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SPECT Imaging in the Diagnosis of Budd-Chiari Syndrome

The Andre Meyer Department of Physics-Nuclear Medicine, The Mount Sinai Medical Center, Mount Sinai School of Medicine, New York, New York

Correspondence: For reprints contact: Chun K. Kim, MD, Box 1141, The Andre Meyer Department of Physics-Nuclear Medicine, The Mount Sinai Medical Center, Mount Sinai School of Medicine, One Gustave L. Levy Place, New York, NY 10029.

ABSTRACT

We recently performed planar and single photon emission computed tomographic (SPECT) liver/spleen scintigraphy in a patient with Budd-Chiari syndrome. While planar imaging revealed only nonspecific hepatocellular dysfunction, tomographic images demonstrated increased radiotracer accumulation in the caudate lobe of the liver, the classical scintigraphic finding in this entity. This case suggests that SPECT may enhance the sensitivity of the scintigraphic diagnosis of this uncommon condition, especially when the occlusion of the hepatic veins is incomplete.