By Sadayuki Sakuma M.D., Toshihiko Takeuchi M.D., Takeo Ishigaki M.D. (auth.)
The improvement and the frequent medical program of varied di agnostic imaging modalities, similar to diagnostic ultrasonography, X-ray computed tomography, unmarried photon emission computed tomography, and magnetic resonance imaging, were past all expectation. specifically, ultrasonography and X-ray computed tomography have be come significant diagnostic instruments for illnesses of the liver, the biliary tract, and the pancreas. they typically have nearly changed different traditional imag ing modalities together with invasive angiography and percutaneous trans he patic cholangiography. One modality may perhaps supplement or clash with one other or different modalities. every one modality may be conscientiously chosen with due regard for its diagnostic efficacy. during this e-book, the 1st part includes 9 chapters facing present options of every diagnostic modality acceptable to the liver, the biliary tract, and the pancreas. the second one part offers with illnesses of the liver, the biliary tract, and the pancreas and takes the shape of case presentation with dialogue of the importance of diagnostic imagings and diagnostic process. practise of the manuscript used to be made attainable through the aid of Dr. S. Fujita, who ready the pictures, and Mrs. Sobajima, who typed the unique manuscript. Dr. S. Miura and omit Y. Shimizu below took the hard work of translating our manuscript from eastern into English. i want to precise my deep appreciation to a majority of these individuals, in addition to to the members to this booklet, and likewise to the publishers, Shujunsha, Japan and Springer-Verlag.
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Additional info for Diagnostic Imaging of the Liver, Biliary Tract and Pancreas: Data Analysis and Diagnostic Procedures
Recently, 99mTc-E-HIDA 9mTc-diethyl-IDA) , which is absorbed by the liver at a high rate with less excretion into the urinary system, has been used, and the analysis ofhepatobiliary function has greatly improved. Furthermore, the time-activity curve of the region of interest can be obtained with a computer by memorizing the time-sequential scintigram, the so-called blood-clearance curve. 8 % after 60 min. 2 rad with 131I_BSP. 1 Examination Procedures. Isotopic agents should be injected intravenously.
Rotor's syndrome can be distinguished by the findings of slow uptake by the liver and notable delay of blood clearance; Gilbert's syndrome is charcterized by normal clearance. ' References Nuclear Examination 1. Aburano T, Ueno K, Watanabe H, Hisada K (1974) Liver scintigraphy with 2. 3. 4. 5. 99mTc-sn-colloid and 99mTc-phytate (Comparison with 198 Au-colloid and 99mTc_ sulfur colloid) (in Japanese). Jpn J Nucl Med 11: 617 -623 Bar-Meir S, Baron J, Seligson U, Gottesfeld, F, Levy R, Gilat T (1982) 99ffiTc-HIDA cholescintigraphy in Dubin-Johnson and Rotor syndrome.
99mTc-sn-colloid and 99mTc-phytate (Comparison with 198 Au-colloid and 99mTc_ sulfur colloid) (in Japanese). Jpn J Nucl Med 11: 617 -623 Bar-Meir S, Baron J, Seligson U, Gottesfeld, F, Levy R, Gilat T (1982) 99ffiTc-HIDA cholescintigraphy in Dubin-Johnson and Rotor syndrome. Radiology 142:743-746 Covington EE (1970) Pitfalls in liver photoscans. AJR 109:745-748 DeNardo GL, Stadalnik RC, DeNard SJ, Raventos A (1974) Hepatic scintigraphic patterns. Radiology 111: 135-141 Eyler WR, Schuman BM, DuSault LA, Hinson RE (1965) The radioiodinated rose bengal liver scan as an aid in the differential diagnosis of jaundice.