Document Detail


Liver uptake function measured by IODIDA clearance rate in liver transplant patients and healthy volunteers.
MedLine Citation:
PMID:  8692492     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Hepatobiliary scintigraphy with 99Tc(m)-diethyl-iodo-HIDA (IODIDA), an iminodiacetic acid derivative, is used to assess hepatocyte function and to visualize the hepatobiliary system. The aim of this study was to evaluate whether it is possible to describe liver function by calculating the clearance rate of IODIDA from the blood. Clearance rate was evaluated in 18 liver transplant patients (28 studies) and 11 healthy volunteers (11 studies). Two different clearance rates were calculated: the clearance of IODIDA from the blood due to liver uptake and the total clearance of IODIDA from the blood due to all possible routes of elimination. Both for the healthy controls and the liver transplant patients, there was an excellent correlation between these two methods (r = 0.92 and r = 0.93, respectively), indicating that the liver is the only essential pathway for elimination of IODIDA from the blood. The difference in clearance rate between healthy controls and liver transplant patients was highly significant (P < 0.01), corresponding to the clinical condition of the two groups. We conclude that the clearance rate of IODIDA, based on a simple measurement from the time-activity curve derived from a blood pool region of interest, is a reliable test of liver function.
Authors:
M Ekman; M Fjälling; S Friman; S Carlson; R Volkmann
Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Nuclear medicine communications     Volume:  17     ISSN:  0143-3636     ISO Abbreviation:  Nucl Med Commun     Publication Date:  1996 Mar 
Date Detail:
Created Date:  1996-08-23     Completed Date:  1996-08-23     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8201017     Medline TA:  Nucl Med Commun     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  235-42     Citation Subset:  IM    
Affiliation:
Department of Radiation Physics, Sahlgrenska University Hospital, Göteborg, Sweden.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Female
Humans
Imino Acids / diagnostic use*,  pharmacokinetics*
Liver / metabolism,  radionuclide imaging*
Liver Function Tests
Liver Transplantation / physiology*
Male
Mathematics
Metabolic Clearance Rate
Middle Aged
Models, Theoretical
Organotechnetium Compounds / diagnostic use*,  pharmacokinetics*
Reference Values
Regression Analysis
Chemical
Reg. No./Substance:
0/Imino Acids; 0/Organotechnetium Compounds; 0/technetium Tc 99m 2,6-diethyl-3-iodo-HIDA

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