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Quantitative Evaluation of the Regional Dynamic Function of Hepatocytes after Living Donor Liver Transplantation Using 99mTc-GSA: A Preliminary Report


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タイトル: Quantitative Evaluation of the Regional Dynamic Function of Hepatocytes after Living Donor Liver Transplantation Using 99mTc-GSA: A Preliminary Report
著者: Ohno, Yasuharu / Ishida, Haruo / Hayashi, Akira / Kamagata, Shoichiro / Hirobe, SeiichiFuchimoto, Yasushi / Ishii, Katsumi
発行日: 2004年12月
引用: Acta medica Nagasakiensia. 2004, 49(4), p.137-141
抄録: In this study, we attempted to evaluate the dynamic function of graft livers after a living donor liver transplantation (LDLT) using technetium-99m-galactosyl-human serum albumin (99mTc-GSA) scintigraphy. We performed 99mTc-GSA scintigraphy 24 times in a total of 15 pediatric patients following LDLT. The age at examination (mean±standard deviation) was 7.3±5.54 years. The median interval between the examination and LDLT was 42 months. We converted the time activity curve for the graft to a horizontal mirror image curve and calculated the mean transit time (MTT) and depicted the functional image. The whole graft MTT showed a significant correlation with the receptor index (r=?0.528, p=0.014), total bilirubin (r=0.470, p=0.032) and cholinesterase (r=?0.641, p<0.014), and a marginally significant correlation with the clearance index (r=0.424, p=0.056). The functional image was quite useful for making a visual evaluation of the regional dynamic distribution of 99mTc-GSA in the graft. We thus consider this modality a valuable adjunct for evaluating the regional deterioration of the dynamic function of the liver following liver transplantation.
キーワード: Livertransplantation / Asialoglycoproteinreceptorscintigraphy / Dynamicfunctionoftheliver
URI: http://hdl.handle.net/10069/9280
ISSN: 00016055
関連リンク : http://joi.jlc.jst.go.jp/JST.JSTAGE/amn/49.137
資料タイプ: Departmental Bulletin Paper
原稿種類: publisher
出現コレクション:Volume 49, No. 4

引用URI : http://hdl.handle.net/10069/9280

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