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KMID : 1148920150490010061
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Nuclear Medicine and Molecular Imaging
2015 Volume.49 No. 1 p.61 ~ p.64
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Usefulness of Additional SPECT/CT Identifying Lymphatico-renal Shunt in a Patient with Chyluria
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Suh Min-Seok
Cheon Gi-Jeong
Seo Hyo-Jung
Kim Hyeon-Hoe
Lee Dong-Soo
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Abstract
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Lymphoscintigraphy is known to be a useful and non-invasive modality for the evaluation of lymphatic abnormality. However, lymphoscintigraphy has limitations in evaluating chyluria because of its lack of anatomical information. Additional single-photon emission computed tomography (SPECT) combined with computed tomography (CT) was considered to be potentially helpful in detecting the abnormal lymphatico-renal communication. A 20-year-old male patient was referred to our hospital for evaluation of recurrent chyluria. During the third recurrence of chyluria, additional SPECT/CT along with lymphoscintigraphy was performed for evaluation. From the combined SPECT/CT images, lymphatic drainage of radiotracers to the kidney was well visualized, helping diagnosis of a patient with chyluria.
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KEYWORD
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Chyluria, Radionuclide lymphoscintigraphy, SPECT/CT
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