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D. J. Boffa, M. J. Sands, T. W. Rice, S. C. Murthy, D. P. Mason, M. A. Geisinger, et al., “A Critical Evaluation of a Percutaneous Diagnostic and Treatment Strategy for Chylothorax after Thoracic Surgery,” European Journal of Cardio-Thoracic Surgery, Vol. 33, No. 3, 2008, pp. 435-439. doi:10.1016/j.ejcts.2007.11.028

has been cited by the following article:

• TITLE: Lymphoscintigraphy Using Dynamic Imaging and SPECT/CT in Chylothorax

  AUTHORS: Asami Ohtsuka, Yusuke Inoue, Yuji Asano, Reiko Woodhams, Kazu Shiomi

  KEYWORDS: Chylothorax; Lymphoscintigraphy; 99mTc-DTPA-HSA; Dynamic Imaging; SPECT/CT

  JOURNAL NAME: Open Journal of Medical Imaging, Vol.3 No.3, September 23, 2013

  ABSTRACT: Lymphoscintigraphy readily provides confirmation of chylothorax but not detailed localization of the leakage site. A 77-year-old woman developed traumatic chylothorax and underwent lymphoscintigraphy with radiolabeled albumin to identify the site of lymph leakage. Dynamic imaging demonstrated appearance of focal activity presumably in the upper mediastinum, followed by spread to the left hemithorax. Subsequently, SPECT/CT showed that the leakage site was located in the left side of the upper mediastinum, and this location was confirmed during video-assisted thoracoscopic surgery. Dynamic imaging demonstrated the site of first appearance of abnormal activity, and SPECT/CT enabled detailed localization of the abnormal activity with anatomic correlation. The combination of dynamic imaging with SPECT/CT appears to be recommendable for lymphoscintigraphic assessment of chylothorax.