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Journal of Nuclear Medicine Technology

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Research ArticleTeaching Case Studies

When in Doubt, Add SPECT/CT: A Case of Mistaken Identity

Justin G. Peacock and Amanda Adams
Journal of Nuclear Medicine Technology June 2024, 52 (2) 181-182; DOI: https://doi.org/10.2967/jnmt.123.266795
Justin G. Peacock
1Department of Radiology and the Radiological Sciences, Uniformed Services University, Bethesda, Maryland;
2Department of Military Medical Operations, Armed Forces Radiobiology Research Institute, Bethesda, Maryland; and
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Amanda Adams
3Department of Radiology, Brooke Army Medical Center, San Antonio, Texas
CNMT, RT(R)
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Abstract

A 63-y-old woman with a history of breast cancer presented with concerns of osseous metastasis. Initial whole-body planar bone scintigraphy revealed a focus of concern overlying the sternum. SPECT/CT images revealed the anomaly—localized activity in the needleless hub attached to the chemotherapy port. If not for the precision of SPECT/CT, such a rare artifact could have led to a false-positive diagnosis, particularly impactful in breast cancer patients. This case emphasizes the critical role of SPECT/CT in accurate diagnoses.

  • SPECT/CT
  • breast cancer
  • bone scintigraphy

Footnotes

  • Published online Dec. 12, 2023.

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Journal of Nuclear Medicine Technology: 52 (2)
Journal of Nuclear Medicine Technology
Vol. 52, Issue 2
June 1, 2024
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When in Doubt, Add SPECT/CT: A Case of Mistaken Identity
Justin G. Peacock, Amanda Adams
Journal of Nuclear Medicine Technology Jun 2024, 52 (2) 181-182; DOI: 10.2967/jnmt.123.266795

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When in Doubt, Add SPECT/CT: A Case of Mistaken Identity
Justin G. Peacock, Amanda Adams
Journal of Nuclear Medicine Technology Jun 2024, 52 (2) 181-182; DOI: 10.2967/jnmt.123.266795
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Keywords

  • SPECT/CT
  • breast cancer
  • bone scintigraphy
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