The Korean Journal of Nuclear Medicine (대한핵의학회지)

The Korean Society of Nuclear Medicine (대한핵의학회)
권호 표지

Effect of Gastric Filling on the Images of Hepatic Scintigraphy

위의 충만유무에 의한 간신티그램영상의 변화

  • Lee, J.S. (Department of Internal Medicine, College of Medicine, Kangnam General Hospital Public Corporation) ;
  • Choi, M.S. (Department of Internal Medicine, College of Medicine, Kangnam General Hospital Public Corporation) ;
  • Sung, C.M. (Department of Internal Medicine, College of Medicine, Kangnam General Hospital Public Corporation) ;
  • Lee, J.Y. (Department of Internal Medicine, College of Medicine, Kangnam General Hospital Public Corporation) ;
  • Lee, K.H. (Department of Internal Medicine, College of Medicine, Kangnam General Hospital Public Corporation) ;
  • Sohn, I. (Department of Internal Medicine, College of Medicine, Kangnam General Hospital Public Corporation)
  • 이정숙 (지방공사 강남병원 내과) ;
  • 최민석 (지방공사 강남병원 내과) ;
  • 성천모 (지방공사 강남병원 내과) ;
  • 이재용 (지방공사 강남병원 내과) ;
  • 이계희 (지방공사 강남병원 내과) ;
  • 손인 (지방공사 강남병원 내과)
  • Published : 1989.11.13
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Abstract

To observe the effect of gastric filling on the images of hepatic scintigraphy, we performed hepatic scintigraphy using $^{99m}Tc-tin$ colloid in twenty patients both in the fasting state and after meal, and made the visual comparison of both images. We found that gastric filling could cause some of the following changes in individual patients. 1) In the anterior view, the distance between the liver and the spleen increased and the interlobar notch of the inferior hepatic border was obliterated. The spleen was displaced downwards, its radioactivity in the upper medial part was reduced, and its upper pole was laterally displaced. 2) In the posterior view, the left lobe of the liver was separated from the spleen and the distance between the liver and the spleen increased. 3) In the right lateral view, the notch separating the right and the left lobes of the liver was well demarcated. 4) In the left lateral view, the spleen was separated from the liver and the distance between the liver and the spleen increased. The shape of the spleen was also changed. In case of the follow-up study, above changes should make one consider the possibility of the effect of gastric filling.

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