원저 : Tc-99m DISIDA 간담도 신티그라피에서 간 실질의 분절형 배설지연의 임상적 의의 ( Clinical Significance of Seogmental Parenchymal Excretion Delay on Tc-99m DISIDA Hepatobiliary Scan ) () |
Author |
강도영(Do Young Kang),류진숙(Jin Sook Ryu),문대혁(Dae Hyuk Moon),이성구(Sung Koo Lee),김명환(Myung Hwan Kim),이희경(Hee Kyung Lee), |
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Affiliation |
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Abstract |
Purpose: Segmental parenchymal excretion delay on Tc-
99m DISIDA scan is caused by intrahepatic bile duct
obstruction. However, the diagmostic value for
intrahepatic bile duct obstruction is unknown. We
conducted this study to assess the positive predictive
value of segmental excretiom delay for the diagnosis of
intrahepatic bile duct obstruction, and additional
benefit over other noninvasive radiologic studies.
Materials and Methods: The study population consisted
of 43 patients (48 scans) Who showed segmental
parenchymal excretion delay on Tc-99m DISIDA scan. The
results of abdominal CT or ultrasonography, which was
done within 1 month of Tc-99m DISIDA scan, were
compared with scintigraphic findings. Results: The
etiology of segmental parenchymal excretion delay was
determined by ERC or PTC in 31 scans, and follow-up
studies in 13 scans. No causes were identified in 4
scans. The positive predictive value of segmental
parenchymal excretion delay for intrahepatic bile duct
obstruction was 92% (44/48). On the other hand, 13%
(5/38) of CT and 28% (5/18) of ultrasonography were
normal. In 18% (7/38) of CT and 17% (3/18) of
ultrasonography, only intraheipatic bile duct
dilatation was noted without any diagnostic findings of
intrahepatic bile duct obstruction. Conclusion:
Segmental parenchymal excretion delay on Tc-99rn DISIDA
scan had a high positive predictive value for the
diagnosis of intrahepatic bile duct obstruction. Tc-99m
DISIDA scan may be useful for the diagnosis of
intrahepatic bile duct obstruction, especially in
patients with nondiagnostic CT or ultrasonography. The
diagnostic usefulness need to be confirmed by further
prospective studies. KW: Tc-99m DISIDA, Segmental
parenchymal excretion delay, Intrahepatic bile duct
obstruction. |
Keyword |
Tc-99m DISIDA, Segmental parenchymal excretion delay, Intrahepatic bile duct obstruction |
Full text Article |
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