title: Hybrid SPECT-CT with 99mTc-labeled red blood cell in a case of blue rubber bleb nevus syndrome: added value over planar scintigraphy.
abstract: Blue rubber bleb nevus syndrome (BRBNS) is a rare clinical entity characterized by multiple venous malformations (hemangiomas) of the skin and gastrointestinal tract. These hemangiomas usually cause episodes of occult gastrointestinal bleeding leading to iron deficiency anemia, and also carry a significant potential for serious hemorrhage. The 99mechnetium (99mTc)-labeled red blood cell scintigraphy has traditionally been utilized in the localization of occult bleeding sites in patients with suspected vascular malformations, angiodysplasia, and Meckel’s diverticulum. We report the incremental value of 99mTc-labeled red blood cell hybrid single-photon emission computed tomography-computed tomography (SPECT-CT) over planar scintigraphy alone in a 12-year-old female patient with BRBNS.
authors.affiliation: Department of Nuclear Medicine, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Kalpa Jyoti
authors.initials: KJ
authors.lastname: Das
authors.forename: Punit
authors.initials: P
authors.lastname: Sharma
authors.forename: Niraj
authors.initials: N
authors.lastname: Naswa
authors.forename: Ramya
authors.initials: R
authors.lastname: Soundararajan
authors.forename: Rakesh
authors.initials: R
authors.lastname: Kumar
authors.forename: Chandrasekhar
authors.initials: C
authors.lastname: Bal
authors.forename: Arun
authors.initials: A
authors.lastname: Malhotra
mesh_terms: D000005:Abdomen / Q000000981:diagnostic imaging / Q000601:surgery; D002648:Child; D003937:Diagnosis, Differential; D004912:Erythrocytes; D005260:Female; D005500:Follow-Up Studies; D005770:Gastrointestinal Neoplasms / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans; D018329:Nevus, Blue / Q000000981:diagnostic imaging* / Q000601:surgery; D011860:Radiography, Abdominal / Q000379:methods; D019275:Radiopharmaceuticals; D012878:Skin Neoplasms / Q000000981:diagnostic imaging* / Q000601:surgery; D013667:Technetium; D015899:Tomography, Emission-Computed, Single-Photon / Q000379:methods*; D014057:Tomography, X-Ray Computed / Q000379:methods*
chemical_list: D019275:Radiopharmaceuticals; D013667:Technetium