Use of Tc-99m DTPA galactosyl human serum albumin to predict postoperative residual liver function.
OBJECTIVE
Residual liver uptake at 15 minutes (RLU15), a new index for predicting residual liver function after excision of hepatocellular carcinoma, was evaluated using dynamic liver images and SPECT by Tc-99m DTPA galactosyl human serum albumin.


METHODS
In 13 cases of hepatectomy, RLU15 was compared with postoperative serum prothrombin levels, serum bilirubin levels, and ascites.


RESULTS
RLU15 showed good correlation with both the prothrombin activity and the serum bilirubin, with correlation coefficients of r = 0.829 and r = -0.757.


CONCLUSIONS
This new index appears useful for predicting residual liver function after hepatectomy.
Uetake
M
M
Department of Surgery, Social Insurance Yamanashi Hospital, Tokyo, Japan.
Koizumi
K
K
Yagawa
A
A
Nogata
H
H
Tezuka
T
T
Kono
H
H
Ozawa
T
T
Kusano
T
T
Miyabukuro
M
M
Hosaka
M
M
D001201:Ascites; D001663:Bilirubin / Q000097:blood; D006528:Carcinoma, Hepatocellular / Q000000981:diagnostic imaging / Q000601:surgery*; D005069:Evaluation Studies as Topic; D006498:Hepatectomy; D006801:Humans; D008099:Liver / Q000000981:diagnostic imaging / Q000378:metabolism*; D008111:Liver Function Tests / Q000379:methods*; D008113:Liver Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011516:Prothrombin / Q000032:analysis; D019275:Radiopharmaceuticals; D013668:Technetium Tc 99m Aggregated Albumin; D016284:Technetium Tc 99m Pentetate; D015899:Tomography, Emission-Computed, Single-Photon
D019275:Radiopharmaceuticals; D013668:Technetium Tc 99m Aggregated Albumin; D011516:Prothrombin; D001663:Bilirubin; D016284:Technetium Tc 99m Pentetate