Detection of Portal Systemic Shunts by Hepatopulmonary Scanning Using I131 MAA:Study and Application of Macroaggregated Albumin (MAA) Lablled with I131 (III)
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概要
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After splenic injection of I131 MAA, its distribution in the liver and lungs was studied by scintiscanning method. Appearance of pulmonary scanning indicates the presence of portal systemic shunts. Three cases with hemolytic anemia, 2 cases having hepatitis and 1 with liver cirrhosis showed no accumula-tion of this material in the lungs. Among 4 cases with liver cirrhosis portal systemic shunts were revealed in 3 by this method. This method was evaluated in contrast with conventional methods such as roentgenologic study of esophageal varices and radioactive rare gas method, and the sensitiveness and usefulness of this new technique was thus suggested.Hepatic blood flow was measured in 9 patients using radioactive rare gas clearance from the liver. Average blood flow of 3 hemolytic anemias was calculated as 184±3.6 ml./100 Gm. min. by this method. Blood flow values in 2 heptitics and 4 cirrhotics were all markedly reduced compared with those of hemolytic anemias.
- International Heart Journal刊行会の論文
著者
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IIO Masahiro
Second Department of Internal Medicine, Faculty of Medicine, University of Tokyo
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KAMEDA Haruo
Second Department of Internal Medicine, Faculty of Medicine, University of Tokyo
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Ueda Hideo
Second Department Of Internal Medicine Faculty Of Medicine University Of Tokyo
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YAMADA Hideo
Second Department of Internal Medicine, Faculty of Medicine, University of Tokyo
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KITANI Kenichi
Second Department of Internal Medicine, Faculty of Medicine, University of Tokyo
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