| Japanese |
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| Title | 99mTc-HIDA肝胆道シンチグラフィーの臨床的有用性 |
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| Subtitle | 原著 |
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| Authors | 油野民雄*, 桑島章*, 小泉潔*, 二谷立介*, 利波紀久*, 久田欣一*, 伊藤和夫** |
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| Organization | *金沢大学医学部核医学教室, **北海道大学医学部放射線医学教室 |
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| Journal | 核医学 |
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| Volume | 15 |
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| Number | 5 |
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| Page | 689-695 |
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| Year/Month | 1978/8 |
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| Article | 原著 |
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| Publisher | 日本核医学会 |
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| Abstract | 「要旨」99mTc-HIDA肝胆道シンチグラフィーを施行し, 以下の如き結論が得られた. 1) 正常例では, 従来の131I-ローズベンガル, 131I-BSPで不可能であった肝内胆管像が明瞭にとらえられた. 2) 黄疸の鑑別診断法として有効であった. しかし, 血中総ビリルビン値が約10mg/dlを超える閉塞性黄疸では, 99mTc-HIDAより従来の131I-BSP, 131I-ローズベンガルによる検索が適当と思われた. 3) 胆嚢描画陰性所見は胆嚢疾患の補助的診断法として有効と思われた. 4) 99mTc-コロイド肝シンチグラムの胆嚢床の確認に有効であった. |
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| Practice | 臨床医学：一般 |
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| Keywords | 99mTc-HIDA Hepatobiliary scintigraphy |
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| English |
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| Title | Clinical Usefulness of 99mTc-HIDA Hepatobiliary Scintigraphy |
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| Subtitle | Original Articles |
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| Authors | Tamio ABURANO*, Akira KUWAJIMA*, Kiyoshi KOIZUMI*, Ryusuke HUTATSUYA*, Norihisa TONAMI*, Kinichi HISADA*, Kazuo ITO** |
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| Authors(kana) | |
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| Organization | *Department of Nuclear Medicine, School of Medicine, Kanazawa University, **Department of Radiology, School of Medicine, Hokkaido University |
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| Journal | The Japanese Journal of nuclear medicine |
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| Volume | 15 |
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| Number | 5 |
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| Page | 689-695 |
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| Year/Month | 1978/8 |
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| Article | Original article |
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| Publisher | THE JAPANESE SOCIETY OF NUCLEAR MEDICINE |
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| Abstract | [Summary] 99mTc-HIDA hepatobiliary scintigraphy was performed in 34 patients with various hepatobiliary diseases and 9 patients with other disease. The intrahepatic bile duct, gall bladder, other biliary system and gastrointestinal tract were well visualized in the normal patients. In obstructive jaundiced patients with a total bilirubin concentration greater than about 10 mg/dl, neither the biliary system nor the gastrointestinal tract were visualized irrespective of etiology and the study was not helpful to differentiate the intrahepatic cholestasis without mechanical obstruction from extrahepatic obstruction. However, when the total bilirubin concentration was less than 10 mg/dl, visualization of intrahepatic bile duct was helpful to differentiate extrahepatic obstruction from intrahepatic cholestasis without mechanical obstruction or hepatocellular jaundice. Moreover, the gall bladder was not visualized in 8 out of ten patients with gall bladder disease. From the present study, 99mTc-HIDA hepatobiliary scintigraphy was considered to be useful for the following cases : 1) the differential diagnosis of jaundice, 2) the detection of gall bladder diseases, and 3) identification of gall bladder fossa on 99mTc-colliod liver scan. However, in the obstructive patient with a total bilirubin concentration greater than 10 mg/dl 99mTc-HIDA could not replace 131I-rose bengal, because excretion of 131I-rose bengal or 131I-BSP was clearly found in intrahepatic cholestatic patients with a total bilirubin concentration less than 20 mg/dl. |
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| Practice | Clinical medicine |
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| Keywords | 99mTc-HIDA Hepatobiliary scintigraphy |
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