Unsuspected Pericardial Effusion Detected by Parathyroid Scintigraphy With Tc-99m MIBI

Gomez-Barquin, R.; Carril, J.M.; Blanco, Isabel; Tabuenca, Olga; Quirce, R.; Banzo, Ignacio; Gutiérrez, C

doi:10.1097/00003072-199609000-00017

Cited by 2 publications

(3 citation statements)

References 2 publications

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“…5,6 Pericardial effusions were found using sestamibi for myocardial perfusion 7,8 and parathyroid imaging. 9,10 The echocardiogram underestimated the amount of pericardial effusion compared to myocardial perfusion imaging in our case and in contrast to the previous published reports.…”

Section: Discussioncontrasting

confidence: 86%

Incidental Massive Pericardial Effusion Diagnosed by Myocardial Perfusion Imaging

Spieth¹,

Schmitz²,

Tak³

2003

Clinical Medicine & Research

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A report on an unusual case of pericardial effusion and tamponade that was found incidentally on myocardial perfusion imaging. This was later confirmed by echocardiography and subsequently treated with pericardiocentesis. Two-dimensional echocardiography is still the "gold standard" for diagnosing pericardial effusion. Nuclear cardiac imaging will probably never have a primary role in the diagnosis of pericardial effusion. However, it may be helpful when the diagnosis of pericardial effusion has not been considered and when this condition is suggested by nuclear imaging findings. The echocardiogram underestimated the amount of pericardial effusion compared to myocardial perfusion imaging in this case, and in contrast to previous published reports. Further, prospective studies need to focus on the sensitivity and specificity of sestamibi nuclear scans in the qualitative and quantitative assessment of pericardial effusions.

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Section: Discussioncontrasting

confidence: 86%

Incidental Massive Pericardial Effusion Diagnosed by Myocardial Perfusion Imaging

Spieth¹,

Schmitz²,

Tak³

2003

Clinical Medicine & Research

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“…There are few reports in the literature concerning detection of pericardial effusion in the myocardial perfusion scintigraphy using 99m Tc-sestamibi [1][2][3][4][5][6], and its diagnostic criteria has been described in detail by Herzog et al [5]. They stated that a circumferential ''halo'' of diminished tracer concentration surrounding the heart (a photopenic defect) Fig.…”

Section: Discussionmentioning

confidence: 99%

“…Diagnostic methods of choice include echocardiography, CT, and MRI. However, incidentally the diagnosis of these effusions can be made with scintigraphic studies [1][2][3][4][5][6]. Reporting of these incidental findings can be important because these can sometimes result in determining previously unknown pathologies.…”

Section: Introductionmentioning

confidence: 99%

Incidental Detection of Malignant Pleural Effusion on Sestamibi Myocardial Perfusion Scan

Eftekhari

Gholamrezanezhad

2006

Int J Cardiovasc Imaging

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Incidentally the diagnosis of pleural effusions can be made with scintigraphic studies. We report a case of incidental detection of pleural effusion in sestamibi myocardial perfusion scan. A 64-year-old man with a history of chest pain was referred for Sestamibi myocardial perfusion scintigraphy. The review of cine data revealed an area of radiotracer accumulation in the left hemithorax. Subsequent chest X-ray and computed tomography revealed a relatively massive pleural effusion. Microscopic evaluation confirmed the malignant nature of pleural effusion, the origin of which was an ipsilateral pulmonary adenocarcinoma. As to our knowledge, it is the first report of sestamibi uptake in pleural effusion fluid. In our opinion, this finding could be explained by radiotracer uptake in the malignant component of the effusion. Reporting of these incidental findings could be important and sometimes can be resulted in determining previously unknown pathologies.

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Unsuspected Pericardial Effusion Detected by Parathyroid Scintigraphy With Tc-99m MIBI

Cited by 2 publications

References 2 publications

Incidental Massive Pericardial Effusion Diagnosed by Myocardial Perfusion Imaging

Incidental Massive Pericardial Effusion Diagnosed by Myocardial Perfusion Imaging

Incidental Detection of Malignant Pleural Effusion on Sestamibi Myocardial Perfusion Scan

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