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Regional radioactivity discrepancy between Tc-99m GSA and Tc-99m phytate liver scans in a patient with massive hepatic necrosis


, : Regional radioactivity discrepancy between Tc-99m GSA and Tc-99m phytate liver scans in a patient with massive hepatic necrosis. Clinical Nuclear Medicine 27(8): 584-588

A 22-year-old woman with severe acute hepatitis underwent a Tc-99m galactosyl human serum albumin (GSA) scan. Intense accumulation was observed in the cephalic region of the right hepatic lobe, whereas the accumulation was reduced in the left lobe and the caudal region of the right lobe. A computed tomographic (CT) scan showed that the left lobe and the caudal region of the right posterior segment had atrophied and become hypodense, which were thought to represent postnecrotic scarring after massive hepatic necrosis. The relatively hyperdense region in the right lobe was slightly swollen and was thought to represent regenerating liver tissue or a "potato liver." Compared with the CT, the regions of elevated Tc-99m GSA accumulation correlated well with the areas of regenerating liver tissue, and the regions with reduced accumulation corresponded closely with the areas of postnecrotic scarring. On a Tc-99m phytate scan, unlike the Tc-99m GSA scan, the radiocolloid accumulation was intense in the left lobe and caudal region of the right lobe and reduced in the cephalic region of the right lobe. Together, the Tc-99m GSA scan and the Tc-99m phytate scan formed a set of exact "nega-posi" images. Biopsy specimens obtained during laparoscopy showed a few hepatocyte columns in the postnecrotic scarred left lobe. Severe disruption of the hepatocytes, prominent inflammatory cell infiltration, and obvious Kupffer cell hypertrophy and clustering were also observed.

US$19.90

PMID: 12170005

DOI: 10.1097/01.RLU.0000020743.43414.67


Other references

Lesch, S.F.; Penzhorn, E.J., 1964: Effect of Cu and Co for Dorper sheep on veld grazing in the Vaalharts region. Groups of 15 Dorper lambs were given Cu 50 and Co 5 mg per week separately or together as CuSO4 and CoCl2for 28 weeks while on irrigated veld. Gains in kg per 14 days were 1.392 without, 1.732 with Cu, 1.510 with Co and 1.603 with both. Co had no...

Barry, Rd, 1987: 1987 outlook for sugar and sweeteners. Outlook Proceedings Agricultural Outlook Conference US Department of Agriculture: (63) 172-182

Soligo, D.; Quirici, N.; Servida, F.; Bossolasco, P.; Fumiatti, R.; Polli, E.E.; Deliliers, G.L.mbertenghi, 1999: Purification, expansion and characterization of bone marrow stromal cell precursors. Blood 94(10 SUPPL 1 PART 2): 168b, Nov 15

Simões, N.; Caldas, C.; Rosa, J.S.; Bonifassi, E.; Laumond, C., 2000: Pathogenicity caused by high virulent and low virulent strains of Steinernema carpocapsae to Galleria mellonella. Steinernema carpocapsae is an entomopathogenic nematode associated with a symbiotic bacterium, Xenorhabdus nematophilus. Both components of the complex participate in a pathogenic process in insects. This has raised two questions: how much does ea...

Laven G.T.; Mestecky J.; Crago S.; Mcghee J.R., 1980: Hemolytic plaque formation by noncellular elements of human colostrum. Federation Proceedings 39(3): ABSTRACT 2178

Gregory, C.H.; Watson, C.J., 1962: Studies of conjugated bilirubin. I. Comparison of conventional fractional determination with chromatographic and solvent partition methods for free and conjugated bilirubin. Journal of Laboratory and Clinical Medicine 60: 1-16

Plateaux-Quenu, C., 1972: Les sexues remplacement chez les Halictinae (Hym., Apoidea). Annee biol, 177-8: 329-349

Miller S.D.; Jeffery J.J.; Wong J.W.C., 1991: Use and misuse of the acid-base account for AMD prediction. Recommended as an initial screening technique to identify major geochemical rock and waste types at a specific site.

Burd, J.G.; Burd, J.G., 1979: Forty years on the same job (or, orthopedic surgery can be fun). Journal of the Tennessee Medical Association 72(7): 534-536

Bhadauria, V.; Popescu, L.; Zhao, W-Sheng.; Peng, Y-Liang., 2007: Fungal transcriptomics. We have now entered in the post-genomic era, where we have knowledge of plethora of fungal genomes and cutting edge technology is available to study global mRNA, protein and metabolite profiles. These so-called 'omic' technologies (trans...