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KMID : 0061119810090000078
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Bulletin of the Clinical Research Institute
1981 Volume.9 No. 0 p.78 ~ p.78
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Tc-99m-EHIDA Scintigraphic Demonstrability of Biliary Elements and Liver Function Tests in Hepatobiliary Diseases
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Kim Choon-Yul
Bahk Yong-Whee
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Abstract
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In the present communication, the results will be reported on a clinical study of how well scintigraphic visualization of the hepatobiliary elements and several commonly used clinical liver function tests correlate each other in various diseases of the hepatobiliary system. The demonstrability of the biliary tract, gallbladder (GB) and duodenum was rather closely paralleled to serum bilirubin level and less closely to alkaline phosphataseand rather poorly to SCOT and SGPT. The biliary tree could not be visualized sciintigraphically when bilirubin exceeded 10.5 ㎎/㎖.
The present clinical study confirmed the usefulness and limitation of Tc-99m-EHIDA hepatobiliary scintigraphy in visualizing and diagnosing the biliary system and duodenum when radiography and ultrasonography failed to provide useful informations. Scintigraphy was very helpful in the diagnosis of neonatal hepatitis, ´biliary atresia, cholecystituis and extrahepatic biliary obstruction.
The hepatobiliary system and duodenum were visualized when serum bilirubin level was less than 10.5 ㎎/cl, SGOT 162 units, SGPT 740 units and alkaline phosphatase 11.5 BU.
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