Document Detail


Radionuclide venography in Budd-Chiari syndrome with intrahepatic vena-caval obstruction.
MedLine Citation:
PMID:  2981985     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Radionuclide imaging of the inferior vena cava (RIVC) was performed by injecting [99mTc] phytate into a dorsal pedal vein, as an initial diagnostic procedure for eight patients with clinical features of Budd-Chiari syndrome. In five of them, membranous occlusion of the inferior vena cava (IVC) was proved by contrast venography and subsequent surgery. The other three patients, with histologically verified hepatocellular carcinoma, were proved to have tumor-induced narrowing or occlusion of the IVC by contrast venography. The RIVC findings include a sharply truncated inferior vena cava with marked hand-up of activity, extensive collaterals, and delayed visualization of the heart. Our results indicate that RIVC is as accurate and specific as contrast venography, by demonstrating the occlusion of the IVC and collateral circulation from the functional aspect. This simple and noninvasive method could therefore be used as a first-line test in patients with unexplained edema, ascites, superficial abdominal venous collaterals, and even in patients with hepatocellular carcinoma, for the detection of obstruction in the inferior vena cava.
Authors:
M J Huang; Y F Liaw; K Y Tzen
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of nuclear medicine : official publication, Society of Nuclear Medicine     Volume:  26     ISSN:  0161-5505     ISO Abbreviation:  J. Nucl. Med.     Publication Date:  1985 Feb 
Date Detail:
Created Date:  1985-03-18     Completed Date:  1985-03-18     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0217410     Medline TA:  J Nucl Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  145-8     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Budd-Chiari Syndrome / radionuclide imaging*
Carcinoma, Hepatocellular / radionuclide imaging
Humans
Liver Neoplasms / radionuclide imaging
Organotechnetium Compounds*
Phytic Acid / diagnostic use
Technetium / diagnostic use
Vena Cava, Inferior / radionuclide imaging*
Chemical
Reg. No./Substance:
0/Organotechnetium Compounds; 0/technetium phytate; 7440-26-8/Technetium; 83-86-3/Phytic Acid

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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