RT Journal Article SR Electronic T1 Abnormal Biodistribution on 99mTc-Red Blood Cell–Labeled Multigated Acquisition in the Presence of Suspected Cold Agglutinin Disease JF Journal of Nuclear Medicine Technology JO J. Nucl. Med. Technol. FD Society of Nuclear Medicine SP 175 OP 176 DO 10.2967/jnmt.118.222182 VO 47 IS 2 A1 Robert Massey A1 Jennifer S. Jurgens YR 2019 UL http://tech.snmjournals.org/content/47/2/175.abstract AB A 99mTc-red blood cell (RBC)–labeled multigated acquisition is a procedure in which the patient’s RBCs are radiolabeled and imaged with electrocardiography-gated cardiac scintigraphy to assess the heart’s pumping efficiency. Cold agglutinin disease, or cold antibody autoimmune hemolytic anemia, is a rare form of autoimmune hemolytic anemia in which the body’s immune system attacks and destroys its own RBCs. This case addresses an altered biodistribution pattern of radiolabeled RBCs in the presence of suspected cold agglutinin disease observed during a multigated acquisition.