The importance of appropriate reporting and investigation of incidental findings on computed tomography attenuation correction images during myocardial perfusion scintigraphy
We present a case of lung cancer incidentally detected as a pulmonary nodule on computed tomography attenuation correction (CTAC) images during myocardial perfusion scintigraphy (MPS). Unfortunately, the incidental lesion was not fully investigated following MPS report and had developed into metasta...
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| Format: | Article |
| Language: | English |
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2019-01-01
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| Series: | World Journal of Nuclear Medicine |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.4103/wjnm.WJNM_19_18 |
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| author | Francis T Delaney Emma L Gray Joseph C Lee |
| author_facet | Francis T Delaney Emma L Gray Joseph C Lee |
| author_sort | Francis T Delaney |
| collection | DOAJ |
| description | We present a case of lung cancer incidentally detected as a pulmonary nodule on computed tomography attenuation correction (CTAC) images during myocardial perfusion scintigraphy (MPS). Unfortunately, the incidental lesion was not fully investigated following MPS report and had developed into metastatic lung carcinoma when diagnosed over 1 year later, with failure of subsequent emergent chemotherapy. The disease appeared to be localized when initially detected during MPS. This case highlights the importance and potential clinical value of routine review of CTAC images in MPS with appropriate reporting and further investigation of suspicious incidental findings. In addition, the importance of effective communication between nuclear medicine department and treating team is clear to ensure suspicious incidental findings are given sufficient credence and thoroughly investigated promptly to avoid adverse clinical outcomes. |
| format | Article |
| id | doaj-art-e1509d96ef60426eaaa8e833f7ca00ff |
| institution | OA Journals |
| issn | 1450-1147 1607-3312 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | World Journal of Nuclear Medicine |
| spelling | doaj-art-e1509d96ef60426eaaa8e833f7ca00ff2025-08-20T02:04:02ZengThieme Medical and Scientific Publishers Pvt. Ltd.World Journal of Nuclear Medicine1450-11471607-33122019-01-011801747610.4103/wjnm.WJNM_19_18The importance of appropriate reporting and investigation of incidental findings on computed tomography attenuation correction images during myocardial perfusion scintigraphyFrancis T Delaney0Emma L Gray1Joseph C Lee2Department of Medical Imaging, The Prince Charles Hospital, Brisbane, AustraliaDepartment of Medical Imaging, The Prince Charles Hospital, Brisbane, AustraliaDepartment of Medical Imaging, The Prince Charles Hospital, Brisbane, AustraliaWe present a case of lung cancer incidentally detected as a pulmonary nodule on computed tomography attenuation correction (CTAC) images during myocardial perfusion scintigraphy (MPS). Unfortunately, the incidental lesion was not fully investigated following MPS report and had developed into metastatic lung carcinoma when diagnosed over 1 year later, with failure of subsequent emergent chemotherapy. The disease appeared to be localized when initially detected during MPS. This case highlights the importance and potential clinical value of routine review of CTAC images in MPS with appropriate reporting and further investigation of suspicious incidental findings. In addition, the importance of effective communication between nuclear medicine department and treating team is clear to ensure suspicious incidental findings are given sufficient credence and thoroughly investigated promptly to avoid adverse clinical outcomes.http://www.thieme-connect.de/DOI/DOI?10.4103/wjnm.WJNM_19_18computed tomography attenuation correctionincidental findingslow-dose computed tomographylung carcinomamyocardial perfusion scintigraphy |
| spellingShingle | Francis T Delaney Emma L Gray Joseph C Lee The importance of appropriate reporting and investigation of incidental findings on computed tomography attenuation correction images during myocardial perfusion scintigraphy World Journal of Nuclear Medicine computed tomography attenuation correction incidental findings low-dose computed tomography lung carcinoma myocardial perfusion scintigraphy |
| title | The importance of appropriate reporting and investigation of incidental findings on computed tomography attenuation correction images during myocardial perfusion scintigraphy |
| title_full | The importance of appropriate reporting and investigation of incidental findings on computed tomography attenuation correction images during myocardial perfusion scintigraphy |
| title_fullStr | The importance of appropriate reporting and investigation of incidental findings on computed tomography attenuation correction images during myocardial perfusion scintigraphy |
| title_full_unstemmed | The importance of appropriate reporting and investigation of incidental findings on computed tomography attenuation correction images during myocardial perfusion scintigraphy |
| title_short | The importance of appropriate reporting and investigation of incidental findings on computed tomography attenuation correction images during myocardial perfusion scintigraphy |
| title_sort | importance of appropriate reporting and investigation of incidental findings on computed tomography attenuation correction images during myocardial perfusion scintigraphy |
| topic | computed tomography attenuation correction incidental findings low-dose computed tomography lung carcinoma myocardial perfusion scintigraphy |
| url | http://www.thieme-connect.de/DOI/DOI?10.4103/wjnm.WJNM_19_18 |
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