RT Journal Article
SR Electronic
T1 Miscalculated Lung Shunt Fraction for Planning of Hepatic Radioembolization
JF Journal of Nuclear Medicine Technology
JO J. Nucl. Med. Technol.
FD Society of Nuclear Medicine
SP 184
OP 186
DO 10.2967/jnmt.119.234385
VO 48
IS 2
A1 Justin S. Caskey
A1 Matthew D. Kay
A1 Natalie A. McMillan
A1 Phillip H. Kuo
A1 Gregory J. Woodhead
YR 2020
UL http://tech.snmjournals.org/content/48/2/184.abstract
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.