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Figure 17.Anterior and posterior 123I-mIBG images in a patient with very advanced metastatic carcinoid from an ileocecal primary seen in the right lower quadrant (arrow). Note extensive metastatic involvement of the liver and bones (arrowheads).

of treatment response. Specificity is likely to be a problem in this population of patients and high kidney uptake will mean that abdominal SPECT is technically difficult to interpret. It may be an effective agent for imaging metastases in the brain, however (Fig. 16).

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