    • About Us
    • Editorial Board
    • Contact Information
  • More
    • Alerts
    • Feedback
    • Help
    • SNMMI Journals
  • SNMMI
    • JNMT
    • JNM
    • SNMMI Journals
    • SNMMI

User menu

  • Subscribe
  • My alerts
  • Log in
  • My Cart

Search

  • Advanced search
Journal of Nuclear Medicine Technology
  • SNMMI
    • JNMT
    • JNM
    • SNMMI Journals
    • SNMMI
  • Subscribe
  • My alerts
  • Log in
  • My Cart
Journal of Nuclear Medicine Technology

Advanced Search

  • Home
  • Content
    • Current
    • Ahead of print
    • Past Issues
    • Continuing Education
    • JNMT Podcast
    • SNMMI Annual Meeting Abstracts
  • Subscriptions
    • Subscribers
    • Rates
    • Journal Claims
    • Institutional and Non-member
  • Authors
    • Submit to JNMT
    • Information for Authors
    • Assignment of Copyright
    • AQARA Requirements
  • Info
    • Reviewers
    • Permissions
    • Advertisers
    • Corporate & Special Sales
  • About
    • About Us
    • Editorial Board
    • Contact Information
  • More
    • Alerts
    • Feedback
    • Help
    • SNMMI Journals
  • Watch or Listen to JNMT Podcast
  • Visit SNMMI on Facebook
  • Join SNMMI on LinkedIn
  • Follow SNMMI on Twitter
  • Subscribe to JNMT RSS feeds
Review ArticleTeaching Case Studies

Miscalculated Lung Shunt Fraction for Planning of Hepatic Radioembolization

Justin S. Caskey, Matthew D. Kay, Natalie A. McMillan, Phillip H. Kuo and Gregory J. Woodhead
Journal of Nuclear Medicine Technology June 2020, 48 (2) 184-186; DOI: https://doi.org/10.2967/jnmt.119.234385
Justin S. Caskey
1University of Arizona College of Medicine, Tucson, Arizona
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Matthew D. Kay
2Department of Medical Imaging, University of Arizona College of Medicine, Tucson, Arizona; and
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Natalie A. McMillan
2Department of Medical Imaging, University of Arizona College of Medicine, Tucson, Arizona; and
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Phillip H. Kuo
2Department of Medical Imaging, University of Arizona College of Medicine, Tucson, Arizona; and
3Department of Medicine and Biomedical Engineering, University of Arizona, Tucson, Arizona
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Gregory J. Woodhead
2Department of Medical Imaging, University of Arizona College of Medicine, Tucson, Arizona; and
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • Info & Metrics
  • PDF
Loading

Article Figures & Data

Figures

  • FIGURE 1.
    • Download figure
    • Open in new tab
    • Download powerpoint
    FIGURE 1.

    Formulas used for calculating geometric mean (for designated ROI) and LSF.

  • FIGURE 2.
    • Download figure
    • Open in new tab
    • Download powerpoint
    FIGURE 2.

    Contrast-enhanced axial T1-weighted images during arterial (A) and delayed (B) phases demonstrate washout within 2 adjacent hepatocellular carcinomas (arrows) located anteriorly within segment 4A of liver.

  • FIGURE 3.
    • Download figure
    • Open in new tab
    • Download powerpoint
    FIGURE 3.

    (A) Initial 99mTc-MAA (flipped) posterior planar image with lung and liver ROIs. Incorrect LSF calculated was 29.5%. (B) 99mTc-MAA geometric mean image with lung and liver ROIs. Correct LSF calculated was 7.9%.

  • FIGURE 4.
    • Download figure
    • Open in new tab
    • Download powerpoint
    FIGURE 4.

    Selected axial 99mTc-MAA SPECT/CT image confirming radiotracer delivery to anteriorly positioned hepatocellular carcinomas (arrow).

  • FIGURE 5.
    • Download figure
    • Open in new tab
    • Download powerpoint
    FIGURE 5.

    Lung shunt fraction visual reference for LSFs of 3% (A), 15% (B), 37% (C), and 79% (D).

PreviousNext
Back to top

In this issue

Journal of Nuclear Medicine Technology: 48 (2)
Journal of Nuclear Medicine Technology
Vol. 48, Issue 2
June 1, 2020
  • Table of Contents
  • About the Cover
  • Index by author
Print
Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Email Article

Thank you for your interest in spreading the word on Journal of Nuclear Medicine Technology.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Miscalculated Lung Shunt Fraction for Planning of Hepatic Radioembolization
(Your Name) has sent you a message from Journal of Nuclear Medicine Technology
(Your Name) thought you would like to see the Journal of Nuclear Medicine Technology web site.
Citation Tools
Miscalculated Lung Shunt Fraction for Planning of Hepatic Radioembolization
Justin S. Caskey, Matthew D. Kay, Natalie A. McMillan, Phillip H. Kuo, Gregory J. Woodhead
Journal of Nuclear Medicine Technology Jun 2020, 48 (2) 184-186; DOI: 10.2967/jnmt.119.234385

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
Miscalculated Lung Shunt Fraction for Planning of Hepatic Radioembolization
Justin S. Caskey, Matthew D. Kay, Natalie A. McMillan, Phillip H. Kuo, Gregory J. Woodhead
Journal of Nuclear Medicine Technology Jun 2020, 48 (2) 184-186; DOI: 10.2967/jnmt.119.234385
Twitter logo Facebook logo LinkedIn logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One
Bookmark this article

Jump to section

  • Article
    • Abstract
    • CASE REPORT
    • DISCUSSION
    • CONCLUSION
    • DISCLOSURE
    • Footnotes
    • REFERENCES
  • Figures & Data
  • Info & Metrics
  • PDF

Related Articles

  • No related articles found.
  • PubMed
  • Google Scholar

Cited By...

  • PET/CT and SPECT/CT imaging of 90Y hepatic radioembolization at therapeutic and diagnostic activity levels: anthropomorphic phantom study
  • Google Scholar

More in this TOC Section

  • High-Sensitivity Troponin Elevation in a Young Woman with Typical Chest Pain: The Heart of the Matter
  • Pulmonary Adenocarcinoma Revealed by Parathyroid Scintigraphy: An Incidental Case to Remember
  • Prominent Right Ventricular Tracer Uptake: A Harbinger of Multivessel Coronary Artery Disease
Show more Teaching Case Studies

Similar Articles

Keywords

  • 90Y radioembolization
  • lung shunt fraction
  • 99mTc-labeled macroaggregated albumin
  • hepatocellular carcinoma
SNMMI

© 2025 SNMMI

Powered by HighWire