Abstract
Standard interpretation of single photon emission computed tomography (SPECT) myocardial perfusion imaging (MPI) studies include analysis of the rest and stress perfusion images as well as evaluation of left ventricular function. However, it is also important to carefully review the rotating cinematic raw projections “rotatograms” for factors that may influence the interpretation and non-cardiac findings. Non-cardiac findings from rotating cinematic images have identified both benign and malignant conditions [ 1 Williams K.A. Hill K.A. Sheridan C.M. Noncardiac findings on dual-isotope myocardial perfusion SPECT. J Nucl Cardiol. 2003; 10: 395-402 Google Scholar , 2 Jones S.E. Aziz K. Yasuda T. Gewirtz H. Scott J.A. Importance of systematic review of rotating projection images from Tc99m-sestamibi cardiac perfusion imaging for noncardiac findings. Nucl Med Commun. 2008; 29: 607-613 Google Scholar ]. We report two male patients who underwent stress technetium 99m sestamibi SPECT and were found to have increased focal tracer uptake identified in the breast region on the rotating cine images; case 1 had a diagnosis of invasive ductal adenocarcinoma of the breast and case 2 had bilateral gynecomastia.
Published Version
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