[99mTc]Tc-PYP-RBC is used for the scintigraphy of liver hemangiomas. These images show the incidental detection of portal hypertension caused by vena cava filter obstruction on scintigraphy with [99mTc]Tc-PYP-RBC in a 31-year-old man. The patient was referred to scintigraphy because there was suspicion of liver hemangioma on ultrasound. Scintigraphy showed enlarged and tortuous abdominal veins and a high suspicion of an inferior vena cava filter obstruction was established. The patient was referred to CT where thrombosis of the inserted filter was seen, together with radiological signs of impairment in splanchnic blood flow. Scintigraphy showed signs of an inferior vena cava filter obstruction before the clinical signs were visible.
Jacobson AF, Teefey SA. Cavernous hemangiomas of the liver. Association of sonographic appearance and results of Tc-99m labeled red blood cell SPECT. Clin Nucl Med. 1994 Feb;19(2):96-9.
Machado MM, Rosa ACF, Lemes MS, da Mota OM, da Silva OQ, de Oliveira Campoli PM, Filho JBS, Barreto PA, Nunes RA, Barreto MC, Milhomem PM, Milhomem LM, de Oliveira GB, de Oliveira FB , de Castro FCF, de Brito AM, de Barros N, Cerri GG. Liver hemangiomas: ultrasound and clinical features. Radiol Bras. 2006 Dec;39 (6):441–6.
Krause T, Hauenstein K, Studier-Fischer B, Schuemichen C, Moser E. Improved evaluation of technetium-99m-red blood cell SPECT in hemangioma of the liver. J Nucl Med. 1993 Mar;34(3):375-80.
Ahmad I, Yeddula K, Wicky S, Kalva SP. Clinical sequelae of thrombus in an inferior vena cava filter. Cardiovasc Intervent Radiol. 2010 Apr;33(2):285-9.
Ziessman HA, O’Malley JP, Thrall JH, Fahey FH. Gastrointestinal system. In: Nuclear medicine: The Requisites. Elsevier Saunders; 2013. pp. 288–321.
Engel MA, Marks DS, Sandler MA, Shetty P. Differentiation of focal intrahepatic lesions with 99mTc-red blood cell imaging. Radiology. 1983 Mar;146(3):777-82.
Ziessman HA. Atlas of 99mTc Labeled Red Blood Cell Liver Scintigraphy. In: Ziessman, HA, Van Nostrand D, Editors. Selected Atlases of Gastrointestinal Scintigraphy. Atlases of Clinical Nuclear Medicine. New York, NY. Springer. 1992. pp. 75-6
Georgiou NA, Katz DS, Ganson G, Eng K, Hon M. CT of inferior vena cava filters: normal presentations and potential complications. Emerg Radiol. 2015 Dec;22(6):677-88.
de Franchis R, Pascal JP, Ancona E, Burroughs AK, Henderson M, Fleig W, Groszmann R, Bosch J, Sauerbruch T, Soederlund C, Lebrec D. Definitions, methodology and therapeutic strategies in portal hypertension. A Consensus Development Workshop, Baveno, Lake Maggiore, Italy, April 5 and 6, 1990. J Hepatol. 1992 May;15(1-2):256-61.
Sildiroglu O, Ozer H, Turba UC. Management of the thrombosed filter-bearing inferior vena cava. Semin Intervent Radiol. 2012 Mar;29(1):57-63.
Stevic, M., Vlajkovic, M., Velickovic, F., Andjelkovic, T., & Topic, N. (2024). Incidental detection of obstructed inferior vena cava filter with [99mTc]Tc-stannous-pyrophosphate red blood cells scintigraphy. Iranian Journal of Nuclear Medicine, 32(1), 92-95. doi: 10.22034/irjnm.2023.129296.1563
MLA
Milos Stevic; Marina Vlajkovic; Filip Velickovic; Tamara Andjelkovic; Nina Topic. "Incidental detection of obstructed inferior vena cava filter with [99mTc]Tc-stannous-pyrophosphate red blood cells scintigraphy". Iranian Journal of Nuclear Medicine, 32, 1, 2024, 92-95. doi: 10.22034/irjnm.2023.129296.1563
HARVARD
Stevic, M., Vlajkovic, M., Velickovic, F., Andjelkovic, T., Topic, N. (2024). 'Incidental detection of obstructed inferior vena cava filter with [99mTc]Tc-stannous-pyrophosphate red blood cells scintigraphy', Iranian Journal of Nuclear Medicine, 32(1), pp. 92-95. doi: 10.22034/irjnm.2023.129296.1563
VANCOUVER
Stevic, M., Vlajkovic, M., Velickovic, F., Andjelkovic, T., Topic, N. Incidental detection of obstructed inferior vena cava filter with [99mTc]Tc-stannous-pyrophosphate red blood cells scintigraphy. Iranian Journal of Nuclear Medicine, 2024; 32(1): 92-95. doi: 10.22034/irjnm.2023.129296.1563
)