Cirrhosis other imaging findings

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aditya Govindavarjhulla, M.B.B.S. [2]

Overview

Tc-99m labeled sulfur can be used in nuclear imaging to obtain an indication of hepatic function. When assessing a patient for a liver transplant, a CTA is used to asses the drainage of the liver.

Other Imaging Findings

Nuclear Imaging

Tc-99m

Tc-99m labeled sulfur used for functional imaging techniques provides some indication of hepatic function. The labeled colloidal compound is taken up by reticuloepithelial cells, and the colloidal shift in other organs (bone marrow,spleen) containing reticuloepithelial cells provides evidence of portal hypertension. [1]

Angiography

Angiography is currently used for assisting in the placement of catheters for CTA. The angiographic findings of hepatic perfusion remains essential in transplant assessment, given the variability of the liver's drainage from its arterial and venous supplies.

References

  1. Kim YS, Cho SW, Lee KJ; et al. (1999). "Tc-99m MIBI SPECT is useful for noninvasively predicting the presence of MDR1 gene-encoded P-glycoprotein in patients with hepatocellular carcinoma". Clin Nucl Med. 24 (11): 874–9. PMID 10551471. Unknown parameter |month= ignored (help)


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