Cases | *Misdiagnosis before SPECT/CT | After additional SPECT/CT | Management changed |
---|---|---|---|
1 | Bone metastases/colonic activity | Kidney and pancreas metastases | No |
2 | Head lesion (pituitary lesion/skull metastases) | Metastasis in Sella turcica | Prevent unnecessary surgery + RTH |
3 | Salivary activity | Muscle metastasis | No |
4 | Cervical LN | Para pharyngeal mass | No |
5 | Colonic activity/contamination | Solitary iliac bony mass |  + RTH |
6 | Head lesion (bone /brain) | Solitary brain metastasis |  + RTH |
7 | Chest lesion (Lung /bone) | Bone metastases from PTC |  + RTH |
8 | Eye lesion (Eye melanoma/metastases) | Eye metastasis | Prevent surgery (eye enucleation) |
9 | Cervical LN | IJV malignant thrombosis |  + surgical excision |
10 | Chest lesion (Lung /bone) | Bone metastasis from PTC |  + RTH |
11 | Physiological renal activity | Renal metastases | NO |
12 | Primary brain tumor | Solitary Brain metastasis |  + surgical excision Brain RTH |
13 | Metastases of unknown origin | DTC with iodine avid Brain and liver metastases | RAIT + Brain RTH |
14 | Cervical LNs | Para Pharyngeal LN | NO |
15 | Thyroid residual | Endotracheal metastasis |  + RTH and CTH |