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Thoracic and Abdominal Abnormalities Found on Raw Data Images of Cardiac SPECT

During acquisition of (superscript 99m)Tc labeled perfusion agents or 201TI-thallous chloride (210TI) gated cardiac SPECT the field area covered includes the essential organs of the body, encompassing the organs or tissues of the thorax and the abdomen. 210TI can be localized in benign and malignant lesion, and (superscript 99m)Tc-tetrofosmin is mostly excreted through hepatobiliary system, the raw data images at one hour may be considered as hepatobiliary scintigram using such as (superscript 99m)Tc-Choletec. Thus raw data images of dual isotope or 2-day 99Tc-tetrofosmin cardiac SPECT allow us to view the abnormality in the thorax and/or abdomen. Abnormalities above the diaphragm and chest wall include: (1) malignant or benign lesion(s) in the lungs; (2) pleural effusion; (3) pericardial effusion; (4) diffuse and bilateral pulmonary uptake; (5) sternal uptake in anemia and/or hypoxemia; (6) duodenogastroesophageal reflux; (7) hiatus hernia; (8) lucent lungs; (9) mediastinal tumor: atypical carcinoid tumor; and (10) breast cancer. Abnormalities of the diaphragm may include: (1) elevation of the right diaphragm and (2) displacement of the diaphragm on both sides. Abnormal findings below the diaphragm include: (1) hepatomegaly; (2) splenomegaly; (3) cirrhosis of the liver with ascites; (4) vertebral uptake in anemia and/or hypoxemia; and (5) a focal avascular lesion. It is emphasized that: (1) multiple abnormalities in the thorax and/or abdomen may exist as demonstrated by one patient's raw data images; (2) viewing raw data images should be included as part of cardiac SPECT interpretation; and (3) abnormal findings should also be included in the report to alert clinicians to further investigation if clinically indicated.