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

G. Zatta; R. Santambrogio; S. Boccolari; O. Mana; F. Gattoni; U. Baldini; F. Galeotti; E. Opocher; G. P. Spina; G. L. Tarolo

doi:10.1055/s-0038-1628868

Nuklearmedizin - NuclearMedicine, Table of Contents

Nuklearmedizin 1987; 26(02): 83-86
DOI: 10.1055/s-0038-1628868

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Schattauer GmbH

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

Abstract

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.

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References

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