Download PDF
Nuklearmedizin 1987; 26(02): 83-86
DOI: 10.1055/s-0038-1628868
Review Articles
Schattauer GmbH

Angioscintigraphic Assessment of Arterial and Portal Liver Blood Flow: Comparison with Splanchnic Angiography

Angioscintigraphic Assessment of Arterial and Portal Liver Blood Flow: Comparison with Splanchnic Angiography
G. Zatta
*   From the Istituto di Scienze Radiologiche, Università’ degli Studi di Milano, Italy
,
R. Santambrogio
**   The Istituto di Clinica Chirurgica I, Universitâ’ degli Studi di Milano, Italy
,
S. Boccolari
*   From the Istituto di Scienze Radiologiche, Università’ degli Studi di Milano, Italy
,
O. Mana
*   From the Istituto di Scienze Radiologiche, Università’ degli Studi di Milano, Italy
,
F. Gattoni
**   The Istituto di Clinica Chirurgica I, Universitâ’ degli Studi di Milano, Italy
,
U. Baldini
*   From the Istituto di Scienze Radiologiche, Università’ degli Studi di Milano, Italy
,
F. Galeotti
*   From the Istituto di Scienze Radiologiche, Università’ degli Studi di Milano, Italy
,
E. Opocher
**   The Istituto di Clinica Chirurgica I, Universitâ’ degli Studi di Milano, Italy
,
G. P. Spina
**   The Istituto di Clinica Chirurgica I, Universitâ’ degli Studi di Milano, Italy
,
G. L. Tarolo
*   From the Istituto di Scienze Radiologiche, Università’ degli Studi di Milano, Italy
› Author Affiliations
Further Information

Publication History

Received: 06 August 1986

in revised form: 10 13 1986

Publication Date:
04 February 2018 (online)

    Permissions and Reprints

In order to validate an angioscintigraphic method for the evaluation of the components of hepatic blood flow, the results of angioscintigraphy were compared with splanchnic angiography in 25 cirrhotics. Two indices of hepatic portal perfusion and a splenohepatic arterial index were calculated. These were correlated with portal diameter and hepatic artery diameter, respectively. No correlation was found between grades of portal perfusion according Nordlinger’s criteria and these indices. The method is very simple and could be applied to evaluate the changes of liver hemodynamics induced by drugs or shunt surgery.

Zusammenfassung

Bei 25 Patienten mit Leberzirrhose wurden der arterielle und der portal venöse Anteil der Leberperfusion mit einer angioszintigraphischen Methode bestimmt und mit den Resultaten der viszeralen Angiographie (venöse Phase) verglichen. Berechnet wurden zwei Indizes der portalen Perfusion und ein lieno-hepatischer arterieller Index. Die Index-Werte wurden mit den Durchmessern der Vena porta und der Arteria hepatica korreliert. Zwischen dem portal-venösen Perfusionsanteil, bewertet nach den Kriterien von Nordlinger, und diesen Indizes wurde keine Korrelation gefunden. Die beschriebene Methode ist sehr einfach und kann zur Bewertung einer durch Medikamente oder Shunt-Operationen veränderten Leber Hämodynamik angewendet werden.

 

  • REFERENCES

  • 1 Bartolozzi C, Colagrandee S, Fanfani S. L’ecotomografianello studio dell’ipertensione portale. Aggiorn. Med 1984; 06: 13-9.
    Google Scholar
  • 2 Burchell A. R, Moreno A. H, Panke W. F, Nealon T. F. Hepatic artery flow improvement after portal-caval shunt: A single hemodynamic clinical correlate. Ann. Surg 1976; 184: 289-302.
    CrossrefPubMedGoogle Scholar
  • 3 Burton-Opitz R. The vascularity of the liver: The influence of the portal blood flow upon the flow in the hepatic artery. Quart. J. exp. Physiol 1911; 04: 93-102.
    Google Scholar
  • 4 Caesar J, Shaldon S, Chiandussi L, Guevara L, Sherlock S. The use of indocyanine green in the measurement of hepatic blood flow as a test of hepatic function. Clin. Sci 1961; 21: 43-57.
    PubMedGoogle Scholar
  • 5 Fleming J. S, Ackery D. M, Walmsley B. H, Karran S. J. Scintigraphic estimation of arterial and portal blood supplies to the liver. J. nucl. Med 1983; 24: 1108-13.
    PubMedGoogle Scholar
  • 6 Foster J. H, Conkle D, Crane J. M, Burko H. Splenoportography: An assessment of its value and risk. Ann. Surg 1971; 179: 773-81.
    Google Scholar
  • 7 Lautt W. W. Role and control of the hepatic artery. In: Hepatic Circulation in Health and Disease. 1981. Lautt W. 203-20 Raven Press; New York:
    Google Scholar
  • 8 Kendall M. G. Rank Correlation Methods. 1955. 172; Charles Griffin; London:
    Google Scholar
  • 9 Kreel L, Gitlin N, Sherlock S. Hepatic artery angiography in portal hypertension. Amer. J. Med 1970; 48: 618-23.
    CrossrefPubMedGoogle Scholar
  • 10 Moser E, Oxenius B, Sauerbruch T. Die Leberperfusions-Szintigraphie: Methodik, Normalwerte und Ergebnisse der Verlaufsbeobachtung von Patienten mit Ösophagusvarizen. Nucl.-Med 1985; 24: 185-90.
    Google Scholar
  • 11 Nordlinger B. M, Nordlinger D. F, Fulenwider J. T. et al. Angiography in portal hypertension: Clinical significance in surgery. Amer. J. Surg 1980; 139: 132-41.
    CrossrefPubMedGoogle Scholar
  • 12 Reichle F. A, Sovak M, Soulen R. L, Rosemond G. P. Portal vein blood flow determination in the unanesthetized human by umbilicoportal cannulation. J. Surg. Res 1972; 12: 146-50.
    CrossrefPubMedGoogle Scholar
  • 13 Sarper R, Tarcan Y. A. An improved method of estimating the portal venous fraction of total hepatic blood flow from computerized radionuclide angiography. Radiology 1983; 147: 559-62.
    CrossrefPubMedGoogle Scholar
  • 14 Steegmuller K. W, Marklin H. M, Hollis H. W. Intraoperative hemodynamic investigations during porta-caval shunt. Arch. Surg 1984; 119: 269-73.
    CrossrefPubMedGoogle Scholar
  • 15 Subramanyan B. R, Balthazar E. J, Raghavendra B. N, Lefleur R. S. Sonographic evaluation of patients with portal hypertension. Amer. J. Gastroenterol 1983; 78: 369-73.
    Google Scholar