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Updated: Feb 24, 2026

Quantitative Magnetic Resonance Imaging of Skeletal Muscle Disease

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注射針に残存した99mTc-MIBI活性による99mTc-DMSAシンチグラフィの解釈における干渉; 医療過誤

Amin Saber Tanha¹, Nasrin Raeisi, Ali Bagheri Devin

¹Nuclear Medicine Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.

Clinical nuclear medicine

|February 23, 2026

Abstract:

A 4-month-old infant with a small right kidney underwent a 99mTc-DMSA scan showing unjustifiable findings including global cortical loss in the left kidney, increased liver and bowel uptake. Retrospective review revealed reuse of a sterile needle contaminated with residual 99mTc-MIBI, compromising scan quality and falsely elevating right kidney function. A repeat scan showed normal left kidney uptake and significantly reduced right kidney function. This case highlights the importance of employing safe techniques with disposable equipment, thorough workflow review, and transparent error reporting in nuclear medicine to ensure accurate diagnosis and patient safety.

キーワード:

医療過誤投与誤り核医学看護スタッフ患者安全

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