Prognostic Value of $^{99m}Tc-Phytate$ Liver Scintigraphy in Patients with Liver Cirrhosis

$^{99m}Tc-phytate$ 간스캔을 이용한 간 경변증의 예후 평가

  • Yang, Soo-Hyun (Department of Internal Medicine, Korea Veterans Hospital) ;
  • Park, Bong-Chul (Department of Internal Medicine, Korea Veterans Hospital) ;
  • Che, Dong-Ho (Department of Internal Medicine, Korea Veterans Hospital) ;
  • Cho, Jun-Koo (Department of Internal Medicine, Korea Veterans Hospital) ;
  • Park, Sung-Ki (Department of Internal Medicine, Korea Veterans Hospital) ;
  • Byun, Jong-Hoon (Department of Internal Medicine, Korea Veterans Hospital) ;
  • Song, Tae-Won (Department of Internal Medicine, Dae Han Hospital)
  • Published : 1991.05.31

Abstract

To evaluate the prognostic significance of $^{99m}Tc-phytate$ liver scintigraphy in patients with cirrhosis, we measured the grade of extrahepatic uptake (EHU) of $^{99m}Tc-phytate$, from 0 (absent EHU) to 5 (important EHU), according to the relative distribution of the radiotracer among liver, spleen and bone marrow. The results were as follows: 1) EHU score was correlated to the Pugh score (r=0.64) and to survival. 2) The ROC curve on an observed status of death was superior for EHU score. In conclusion, $^{99m}Tc-phytate$ liver scintigraphy nay be a useful prognostic method in patients with liver cirrhosis.

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