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The Journal of Nuclear Medicine Vol. 24 No. 7 559-562
© 1983 by Society of Nuclear Medicine
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Value of Selective Spleen Scintigraphy When Liver/Spleen Image Shows Equivocal Spleen Defects: Concise Communication

Douglas Van Nostrand, James H. Corley, Ralph W. Kyle and Richard E. Stotler

Walter Reed Army Medical Center, Washington, DC

Correspondence: For reprints contact: Douglas Van Nostrand, MD, Nuclear Medicine Service, Walter Reed Army Medical Ctr., Washington, DC 20012.

ABSTRACT

A retrospective review was performed to determine the utility of selective spleen scintigraphy (SSS) in the evaluation of equivocal defects on liver/spleen (LS) image. Six of seven questionable features on LS image were classified on SSS to be definite defects in three, and normal in three. Three of seven patients had defects on SSS that were not seen on LS image. The inability of the LS image to exclude or delineate an abnormality in the spleen was attributed to an overlying left lobe of the liver in five, and to technique in one. The SSS is a valuable diagnostic tool in the further evaluation of equivocal spleen defects on LS image, and SSS may demonstrate abnormalities not demonstrated on LS image.







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Copyright © 1983 by the Society of Nuclear Medicine.