Regional liver disorder with differences in the accumulation of 99mTc-phytate and 99mTc-galactosyl human serum albumin

We report a 56-year-old woman with regional liver disorder due to acute hepatitis. Computed tomographic images showed low signal density at a plain phase and prolonged contrast effect at a late phase in the left hepatic lobe, in which an accumulation of 99mTc-phytate increased, whereas that of 99mTc...

Full description

Saved in:
Bibliographic Details
Main Authors: Kohei Kotani, Joji Kawabe, Shigeaki Higashiyama, Susumu Shiomi
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2017-10-01
Series:World Journal of Nuclear Medicine
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.4103/1450-1147.215493
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850045254308200448
author Kohei Kotani
Joji Kawabe
Shigeaki Higashiyama
Susumu Shiomi
author_facet Kohei Kotani
Joji Kawabe
Shigeaki Higashiyama
Susumu Shiomi
author_sort Kohei Kotani
collection DOAJ
description We report a 56-year-old woman with regional liver disorder due to acute hepatitis. Computed tomographic images showed low signal density at a plain phase and prolonged contrast effect at a late phase in the left hepatic lobe, in which an accumulation of 99mTc-phytate increased, whereas that of 99mTc-galactosyl human serum albumin (GSA) decreased. Meanwhile, in the right lobe, an accumulation of 99mTc-GSA showed more increased than that of 99mTc-phytate. Liver biopsy showed massive hepatocyte necrosis and interface hepatitis in the left lobe, and moderate hepatitis in the right lobe. Differences in the accumulation between these scintigrams were helpful for understanding rapid necrosis in the left lobe, resulting in a compensatory enlargement of the right lobe. Clinicians should be aware that some cases of acute hepatitis cause regional liver disorder although most cases show homogeneous inflammation.
format Article
id doaj-art-882701f241664604bee62db28dba1eb7
institution DOAJ
issn 1450-1147
1607-3312
language English
publishDate 2017-10-01
publisher Thieme Medical and Scientific Publishers Pvt. Ltd.
record_format Article
series World Journal of Nuclear Medicine
spelling doaj-art-882701f241664604bee62db28dba1eb72025-08-20T02:54:43ZengThieme Medical and Scientific Publishers Pvt. Ltd.World Journal of Nuclear Medicine1450-11471607-33122017-10-01160432032310.4103/1450-1147.215493Regional liver disorder with differences in the accumulation of 99mTc-phytate and 99mTc-galactosyl human serum albuminKohei Kotani0Joji Kawabe1Shigeaki Higashiyama2Susumu Shiomi3Department of Nuclear Medicine, Graduate School of Medicine, Osaka City University, Osaka, JapanDepartment of Nuclear Medicine, Graduate School of Medicine, Osaka City University, Osaka, JapanDepartment of Nuclear Medicine, Graduate School of Medicine, Osaka City University, Osaka, JapanDepartment of Nuclear Medicine, Graduate School of Medicine, Osaka City University, Osaka, JapanWe report a 56-year-old woman with regional liver disorder due to acute hepatitis. Computed tomographic images showed low signal density at a plain phase and prolonged contrast effect at a late phase in the left hepatic lobe, in which an accumulation of 99mTc-phytate increased, whereas that of 99mTc-galactosyl human serum albumin (GSA) decreased. Meanwhile, in the right lobe, an accumulation of 99mTc-GSA showed more increased than that of 99mTc-phytate. Liver biopsy showed massive hepatocyte necrosis and interface hepatitis in the left lobe, and moderate hepatitis in the right lobe. Differences in the accumulation between these scintigrams were helpful for understanding rapid necrosis in the left lobe, resulting in a compensatory enlargement of the right lobe. Clinicians should be aware that some cases of acute hepatitis cause regional liver disorder although most cases show homogeneous inflammation.http://www.thieme-connect.de/DOI/DOI?10.4103/1450-1147.215493 99mtc-galactosyl human serum albumin 99mtc-phytateacute hepatitisregional liver disorder
spellingShingle Kohei Kotani
Joji Kawabe
Shigeaki Higashiyama
Susumu Shiomi
Regional liver disorder with differences in the accumulation of 99mTc-phytate and 99mTc-galactosyl human serum albumin
World Journal of Nuclear Medicine
99mtc-galactosyl human serum albumin
99mtc-phytate
acute hepatitis
regional liver disorder
title Regional liver disorder with differences in the accumulation of 99mTc-phytate and 99mTc-galactosyl human serum albumin
title_full Regional liver disorder with differences in the accumulation of 99mTc-phytate and 99mTc-galactosyl human serum albumin
title_fullStr Regional liver disorder with differences in the accumulation of 99mTc-phytate and 99mTc-galactosyl human serum albumin
title_full_unstemmed Regional liver disorder with differences in the accumulation of 99mTc-phytate and 99mTc-galactosyl human serum albumin
title_short Regional liver disorder with differences in the accumulation of 99mTc-phytate and 99mTc-galactosyl human serum albumin
title_sort regional liver disorder with differences in the accumulation of 99mtc phytate and 99mtc galactosyl human serum albumin
topic 99mtc-galactosyl human serum albumin
99mtc-phytate
acute hepatitis
regional liver disorder
url http://www.thieme-connect.de/DOI/DOI?10.4103/1450-1147.215493
work_keys_str_mv AT koheikotani regionalliverdisorderwithdifferencesintheaccumulationof99mtcphytateand99mtcgalactosylhumanserumalbumin
AT jojikawabe regionalliverdisorderwithdifferencesintheaccumulationof99mtcphytateand99mtcgalactosylhumanserumalbumin
AT shigeakihigashiyama regionalliverdisorderwithdifferencesintheaccumulationof99mtcphytateand99mtcgalactosylhumanserumalbumin
AT susumushiomi regionalliverdisorderwithdifferencesintheaccumulationof99mtcphytateand99mtcgalactosylhumanserumalbumin