Estimation of the relative liver perfusion using two methods of radionuclide angiography in the patients with hemodynamic disorders in the portal system

作者: V.M. Artiko , D.P. Sobic-Saranovic , S.V. Pavlovic , M.S. Perisic-Savic , M.V. Stojkovic

DOI: 10.2298/ACI0801011A

关键词: Venous thrombosisEsophageal varicesPortal venous pressurePerfusionInternal medicineMedicineUmbilical veinGastroenterologyPortal hypertensionHepatitisCirrhosis

摘要: The aim of this study is the assessment relative arterial and venous contribution to total liver blood flow (hepatic perfusion index-HPI), with two methods (S1 S2), estimation their value. With correction, HPI nonsignificantly increases (p>0.05) in all groups patients, a very high correlation between (S1) (S2) values (p<0.01). In comparison portal controls, were significantly (p<0.01) lower chronic active hepatitis cirrhosis differed themselves cirrhotic patients esophageal varices, sclerosated recanalized umbilical vein, thrombosis cavernous was than without collaterals. Both angioscintigraphic are useful for disturbances system. Because more exact perfusion, S2 recommended.

参考文章(23)
Eric B. Rypins, William Fajman, Rauf Sarper, J.Michael Henderson, Michael H. Kutner, Yavuz A. Tarcan, John T. Galambos, W.Dean Warren, Radionuclide angiography of the liver and spleen. Noninvasive method for assessing the ratio of portal venous to total hepatic blood flow and portasystemic shunt patency. American Journal of Surgery. ,vol. 142, pp. 574- 579 ,(1981) , 10.1016/0002-9610(81)90429-3
D.M. Ackery, B.H. Walmsley, S.J. Karran, J.S. Fleming, Scintigraphic estimation of arterial and portal blood supplies to the liver. The Journal of Nuclear Medicine. ,vol. 24, pp. 1108- 1113 ,(1983)
R Sarper, W A Fajman, E B Rypins, J M Henderson, Y A Tarcan, J T Galambos, W D Warren, A noninvasive method for measuring portal venous/total hepatic blood flow by hepatosplenic radionuclide angiography. Radiology. ,vol. 141, pp. 179- 184 ,(1981) , 10.1148/RADIOLOGY.141.1.6270726
Balaji Ganeshan, Kenneth A. Miles, Rupert C.D. Young, Chris R. Chatwin, In Search of Biologic Correlates for Liver Texture on Portal-Phase CT Academic Radiology. ,vol. 14, pp. 1058- 1068 ,(2007) , 10.1016/J.ACRA.2007.05.023
Gilberto Fanfani, Angelo Fratello, Marino Mele, Luigi Greco, Elio Conte, Angelo D'Addabbo, Renal perfusion in chronic liver diseases: evaluation by radiotechnetium renography. European Journal of Nuclear Medicine and Molecular Imaging. ,vol. 10, pp. 317- 320 ,(1985) , 10.1007/BF00251304
J Fakhry, BB Gosink, GR Leopold, Recanalized umbilical vein due to portal vein occlusion: documentation by sonography American Journal of Roentgenology. ,vol. 137, pp. 410- 412 ,(1981) , 10.2214/AJR.137.2.410
P MacMathuna, M K O'Connor, D G Weir, P W Keeling, Non-invasive diagnosis of portal vein occlusion by radionuclide angiography. Gut. ,vol. 33, pp. 1671- 1674 ,(1992) , 10.1136/GUT.33.12.1671
Molino Gianpaolo, Baccega Massimo, Squadrone Enzo, Magnani Corrado, Assessment of liver circulation by quantitative scintiangiography: evaluation of the relative contribution of the hepatic arterial and portal venous blood flows to liver perfusion. European Journal of Nuclear Medicine and Molecular Imaging. ,vol. 15, pp. 211- 216 ,(1989) , 10.1007/BF00253798
Laurence Annet, Roland Materne, Etienne Danse, Jacques Jamart, Yves Horsmans, Bernard E. Van Beers, Hepatic flow parameters measured with MR imaging and Doppler US: correlations with degree of cirrhosis and portal hypertension. Radiology. ,vol. 229, pp. 409- 414 ,(2003) , 10.1148/RADIOL.2292021128