PT  - JOURNAL ARTICLE
AU  - Justin S. Caskey
AU  - Matthew D. Kay
AU  - Natalie A. McMillan
AU  - Phillip H. Kuo
AU  - Gregory J. Woodhead
TI  - Miscalculated Lung Shunt Fraction for Planning of Hepatic Radioembolization
AID  - 10.2967/jnmt.119.234385
DP  - 2020 Jun 01
TA  - Journal of Nuclear Medicine Technology
PG  - 184--186
VI  - 48
IP  - 2
4099  - http://tech.snmjournals.org/content/48/2/184.short
4100  - http://tech.snmjournals.org/content/48/2/184.full
SO  - J. Nucl. Med. Technol.2020 Jun 01; 48
AB  - 90Y radioembolization is a safe and efficacious treatment option for many patients with unresectable hepatocellular carcinoma. Potential candidates for radioembolization, based on clinical criteria, undergo 99mTc-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.