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Evaluation of diffuse hepatic diseases by integrated image, SPECT and numerical taxonomic analysis

Abstract

In 135 patients with various hepatic diseases, cardiopulmonary circulation and hepatic accumulation of the activity were collected for 100 sec after bolus injection of 111-222 MBq (3 - 6 mci) of /sup 99m/Tc-phytate, and then integrated as a single image. Anterior, right lateral and posterior planar images, and hepatosplenic SPECT images were obtained thereafter. Lung to liver count ratio (P/L) was estimated by the integrated image. Liver volume (HV), spleen volume (SV) and liver to spleen count ratio (MHC/MSC) were calculated using the data obtained by SPECT. P/L was useful as an index of effective hepatic blood flow. MHC/MSC was closely correlated with the grade of portal hypertension. HV or SV alone shows low clinical value in discriminating liver diseases. Principal component analysis was applied to the 4 above-mentioned radinuclide data and the following 11 laboratory data ; total serum protein, serum albumine, glutamate oxaloacetate transaminase (GOT), glutamate pyruvate transaminase (GPT), lactic dehydrogenase (LDH), alkaline phosphatase (AL-P), zink sulfateturbidity test (ZTT), thymol turbidity test (TTT), r-glutamyl transpeptidase (r-GTP), cholinesterase (Ch-E), and total bilirubin (T-Bil). These fifteen data were condensed to 5 principal components. And then cluster analysis was carried out among 135 patients. The subjects were classified in 7 small  More>>
Authors:
Publication Date:
Feb 01, 1987
Product Type:
Journal Article
Reference Number:
JPN-87-060473; EDB-88-020785
Resource Relation:
Journal Name: Juzen Igakukai Zasshi; (Japan); Journal Volume: 96:1
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; LIVER; SCINTISCANNING; SINGLE PHOTON EMISSION COMPUTED TOMOGRAPHY; BIOLOGICAL FUNCTIONS; BIOPSY; BLOOD CHEMISTRY; BLOOD FLOW; DATA PROCESSING; DIAGRAMS; HEPATITIS; IMAGES; LIVER CIRRHOSIS; MONOCARBOXYLIC ACIDS; PATIENTS; TECHNETIUM 99; BETA DECAY RADIOISOTOPES; BETA-MINUS DECAY RADIOISOTOPES; BODY; CARBOXYLIC ACIDS; COMPUTERIZED TOMOGRAPHY; COUNTING TECHNIQUES; DIAGNOSTIC TECHNIQUES; DIGESTIVE SYSTEM; DIGESTIVE SYSTEM DISEASES; DISEASES; EMISSION COMPUTED TOMOGRAPHY; FUNCTIONS; GLANDS; HOURS LIVING RADIOISOTOPES; INTERMEDIATE MASS NUCLEI; ISOMERIC TRANSITION ISOTOPES; ISOTOPES; NUCLEI; ODD-EVEN NUCLEI; ORGANIC ACIDS; ORGANIC COMPOUNDS; ORGANS; PROCESSING; RADIOISOTOPE SCANNING; RADIOISOTOPES; TECHNETIUM ISOTOPES; TOMOGRAPHY; YEARS LIVING RADIOISOTOPES; 550601* - Medicine- Unsealed Radionuclides in Diagnostics
OSTI ID:
5627703
Research Organizations:
Kanazawa Univ., Japan. School of Medicine
Country of Origin:
Japan
Language:
Japanese
Other Identifying Numbers:
Journal ID: CODEN: JUZIA
Submitting Site:
JPN
Size:
Pages: 30-45
Announcement Date:
Dec 01, 1987

Citation Formats

Kobayashi, Shin. Evaluation of diffuse hepatic diseases by integrated image, SPECT and numerical taxonomic analysis. Japan: N. p., 1987. Web.
Kobayashi, Shin. Evaluation of diffuse hepatic diseases by integrated image, SPECT and numerical taxonomic analysis. Japan.
Kobayashi, Shin. 1987. "Evaluation of diffuse hepatic diseases by integrated image, SPECT and numerical taxonomic analysis." Japan.
@misc{etde_5627703,
title = {Evaluation of diffuse hepatic diseases by integrated image, SPECT and numerical taxonomic analysis}
author = {Kobayashi, Shin}
abstractNote = {In 135 patients with various hepatic diseases, cardiopulmonary circulation and hepatic accumulation of the activity were collected for 100 sec after bolus injection of 111-222 MBq (3 - 6 mci) of /sup 99m/Tc-phytate, and then integrated as a single image. Anterior, right lateral and posterior planar images, and hepatosplenic SPECT images were obtained thereafter. Lung to liver count ratio (P/L) was estimated by the integrated image. Liver volume (HV), spleen volume (SV) and liver to spleen count ratio (MHC/MSC) were calculated using the data obtained by SPECT. P/L was useful as an index of effective hepatic blood flow. MHC/MSC was closely correlated with the grade of portal hypertension. HV or SV alone shows low clinical value in discriminating liver diseases. Principal component analysis was applied to the 4 above-mentioned radinuclide data and the following 11 laboratory data ; total serum protein, serum albumine, glutamate oxaloacetate transaminase (GOT), glutamate pyruvate transaminase (GPT), lactic dehydrogenase (LDH), alkaline phosphatase (AL-P), zink sulfateturbidity test (ZTT), thymol turbidity test (TTT), r-glutamyl transpeptidase (r-GTP), cholinesterase (Ch-E), and total bilirubin (T-Bil). These fifteen data were condensed to 5 principal components. And then cluster analysis was carried out among 135 patients. The subjects were classified in 7 small groups. In group (G) I to GIII, frequency of liver cirrhosis was high, while on the contrary in GIV to GVII, the frequency of normal cases increased gradually. From the above results, cluster analysis seemed to reflect the pathophysiological state and the grade of the disease. This method might be useful for estimation of the grade of damage in diffuse hepatic disease and a good objective evaluation method in follow-up studies. (J.P.N.).}
journal = []
volume = {96:1}
journal type = {AC}
place = {Japan}
year = {1987}
month = {Feb}
}