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OtherTeaching Case Studies

Evaluation of Hepatopulmonary Syndrome with Technetium-99m Macroaggregated Albumin Scintigraphy

Fathima Fijula Palot Manzil, Iqbal Haq and Xiaofei Wang
Journal of Nuclear Medicine Technology May 2022, jnmt.122.264190; DOI: https://doi.org/10.2967/jnmt.122.264190
Fathima Fijula Palot Manzil
University of Arkansas for Medical Sciences (UAMS), United States
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Iqbal Haq
University of Arkansas for Medical Sciences (UAMS), United States
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Xiaofei Wang
University of Arkansas for Medical Sciences (UAMS), United States
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Abstract

Hepatopulmonary syndrome (HPS) is characterized by intrapulmonary vascular dilatation causing hypoxemia in patients with liver disease. Technetium-99m macroaggregated albumin (99mTc-MAA) scintigraphy have diagnostic value in suspected HPS by detecting clinically significant right to left shunt. In presence of cirrhosis, MAA scan with extra-pulmonary organs visualization is specific of intrapulmonary shunting. MAA scintigraphy also provides added value of quantification of the shunt.

  • Hepatology
  • Respiratory
  • Other
  • 99mTc-MAA scintigraphy
  • Hepatopulmonary syndrome
  • Intrapulmonary shunt
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Journal of Nuclear Medicine Technology: 53 (1)
Journal of Nuclear Medicine Technology
Vol. 53, Issue 1
March 1, 2025
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Evaluation of Hepatopulmonary Syndrome with Technetium-99m Macroaggregated Albumin Scintigraphy
Fathima Fijula Palot Manzil, Iqbal Haq, Xiaofei Wang
Journal of Nuclear Medicine Technology May 2022, jnmt.122.264190; DOI: 10.2967/jnmt.122.264190
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Keywords

  • Hepatology
  • Respiratory
  • Other
  • 99mTc-MAA scintigraphy
  • hepatopulmonary syndrome
  • intrapulmonary shunt
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Evaluation of Hepatopulmonary Syndrome with Technetium-99m Macroaggregated Albumin Scintigraphy
Fathima Fijula Palot Manzil, Iqbal Haq, Xiaofei Wang
Journal of Nuclear Medicine Technology May 2022, jnmt.122.264190; DOI: 10.2967/jnmt.122.264190

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