Kimoto M
Department of Radiology, Okayama University, Medical School, Japan.
Nihon Igaku Hoshasen Gakkai Zasshi. 1996 Apr;56(5):311-6.
99mTc-GSA (GSA) liver scintigraphy was performed in rats with fatty liver and ischemia-reperfusion injury to study the usefulness of GSA in evaluating these pathological processes. Fatty liver was produced by feeding rats a choline-deficient diet. The rats with fatty liver were divided into five groups according to the length of the diet (controls, two weeks, six weeks, 10 weeks, and 12 weeks). In the rats dieted for two weeks and six weeks, regional hepatic ischemia was also induced by clamping the left hepatic artery and the left portal vein for 10 minutes, then reperfusion was performed for 15 minutes. GSA was administered via the IVC.t90, or the time at which the liver time activity curve reached ninety percent of its peak value, was used as an index of GSA hepatic uptake, Ku and Kd, determined by two compartment analysis, were also used as indices. In rats of the fatty liver group, we confirmed microscopically that various degrees of fatty infiltration existed according to the diet period, and t90 became significantly longer according to the severity of fatty infiltration. Ku and Kd also decreased according to the severity of fatty infiltration. In the rats with fatty infiltration and ischemia-reperfusion injury, t90 also increased according to the severity of fatty infiltration, becoming longer than in the rats without ischemia-reperfusion injury. Quantitative analysis of GSA liver scintigraphy was useful for evaluating fatty liver and ischemia-reperfusion injury.
采用99mTc-GSA(GSA)肝脏闪烁扫描术对患有脂肪肝和缺血再灌注损伤的大鼠进行研究,以探讨GSA在评估这些病理过程中的实用性。通过给大鼠喂食胆碱缺乏饮食来诱发脂肪肝。将患有脂肪肝的大鼠根据饮食时间长度分为五组(对照组、两周、六周、十周和十二周)。在饮食两周和六周的大鼠中,还通过夹闭肝左动脉和肝左门静脉10分钟诱导局部肝脏缺血,然后进行15分钟的再灌注。通过下腔静脉注射GSA。t90,即肝脏时间-活性曲线达到其峰值的90%时的时间,被用作GSA肝脏摄取的指标,通过两室分析确定的Ku和Kd也被用作指标。在脂肪肝组大鼠中,我们通过显微镜证实,根据饮食时间不同存在不同程度的脂肪浸润,并且t90根据脂肪浸润的严重程度显著延长。Ku和Kd也根据脂肪浸润的严重程度而降低。在伴有脂肪浸润和缺血再灌注损伤的大鼠中,t90也根据脂肪浸润的严重程度增加,比没有缺血再灌注损伤的大鼠更长。GSA肝脏闪烁扫描术的定量分析对于评估脂肪肝和缺血再灌注损伤是有用的。