Incidental Finding of Pulmonary Embolism at Workup Before SIRT.

Kramer, Stine Jentoft; Amanavicius, Nerijus; Staanum, Peter Frøhlich; Villadsen, Gerda Elisabeth; Arveschoug, Anne Kirstine · Clin Nucl Med · 2022

case_report · Level V

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Abstract

Selective internal radiation therapy (SIRT) is a catheter-guided treatment offered to selected patients with primary and secondary liver malignancies. SIRT is preceded by a workup procedure, where 99mTc-MAA (macroaggregated albumin) is injected in the tumor supplying artery/arteries followed by MAA scintigraphy. SIRT is frequently offered to patients with hepatocellular carcinoma (HCC), but large HCCs are known to be associated with a high risk of liver-to-lung shunting. We present a HCC patient case where a large lung-shunt enabled diagnosis of pulmonary embolism.

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