Department of Clinical Radiology, St James's University Hospital, Leeds Teaching Hospitals NHS Trust, Leeds, UK.
Clin Radiol. 2011 Nov;66(11):1094-105. doi: 10.1016/j.crad.2011.07.045. Epub 2011 Aug 20.
There have been evolutionary changes in the management of pathological conditions of the hepatobiliary system over recent years, particularly with an increasing emphasis on modern hepatobiliary surgical techniques. Concurrent advances have occurred in imaging technology and availability, leading to a greater use of ultrasound, multidetector computed tomography (CT), and magnetic resonance imaging (MRI) in the primary evaluation of hepatobiliary disease. Radionuclide imaging using technetium(99m) (Tc(99m)) hepatobiliary iminodiacetic acid (HIDA) derivatives is an established technique that complements morphological imaging, providing valuable functional information in both pre- and postoperative evaluation of patients with suspected or known hepatobiliary disease. This review discusses the current clinical indications for Tc(99m) HIDA scintigraphy using clinical cases to demonstrate how this technique continues to play a valuable diagnostic role in the assessment of the functional integrity of the hepatobiliary system.
近年来，肝胆系统疾病的治疗策略发生了演变，尤其是现代肝胆外科技术的应用日益受到重视。影像学技术及其应用也取得了进展，超声、多排 CT 和 MRI 在肝胆疾病的初步评估中得到了更广泛的应用。放射性核素显像技术，如锝（99m）（Tc（99m））肝胆酸（HIDA）衍生物，是一种成熟的技术，与形态学成像互为补充，为疑似或已知肝胆疾病患者的术前和术后评估提供有价值的功能信息。本综述讨论了 Tc（99m）HIDA 闪烁显像的当前临床适应证，并通过临床病例说明该技术在评估肝胆系统功能完整性方面继续发挥着重要的诊断作用。
