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01-06-2009 | Case Report

Findings of hepatopulmonary syndrome on breath-hold perfusion SPECT-CT fusion images

Authors: Kazuyoshi Suga, Yasuhiko Kawakami, Hideyuki Iwanaga, Osamu Tokuda, Naofumi Matsunaga

Published in: Annals of Nuclear Medicine | Issue 4/2009

Abstract

Pulmonary perfusion SPECT-CT fusion images were used to characterize CT manifestations of intrapulmonary arteriovenous communications (AVC) causing right-to-left shunt and hepatopulmonary syndrome (HPS). After scanning the whole body and obtaining multiple view images of the lung, deep-inspiratory breath-hold (DIBrH) SPECT was obtained in 2 patients with HPS, which was automatically and three-dimensionally co-registered with DIBrH CT. In both patients, the whole body scan depicted systemic organs and confirmed the existence of right-to-left shunt. DIBrH SPECT-CT fusion images showed that perfusion defects were predominantly located at subpleural reticulo-nodular opacities and/or dilated vessels in the lung base. Subpleural reticulo-nodular opacities and/or dilated vessels in the lung base appear to be characteristic CT manifestation of intrapulmonary AVC in HPS.

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Title: Findings of hepatopulmonary syndrome on breath-hold perfusion SPECT-CT fusion images
Authors: Kazuyoshi Suga
Yasuhiko Kawakami
Hideyuki Iwanaga
Osamu Tokuda
Naofumi Matsunaga
Publication date: 01-06-2009
Publisher: Springer Japan
Published in: Annals of Nuclear Medicine / Issue 4/2009
Print ISSN: 0914-7187
Electronic ISSN: 1864-6433
DOI: https://doi.org/10.1007/s12149-009-0250-8

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Findings of hepatopulmonary syndrome on breath-hold perfusion SPECT-CT fusion images

Abstract

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