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使用结肠碘-123 碘安非他明定量测定门体分流分数

Portasystemic shunt fraction quantification with colonic iodine-123 iodoamphetamine.

作者信息

Yen C K, Pollycove M, Crass R, Lin T H, Baldwin R, Lamb J

出版信息

J Nucl Med. 1986 Aug;27(8):1321-6.

PMID:3734906
Abstract

Portasystemic shunting was quantified in dogs with [123I]iodoamphetamine (IMP) administered transrectally into the colon and monitored externally with a gamma camera. IMP was absorbed rapidly and unchanged from the colon. After direct injection into the portal vein, IMP was almost completely extracted by the liver on the first pass, and the washout half-life was approximately 60 min. Based on these kinetic data, computer simulation of this biologic system was carried out. Errors associated with simplified models are calculated. The simplest model with insignificant error, which assumed that the tracer behaved like microspheres, was used to quantitate portasystemic shunt fraction in animals with surgically created shunts. Results were compared with the standard of 99mTc-labeled macroaggregated albumin infused into a branch of inferior mesenteric vein. For shunt fractions ranging from 0 to 100%, an excellent correlation was seen, indicating that this approach is potentially a simple, noninvasive method of portasystemic shunt fraction quantification.

摘要

经直肠将[123I]碘安非他明(IMP)注入犬结肠,并通过γ相机进行外部监测,以此对门体分流进行定量分析。IMP在结肠中迅速被吸收且未发生变化。直接注入门静脉后,IMP在首次通过肝脏时几乎被完全摄取,洗脱半衰期约为60分钟。基于这些动力学数据,对该生物系统进行了计算机模拟。计算了与简化模型相关的误差。使用误差不显著的最简单模型(该模型假定示踪剂的行为类似于微球)对有手术造瘘的动物的门体分流分数进行定量。将结果与注入肠系膜下静脉分支的99mTc标记的大聚合白蛋白的标准进行比较。对于分流分数范围为0至100%的情况,观察到了极佳的相关性,这表明该方法可能是一种简单的、非侵入性的门体分流分数定量方法。

相似文献

1
Portasystemic shunt fraction quantification with colonic iodine-123 iodoamphetamine.使用结肠碘-123 碘安非他明定量测定门体分流分数
J Nucl Med. 1986 Aug;27(8):1321-6.
2
Portasystemic shunt fraction quantification using transrectal administration of iodine-123 iodoamphetamine in dogs with chronic bile duct ligation and after propranolol administration.在患有慢性胆管结扎的犬以及给予普萘洛尔后,通过经直肠给予碘-123 碘安非他明对门体分流分数进行定量分析。
J Nucl Med. 1989 Oct;30(10):1702-7.
3
Comparison of shunt fraction estimation using transcolonic iodine-123-iodoamphetamine and technetium-99m-pertechnetate in a group of dogs with experimentally-induced chronic biliary cirrhosis.在一组实验性诱导慢性胆汁性肝硬化的犬中,比较使用经结肠碘-123-碘安非他明和锝-99m-高锝酸盐估算分流分数的情况。
J Nucl Med. 1991 Jan;32(1):124-9.
4
[Experimental study of per-rectal portal scintigraphy using 99mTc-EHIDA].[使用99mTc-EHIDA进行直肠门静脉闪烁显像的实验研究]
Kaku Igaku. 1991 May;28(5):487-97.
5
[Experimental study of per-rectal portal scintigraphy using 99mTc-HM-PAO].
Kaku Igaku. 1994 Jan;31(1):27-36.
6
Portosystemic shunting in portal hypertension: evaluation with portal scintigraphy with transrectally administered I-123 IMP.门静脉高压症中的门体分流:经直肠给予 I-123 IMP 行门静脉闪烁扫描评估
Radiology. 1988 Oct;169(1):137-40. doi: 10.1148/radiology.169.1.3420249.
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Quantitation of portosystemic shunting in dogs by ultrasound-guided injection of 99MTc-macroaggregates into a splenic vein.通过超声引导将99MTc-大聚合白蛋白注入脾静脉对犬门体分流进行定量分析。
Res Vet Sci. 1994 Jul;57(1):58-62. doi: 10.1016/0034-5288(94)90082-5.
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Binding cells of 125I-iodoamphetamine in rat liver.125I-碘安非他明在大鼠肝脏中的结合细胞
Ann Nucl Med. 1997 Feb;11(1):27-32. doi: 10.1007/BF03164754.
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Lung scintigraphy with [123I]IMP in patients with pulmonary tuberculosis.肺结核患者的[123I]异丁基安非他明肺闪烁显像
Int J Rad Appl Instrum B. 1992 Apr;19(3):399-404. doi: 10.1016/0883-2897(92)90125-i.
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Hepatic distribution of blood flow from the superior or inferior mesenteric vein mapped by portal scintigraphy with iodine-123-iodoamphetamine.通过使用碘-123-碘安非他明的门静脉闪烁显像法绘制的肠系膜上静脉或肠系膜下静脉血流的肝脏分布情况。
J Nucl Med. 1996 Jan;37(1):51-4.

引用本文的文献

1
Per rectal portal scintigraphy as a useful tool for predicting esophageal variceal bleeding in cirrhotic patients.经直肠门静脉闪烁扫描术作为预测肝硬化患者食管静脉曲张出血的一种有用工具。
World J Gastroenterol. 2007 Feb 7;13(5):791-5. doi: 10.3748/wjg.v13.i5.791.
2
Evaluation of portal circulation through the superior mesenteric vein with an enteric capsule of [123I]iodoamphetamine.
J Gastroenterol. 1995 Feb;30(1):55-60. doi: 10.1007/BF01211375.