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Title: Update on radionuclide imaging in hepatobiliary disease. [/sup 99m/Tc-labelled acetanilide iminodracetic acid analogues]

Journal Article · · JAMA, J. Am. Med. Assoc.; (United States)

The recent introduction of technetium Tc 99m-labeled acetanilide iminodiacetic acid (/sup 99m/Tc-IDA) analogues has facilitated the clincal study of the bile flow pathways. A variety of /sup 99m/Tc-IDA derivaties are under investigation. Basically all are metabolized by the hepatocyte and immediately thereafter excreted unconjugated into the biliary tract. Of the various derivatives tested, e.g., dimethyl (lidofenin), diethyl, paraisopropyl (iprofenin), parabutyl (butilfenin), and diisopropyl (disofenin), the last named is the best universal agent at this time. By serial liver imaging the patency of the cystic duct and the integrity of altered cholangiointestinal anatomy can be assessed, leakage of bile and gastric reflux can be disclosed, and medical and surgical jaundice can be distinguished.

Research Organization:
Montreal General Hospital, Quebec
OSTI ID:
6390320
Journal Information:
JAMA, J. Am. Med. Assoc.; (United States), Vol. 245:20
Country of Publication:
United States
Language:
English

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