When in Doubt, Add SPECT/CT: A Case of Mistaken Identity

IF 1 Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Journal of nuclear medicine technology Pub Date : 2023-12-13 DOI:10.2967/jnmt.123.266795
Justin G. Peacock, Amanda M. Adams
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Abstract

A 63-y-old woman with a history of breast cancer presented with concerns of osseous metastasis. Initial whole-body planar bone scintigraphy revealed a focus of concern overlying the sternum. SPECT/CT images revealed the anomaly — localized activity in the needleless hub attached to the chemotherapy port. If not for the precision of SPECT/CT, such a rare artifact could have led to a false-positive diagnosis, particularly impactful in breast cancer patients. This case emphasizes the critical role of SPECT/CT in accurate diagnoses.
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有疑问时,添加 SPECT/CT:一个身份误认的案例
一名 63 岁的女性患者曾患乳腺癌,因担心骨转移而前来就诊。最初的全身平面骨扫描显示胸骨上方有一个病灶。SPECT/CT 图像显示了异常情况--连接化疗端口的无针集线器局部活动。如果不是SPECT/CT的精确性,这种罕见的伪影可能会导致假阳性诊断,对乳腺癌患者的影响尤为严重。这个病例强调了 SPECT/CT 在准确诊断中的关键作用。
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来源期刊
Journal of nuclear medicine technology
Journal of nuclear medicine technology RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-
CiteScore
1.90
自引率
15.40%
发文量
57
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