PT  - JOURNAL ARTICLE
AU  - Caskey, Justin S
AU  - Kay, Matthew Derek
AU  - McMillan, Natalie A
AU  - Kuo, Phillip H
AU  - Woodhead, Gregory J
TI  - Miscalculated Lung Shunt Fraction for Planning of Hepatic Radioembolization
AID  - 10.2967/jnmt.119.234385
DP  - 2019 Dec 01
TA  - Journal of Nuclear Medicine Technology
PG  - jnmt.119.234385
4099  - http://tech.snmjournals.org/content/early/2019/12/03/jnmt.119.234385.short
4100  - http://tech.snmjournals.org/content/early/2019/12/03/jnmt.119.234385.full
AB  - Yttrium-90 radioembolization is a safe and efficacious treatment option for many patients with unresectable hepatocellular carcinoma. Potential candidates for radioembolization, based on clinical criteria, undergo technetium-99m labeled macroaggregated albumin imaging to determine the extent of hepatopulmonary shunting. Dose selection is based on results from shunt imaging and can exclude patients from radioembolization therapy. We present a case of miscalculated lung shunt fraction and the circumstances that led to the critical error.