肝放射栓塞规划中肺分流分数的错误计算

J. Caskey, M. Kay, N. McMillan, P. Kuo, G. Woodhead
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引用次数: 3

摘要

对于许多不能切除的肝细胞癌患者,放射栓塞是一种安全有效的治疗选择。放射栓塞的潜在候选者,根据临床标准,接受99mtc标记的大聚集白蛋白成像,以确定肝肺分流的程度。剂量选择是基于分流成像的结果,可以排除患者的放射栓塞治疗。我们提出了一个错误计算肺分流分数和导致严重错误的情况。
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Miscalculated Lung Shunt Fraction for Planning of Hepatic Radioembolization
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.
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