대한핵의학회지 (1967년~2009년)
대한핵의학회지 1982;16(2)71~10
몇가지 간담도질환에서 간기능에 따른 Tc-99m EHIDA 의 담도영상능 ( Tc-99m EHIDA Scintigraphic Demonstrability of Biliary Elements and Liver Function Tests in Hepatobiliary Diseases )
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Author 김춘열(Choon Yul Kim),이명희(Myung Hee Lee),박용휘(Yong Whee Bahk),
Affiliation
Abstract

In the present communication, the results will be reported on a clinical study of how well scintigraphic visualization of the hepatobiliary elements and several commonly used clinical liver function tests correlate each other in various diseases of hepatobiliary system. The demonstrability of the biliary tract, gallbladder (GB) and duodenum was rather closely paralleled to serum bilirubin level and less closely to alkaline phosphatase and rather poorly to SGOT and SGPT. The usefulness of Tc-99m EHIDA [N-(2,6-diethylacetanilido) iminodiacetic acid, made by Amersham, England] hepatobiliary scintigraphy (Tc EHIDA HBS) in settling diagnostic controversy and ambiguity raised by oral cholecystography, intravenous cholangiography and ultrasonography in many hepatobiliary diseases is well known. The purpose of this investigation was to semiquantitatively evaluate the scintigraphy demonstrability of the hepatobility tract, GB and duodenum following intravenous injection of Tc-99m- EHIDA in normal subjects and in patients with a disturbed liver function from various hepatobility diseases. The hepatobiliary scintigraphy was performdd in 10 normal subjects and 39 patients with various hepatobiliary diseases(Table 1) at the Dept. of Radiology, St. Mary's Hospital Catholic Medical College, Seoul, Korea during 2 years period from September 1979. Scintigraphy examination was started at end of 3 minutes after intravenous injection of Tc-99m EHIDA in the amount of 50 μCi/kg and was continued until after 30 minutes at 5 minutes interval. The imaging was usually terminated when the tracer could be seen in the duodenum. Late scintigrams were obatained at 11/2, 2, 3, 4 and 6 hours when n,eeded. Scintigrams were analyzed in terms of promptness and clarity of visulization of the biliary tree, GB and duodenum and demonstrability of these anatomical landmarks was correlated with the values of liver function tests. The demonstrability of the common hepatic duct, common bile duct, GB and duodenum was closely paralleled to the level of ser

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