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1.
Kaku Igaku ; 36(7): 753-60, 1999 Sep.
Artículo en Japonés | MEDLINE | ID: mdl-10547985

RESUMEN

99mTc-GSA (galactosyl serum albumin) receptor amount (Ro) was estimated by a non-linear 3-compartment model of the ligand-receptor binding without blood sampling. Forward/reverse rate constants and receptor amount were assumed to be variable. Relationship between this parameter and other conventional parameters including ICG R15 (15-minutes retention rate of indocyanine green) was evaluated for 43 surgical candidates with liver tumors. Linear relationships between Ro and HH15 and LHL15 were R2 = 0.73 and 0.72, respectively. Linear relationship between Ro and Rmax, the maximum removal rate, is also good (R2 = 0.84), and the regression line (y = 0.038x + 0.066) was slightly over 0 at y-interception. Linear relationship between Ro and ICG R15, was poor (R2 = 0.39) and relationship was rather a concave shape. Linear relationship of reduction rate between Ro and non-tumor tissue volume of the liver, which assessed at the same day of two weeks after the operation, was y = 1.09x - 0.01 (R2 = 0.82). GSA receptor amount, Ro, seems to change proportional to non-tumor liver tissue volume changing before and after hepatectomy. Complementary to ICG R15, it may be an useful and intuitive parameter for hepatectomy.


Asunto(s)
Pruebas de Función Hepática/métodos , Radiofármacos , Receptores de Superficie Celular/análisis , Agregado de Albúmina Marcado con Tecnecio Tc 99m , Pentetato de Tecnecio Tc 99m , Receptor de Asialoglicoproteína , Biomarcadores/análisis , Femenino , Hepatectomía , Humanos , Hígado/diagnóstico por imagen , Hígado/metabolismo , Neoplasias Hepáticas/diagnóstico por imagen , Neoplasias Hepáticas/fisiopatología , Neoplasias Hepáticas/cirugía , Masculino , Modelos Biológicos , Tomografía Computarizada de Emisión de Fotón Único
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