Myocardial perfusion imaging -- beyond the left ventricle : pathology, artifacts and pitfalls in the chest and abdomen

This book will serve as a comprehensive reference source and self-assessment guide for physicians and technologists who practice myocardial perfusion SPECT imaging. Readers will learn to identify a wide variety of findings apart from the left ventricle, including those in the chest, the abdomen, and the right heart. It is explained which findings are clinically relevant and related to the reason for the myocardial perfusion imaging examination and which are incidental, with or without important clinical ramifications. The coverage includes a wide variety of common and uncommon focal lesions (e.g., benign or malignant neoplasms) and organ/systemic diseases (e.g., emphysema, cirrhosis and its sequelae, cholecystitis, duodenogastric reflux/gastroparesis, end-stage renal disease) that may be detected with myocardial perfusion SPECT imaging. In addition, guidance is provided in the recognition of typical artifacts, which may appear either “hot” or “cold” on the raw (unprocessed) and processed SPECT images, and, thereby, in the avoidance of potential interpretative pitfalls. Front Matter....Pages i-xvii Introduction....Pages 1-2 Front Matter....Pages 3-3 Technical Principles....Pages 5-7 Image Interpretation....Pages 9-21 Front Matter....Pages 23-23 Thyroid Gland....Pages 25-29 Parathyroid Glands....Pages 31-34 Breasts....Pages 35-46 Chest Wall....Pages 47-54 Skeleton....Pages 55-62 Pleura....Pages 63-69 Lungs....Pages 71-83 Mediastinum....Pages 85-90 Myocardium and Pericardium....Pages 91-93 Right Atrium and Right Ventricle....Pages 95-102 Vascular System....Pages 103-108 Lymphatic System....Pages 109-111 Diaphragm....Pages 113-119 Front Matter....Pages 121-121 Abdominal Wall....Pages 123-127 Peritoneum....Pages 129-136 Liver....Pages 137-151 Biliary System and Gallbladder....Pages 153-165 Front Matter....Pages 121-121 Spleen....Pages 167-173 Stomach....Pages 175-198 Small Intestine and Large Intestine....Pages 199-206 Adrenal Glands....Pages 207-208 Kidneys and Female Reproductive System....Pages 209-212 Vascular System....Pages 213-215 Front Matter....Pages 217-217 Self-Assessment Cases: Basic....Pages 219-264 Self-Assessment Cases: Intermediate....Pages 265-313 Self-Assessment Cases: Advanced....Pages 315-374 Back Matter....Pages 375-385 20: Biliary System and Gallbladder -- 21: Spleen -- 22: Stomach -- 23: Small Intestine and Large Intestine -- 24: Adrenal Glands -- 25: Kidneys and Female Reproductive System -- 26: Vascular System -- Part IV: Case Challenges: A Self-Assessment Tool -- 27: Self-Assessment Cases: Basic -- 27.1 Case Challenge #1 -- 27.1.1 Problem -- Clinical Highlights -- Images for Review -- Characterize the Pertinent Finding(s) -- State Your Relevant Diagnosis(es) -- 27.1.2 Solution -- Additional Annotated Images -- The Pertinent Findings -- The Relevant Diagnosis(es) -- Discussion -- Relevant Chapter(s) Discussion -- Relevant Chapter(s) -- 27.6 Case Challenge #6 -- 27.6.1 Problem -- Clinical Highlights -- Images for Review -- Characterize the Pertinent Finding(s) -- State Your Relevant Diagnosis(es) -- 27.6.2 Solution -- Additional Annotated Images -- The Relevant Diagnosis(es) -- Discussion -- Relevant Chapter(s) -- 27.7 Case Challenge #7 -- 27.7.1 Problem -- Clinical Highlights -- Images for Review -- Characterize the Pertinent Finding(s) -- State Your Relevant Diagnosis(es) -- 27.7.2 Solution -- Additional Images -- The Pertinent Findings -- The Relevant Diagnosis(es) -- Discussion 27.2 Case Challenge #2 -- 27.2.1 Problem -- Clinical Highlights -- Images for Review -- Characterize the Pertinent Finding(s) -- State Your Relevant Diagnosis(es) -- 27.2.2 Solution -- Additional Annotated Images -- The Pertinent Findings -- The Relevant Diagnosis(es) -- Discussion -- Relevant Chapter(s) -- 27.3 Case Challenge #3 -- 27.3.1 Problem -- Clinical Highlights -- Images for Review -- Characterize the Pertinent Finding(s) -- State Your Relevant Diagnosis(es) -- 27.3.2 Solution -- Additional Annotated Images -- The Pertinent Findings -- The Relevant Diagnosis(es) -- Discussion Relevant Chapter(s) -- 27.4 Case Challenge #4 -- 27.4.1 Problem -- Clinical Highlights -- Images for Review -- Characterize the Pertinent Finding(s) -- State Your Relevant Diagnosis(es) -- 27.4.2 Solution -- Additional Images -- The Pertinent Findings -- The Relevant Diagnosis(es) -- Discussion -- Relevant Chapter(s) -- 27.5 Case Challenge #5 -- 27.5.1 Problem -- Clinical Highlights -- Images for Review -- Characterize the Pertinent Finding(s) -- State Your Relevant Diagnosis(es) -- 27.5.2 Solution -- Additional Annotated Images -- The Pertinent Findings -- The Relevant Diagnosis(es) Foreword -- Preface -- Contents -- Abbreviations by Convention -- 1: Introduction -- Part I: The Fundamentals -- 2: Technical Principles -- 3: Image Interpretation -- Part II: The Chest ("Above the Diaphragm") -- 4: Thyroid Gland -- 5: Parathyroid Glands -- 6: Breasts -- 7: Chest Wall -- 8: Skeleton -- 9: Pleura -- 10: Lungs -- 11: Mediastinum -- 12: Myocardium and Pericardium -- 13: Right Atrium and Right Ventricle -- 14: Vascular System -- 15: Lymphatic System -- 16: Diaphragm -- Part III: The Abdomen ("Below the Diaphragm") -- 17: Abdominal Wall -- 18: Peritoneum -- 19: Liver