Biliary excretion disorders in infants: evaluation using /sup 99m/Tc PIPIDA
- Univ. of Southern California, Los Angeles
A new class of hepatobiliary imaging agents has become available-the N-substituded iminodiacetic acids. After intravenous administration, these compounds are quickly extracted by the hepatocytes and rapidly excreted into the biliary tree. By using a /sup 99m/Tc label, sufficient activity may be given to allow excellent gamma-camera imaging, /sup 99m/Tc-labeled p-isopropylacetanilido-iminodiacetic acid (PIPIDA) has been used in the evaluation of infants with biliary excretion disorders, including two infants with neonatal hepatitis, three with intrahepatic cholestatic jaundice, and 10 with biliary atresia. Follow-up evaluation of surgically created portoenterostomies has been performed as well. In comparison with the previously available agent (/sup 131/I rose bengal), the marked reduction in radiation to the liver alone should predicate the use of /sup 99m/Tc PIPIDA. In addition, the speed of handling of this agent by the liver and the vastly improved imaging statistics make /sup 99m/Tc PIPIDA a desirable agent for the evaluation of biliary excretion disorders in infancy.
- OSTI ID:
- 5301907
- Journal Information:
- Am. J. Roentgenol.; (United States), Vol. 135:1
- Country of Publication:
- United States
- Language:
- English
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550601* - Medicine- Unsealed Radionuclides in Diagnostics