Kropp J, Schneider B, Lackner K, Biersack H J
Klinik für Nuklearmedizin, Technischen Universität Dresden, FRG.
Nuklearmedizin. 1994 Oct;33(5):215-8.
The use of combined invasive nuclear medicine procedures allows the estimation of intra- and extrahepatic shunt volumes in patients with liver cirrhosis. The investigations were carried out after transhepatic portography and injection of 99mTc-MAA into the peripheral portal vein (hilum of the spleen) as well as into the central portal vein (hilum of the liver). A subtraction technique allowed the evaluation of shunt volumes (percentage). In 32 out of 36 patients an extra-hepatic shunt volume of 29.2% (0%-84%) and an intra-hepatic shunt volume of 23.6% (0%-81%) was found. This technique may contribute to improving the results of shunt surgery.
联合侵入性核医学程序的应用能够对肝硬化患者肝内和肝外分流体积进行评估。研究在经肝门静脉造影以及将99mTc-MAA注入外周门静脉（脾门）和中央门静脉（肝门）后进行。一种减法技术可用于评估分流体积（百分比）。在36例患者中的32例中，发现肝外分流体积为29.2%（0%-84%），肝内分流体积为23.6%（0%-81%）。该技术可能有助于改善分流手术的效果。
