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SPECT/CT was performed in 120 min. Results When the classical methods were evaluated in the operated patients, according to the direct radiographic findings, in only 17 patients had shunt dysfunction due to disconnection-kinking or laceration, was obtained.On the other hand,while67 shuntography were evaluated,65 of these patients (97%) whose intraoperative and shuntography findings were found to be compatible with each other. Conclusion The 3D SPECT images combined with the two-dimensional planar images added to the CT provide more accur