NDLI: Hepatic falciform ligament Tc-99m-macroaggregated albumin activity on SPECT/CT prior to Yttrium-90 microsphere radioembolization: prophylactic measures to prevent non-target microsphere localization via patent hepatic falciform arteries.

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Hepatic falciform ligament Tc-99m-macroaggregated albumin activity on SPECT/CT prior to Yttrium-90 microsphere radioembolization: prophylactic measures to prevent non-target microsphere localization via patent hepatic falciform arteries.

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Hepatic falciform ligament Tc-99m-macroaggregated albumin activity on SPECT/CT prior to Yttrium-90 microsphere radioembolization: prophylactic measures to prevent non-target microsphere localization via patent hepatic falciform arteries.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Kao, Yung Hsiang Tan, Andrew E. H. Khoo, Li Ser Lo, Richard H. G. Chow, Pierce K. H. Goh, Anthony S. W.
Description	Country affiliation: Singapore Author Affiliation: Kao YH ( Department of Nuclear Medicine and PET, Singapore General Hospital, Outram Road, Singapore, 169608, Singapore. kao.yung.hsiang@singhealth.com.sg)
Abstract	Yttrium-90 (Y-90) selective internal radiation therapy (SIRT) is increasingly used to treat inoperable hepatocellular carcinoma. We describe two patients where hepatic falciform ligament Technetium-99m-macroaggregated albumin (Tc-99m-MAA) activity was identified on single photon emission computed tomography with integrated low-dose CT (SPECT/CT) scan during pre-therapy planning, and the steps taken to prevent radiation dermatitis. The first patient underwent prophylactic coil embolization of the patent hepatic falciform artery; the second patient underwent super-selective infusion of Y-90 resin microspheres to avoid the patent hepatic falciform artery. The incidence of falciform ligament Tc-99m-MAA activity detected on SPECT/CT at our institution is 10%. Tc-99m-MAA SPECT/CT scan provides valuable diagnostic information for treatment planning prior to Y-90 SIRT.
File Format	HTM / HTML
ISSN	09147187
Issue Number	5
Volume Number	25
e-ISSN	18646433
Journal	Annals of Nuclear Medicine
Language	English
Publisher	Springer
Publisher Date	2011-06-01
Publisher Place	Japan
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Nuclear Medicine Arteries Radiation Effects Embolization, Therapeutic Adverse Effects Ligaments Liver Abnormalities Tomography, Emission-computed, Single-photon Tomography, X-ray Computed Metabolism Humans Blood Supply Male Microspheres Middle Aged Radiation Dosage Technetium Tc 99m Aggregated Albumin Yttrium Radioisotopes Chemistry Therapeutic Use Case Reports Journal Article
Content Type	Text
Resource Type	Case study Article
Subject	Radiology, Nuclear Medicine and Imaging

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