Japanese
TitleSegmental Biliary Obstructionの肝胆道シンチグラム像
Subtitle原著
Authors油野民雄*, 桑島章***, 石田博子*, 利波紀久*, 久田欣一*, 松平正道**
Authors(kana)
Organization*金沢大学医学部核医学教室, **附属病院アイソトープ部, ***東邦大学医学部附属大橋病院放射線医学教室
Journal核医学
Volume21
Number4
Page311-317
Year/Month1984/4
Article原著
Publisher日本核医学会
Abstract「要旨」Segmental biliary obstruction (SBO) 11例と, 肝胆道疾患陰性29例の検討結果から, 次のごとき結論を得た. 1) SBOの肝胆道シンチグラム像は, 閉塞部および閉塞部より末梢の肝内胆管がまったく描出されない完全閉塞と, 閉塞部および閉塞部より末梢の肝内胆管の描出遅延と排出遅延の不完全閉塞とに大別された. 2) 一次分枝より末梢での完全閉塞の場合は, SBOの存在を指摘することは困難であったが, 一次分枝の完全閉塞および不完全閉塞では, その特徴的シンチグラム所見からSBOの存在を容易に指摘することが可能であった. 以上, 肝胆道シンチグラフィは, SBOの臨床的評価法として有効と思われた.
Practice臨床医学:一般
KeywordsSegmental biliary obstruction, Hepatobiliary scintigraphy, Intrahepatic stone.
English
TitleHepatobiliary Scintigraphy in Segmental Biliary Obstruction
SubtitleOriginal Articles
AuthorsTamio ABURANO*, Akira KUWAJIMA***, Hiroko ISHIDA*, Norihisa TONAMI*, Kinichi HISADA*, Masamichi MATSUDAIRA**
Authors(kana)
Organization*Department of Nuclear Medicine, School of Medicine, Kanazawa University, **Central Radioisotope Service, Kanazawa University Hospital, ***Department of Radiology, Ohohashi Hospital, Toho University
JournalThe Japanese Journal of nuclear medicine
Volume21
Number4
Page311-317
Year/Month1984/4
ArticleOriginal article
PublisherTHE JAPANESE SOCIETY OF NUCLEAR MEDICINE
Abstract[Summary] Eleven patients with segmental biliary obstruction (ten patients with intrahepatic stone and one patient with cholangiocellular carcinoma) and twenty-nine patients without hepatobiliary disease were examined to evaluate the usefulness of hepatobiliary scintigraphy in segmental biliary obstruction. Nine out of eleven patients (82%) with segmental biliary obstruction showed the characteristic segmental abnormalities on the hepatobiliary scintigram, and the determination of segmental obstruction was easily made. In these nine patients, seven showed the incomplete obstruction of the delayed filling and prolonged retention at the involved obstructive intrahepatic duct. And the other two patients showed the complete obstruction of the absence of radioactivity at the involved primary branch of the intrahepatic duct. In the remained two patients only (18%) , no segmental abnormalities could be pointed out on the hepatobiliary scintigram, although the involved obstructive intrahepatic duct was not visualized. It is suggested that the hepatobiliary scintigraphy may be accepted as one of the useful non-invasive procedures for the detection of the segmental biliary obstruction.
PracticeClinical medicine
KeywordsSegmental biliary obstruction, Hepatobiliary scintigraphy, Intrahepatic stone.

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