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European Journal of Nuclear Medicine and Molecular Imaging
Published in: European Journal of Nuclear Medicine and Molecular Imaging 6/2007

01-06-2007 | Image of the month

Localization of splenosis using 99mTc-damaged red blood cell SPECT/CT and intraoperative gamma probe measurements

Authors: Rolando Alvarez, Kathleen M. Diehl, Anca Avram, Richard Brown, Morand Piert

Published in: European Journal of Nuclear Medicine and Molecular Imaging | Issue 6/2007

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Excerpt

A 33-year-old female with a history of recurrent idiopathic thrombocytopenic purpura and significant thrombocytopenia, status post splenectomy, presented for a damaged red blood cell (dRBC) scan. After injection of 15 mCi of 99mTc-labeled dRBC, planar dRBC images (A: anterior image) showed no convincing evidence of splenic remnants. Therefore, SPECT/CT acquisition (Siemens Symbia, Malvern, PA, USA) was performed. Three small soft tissue masses were demonstrated in the left upper abdomen on CT, and all of them displayed increased uptake on co-registered SPECT images. In the selected plane shown in B 1 –B 3 (B 1 , SPECT; B 2 , CT; B 3 , fusion image; transaxial views), only one of these three splenic remnants (red arrows) is visualized as a small soft tissue mass demonstrating significant uptake on the SPECT and SPECT/CT images.
https://static-content.springer.com/image/art%3A10.1007%2Fs00259-007-0432-3/MediaObjects/259_2007_432_Figa_HTML.jpg
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Literature
1.
Horger M, Eschmann SM, Lengerke C, Claussen CD, Pfannenberg C, Bares R. Improved detection of splenosis in patients with haematological disorders: the role of combined transmission-emission tomography. Eur J Nucl Med Mol Imaging 2003;30:316–19.PubMedCrossRef
Metadata
Title
Localization of splenosis using 99mTc-damaged red blood cell SPECT/CT and intraoperative gamma probe measurements
Authors
Rolando Alvarez
Kathleen M. Diehl
Anca Avram
Richard Brown
Morand Piert
Publication date
01-06-2007
Publisher
Springer-Verlag
Published in
European Journal of Nuclear Medicine and Molecular Imaging / Issue 6/2007
Print ISSN: 1619-7070
Electronic ISSN: 1619-7089
DOI
https://doi.org/10.1007/s00259-007-0432-3

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