만성 간질환에서의 ICG - Rmax 와 Thallium - 201 Test per Rectum ( Sunt Index ) 의 임상적 의의

Objectives: Thallium-201 test per rectum (shunt index) and ICG-Rmax have been used for studying the portosystemic shunt and the functional reserve of liver. The clinical values of shunt index and ICG-Rmax in pateints with chronic liver disease were evaluated using the data obtained in 74patients. Me...

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Veröffentlicht in:The Korean journal of medicine 1994-01, Vol.46 (1), p.19
Hauptverfasser: 이경상, Kyung Sang Lee, 황선호, Seon Ho Hwang, 함준수, Joon Soo Hahm, 이종철, Jong Chul Rhee, 기춘석, Choon Suhk Kee, 박경남, Kyung Nam Park, 이민호, Min Ho Lee, 정화순, Wha Soon Chung, 조석신, Seok Shin Cho, 이재원, Jae Won Lee
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container_end_page
container_issue 1
container_start_page 19
container_title The Korean journal of medicine
container_volume 46
creator 이경상
Kyung Sang Lee
황선호
Seon Ho Hwang
함준수
Joon Soo Hahm
이종철
Jong Chul Rhee
기춘석
Choon Suhk Kee
박경남
Kyung Nam Park
이민호
Min Ho Lee
정화순
Wha Soon Chung
조석신
Seok Shin Cho
이재원
Jae Won Lee
description Objectives: Thallium-201 test per rectum (shunt index) and ICG-Rmax have been used for studying the portosystemic shunt and the functional reserve of liver. The clinical values of shunt index and ICG-Rmax in pateints with chronic liver disease were evaluated using the data obtained in 74patients. Methods: 0.5mCi thallium-201 was administered per rectum to 37 patients witchronic active hepatitis (CAH) and 37Patients with liver cirrhosis, and the heart to liver uptake ratio was taken at 20min. ICG-Rmax was also taken using Paumgartner`s method. We used simple linear regression and ANOVA methods for the correlation between ICG Rmax and shunt index. Results: 1) The mean shunt index was 0.251±0. 140 in CAH group and 0.565±0.351 in cirrhosis group (P
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The clinical values of shunt index and ICG-Rmax in pateints with chronic liver disease were evaluated using the data obtained in 74patients. Methods: 0.5mCi thallium-201 was administered per rectum to 37 patients witchronic active hepatitis (CAH) and 37Patients with liver cirrhosis, and the heart to liver uptake ratio was taken at 20min. ICG-Rmax was also taken using Paumgartner`s method. We used simple linear regression and ANOVA methods for the correlation between ICG Rmax and shunt index. Results: 1) The mean shunt index was 0.251±0. 140 in CAH group and 0.565±0.351 in cirrhosis group (P&lt;0,005). 2) The mean ICG-Rmax was 1.720±l.320 (mg/kg/ min) in CAH group and 0.867±0.625 in cirrhosis group (P&lt;0 005). 3) There was no significant correlation between ICG- Rmax and shunt index in CAH group (P=0.358). 4) Correlation between ICG-Rmax and shunt index was significant in cirrhosis group (P=0,001; R-square= 0 321; 1/ICG-Rmax=2 64 * shunt index+0.49) Conclusions: Thallium-201 scintigraphy per rectum and ICG-Rmax may be useful in diagnosis of chronic liver diseases, especially differentiating CAH from cirrhosis. These study will help us to predict the prognosis of chronic liver diseases and give us more information for the treatment of chronic liver diseases.</description><identifier>ISSN: 1738-9364</identifier><language>kor</language><publisher>대한내과학회</publisher><subject>Chronic liver disease ; ICG Rmax ; Shunt index ; T1 - 201 test</subject><ispartof>The Korean journal of medicine, 1994-01, Vol.46 (1), p.19</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784</link.rule.ids></links><search><creatorcontrib>이경상</creatorcontrib><creatorcontrib>Kyung Sang Lee</creatorcontrib><creatorcontrib>황선호</creatorcontrib><creatorcontrib>Seon Ho Hwang</creatorcontrib><creatorcontrib>함준수</creatorcontrib><creatorcontrib>Joon Soo Hahm</creatorcontrib><creatorcontrib>이종철</creatorcontrib><creatorcontrib>Jong Chul Rhee</creatorcontrib><creatorcontrib>기춘석</creatorcontrib><creatorcontrib>Choon Suhk Kee</creatorcontrib><creatorcontrib>박경남</creatorcontrib><creatorcontrib>Kyung Nam Park</creatorcontrib><creatorcontrib>이민호</creatorcontrib><creatorcontrib>Min Ho Lee</creatorcontrib><creatorcontrib>정화순</creatorcontrib><creatorcontrib>Wha Soon Chung</creatorcontrib><creatorcontrib>조석신</creatorcontrib><creatorcontrib>Seok Shin Cho</creatorcontrib><creatorcontrib>이재원</creatorcontrib><creatorcontrib>Jae Won Lee</creatorcontrib><title>만성 간질환에서의 ICG - Rmax 와 Thallium - 201 Test per Rectum ( Sunt Index ) 의 임상적 의의</title><title>The Korean journal of medicine</title><addtitle>대한내과학회지 (Korean J Med)</addtitle><description>Objectives: Thallium-201 test per rectum (shunt index) and ICG-Rmax have been used for studying the portosystemic shunt and the functional reserve of liver. The clinical values of shunt index and ICG-Rmax in pateints with chronic liver disease were evaluated using the data obtained in 74patients. Methods: 0.5mCi thallium-201 was administered per rectum to 37 patients witchronic active hepatitis (CAH) and 37Patients with liver cirrhosis, and the heart to liver uptake ratio was taken at 20min. ICG-Rmax was also taken using Paumgartner`s method. We used simple linear regression and ANOVA methods for the correlation between ICG Rmax and shunt index. Results: 1) The mean shunt index was 0.251±0. 140 in CAH group and 0.565±0.351 in cirrhosis group (P&lt;0,005). 2) The mean ICG-Rmax was 1.720±l.320 (mg/kg/ min) in CAH group and 0.867±0.625 in cirrhosis group (P&lt;0 005). 3) There was no significant correlation between ICG- Rmax and shunt index in CAH group (P=0.358). 4) Correlation between ICG-Rmax and shunt index was significant in cirrhosis group (P=0,001; R-square= 0 321; 1/ICG-Rmax=2 64 * shunt index+0.49) Conclusions: Thallium-201 scintigraphy per rectum and ICG-Rmax may be useful in diagnosis of chronic liver diseases, especially differentiating CAH from cirrhosis. These study will help us to predict the prognosis of chronic liver diseases and give us more information for the treatment of chronic liver diseases.</description><subject>Chronic liver disease</subject><subject>ICG Rmax</subject><subject>Shunt index</subject><subject>T1 - 201 test</subject><issn>1738-9364</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1994</creationdate><recordtype>article</recordtype><recordid>eNotjj1Lw1AYhTMoWGp_gcs76hC4X96PUYLWQkGo2ctNci-GJKXkplA3ixkcHNxsQcWtq_4tvf4HUxQOHM4zPJy9oIcFlaGinB0EA-fyBFGEFWOE94Lie_vo20_4-mj99uFns_bPT7598a9rGEVDCGFS6SX4zR3EN7os80XVMYIwxMY1MDc1TEzadPQYrhezBkazzCzhBHYC_9b6-5V_X-1Wl8Ng3-rSmcF_94P44jyOLsPx1XAUnY3DorsUMoWMtJhqgYgVOskSqaU1LMWaUEFkmglhFEenkknFWYaEJcxyzDXimTKS9oOjP22ROzed13ml69splpJTQukvfddbLg</recordid><startdate>19940101</startdate><enddate>19940101</enddate><creator>이경상</creator><creator>Kyung Sang Lee</creator><creator>황선호</creator><creator>Seon Ho Hwang</creator><creator>함준수</creator><creator>Joon Soo Hahm</creator><creator>이종철</creator><creator>Jong Chul Rhee</creator><creator>기춘석</creator><creator>Choon Suhk Kee</creator><creator>박경남</creator><creator>Kyung Nam Park</creator><creator>이민호</creator><creator>Min Ho Lee</creator><creator>정화순</creator><creator>Wha Soon Chung</creator><creator>조석신</creator><creator>Seok Shin Cho</creator><creator>이재원</creator><creator>Jae Won Lee</creator><general>대한내과학회</general><scope>HZB</scope><scope>Q5X</scope></search><sort><creationdate>19940101</creationdate><title>만성 간질환에서의 ICG - Rmax 와 Thallium - 201 Test per Rectum ( Sunt Index ) 의 임상적 의의</title><author>이경상 ; Kyung Sang Lee ; 황선호 ; Seon Ho Hwang ; 함준수 ; Joon Soo Hahm ; 이종철 ; Jong Chul Rhee ; 기춘석 ; Choon Suhk Kee ; 박경남 ; Kyung Nam Park ; 이민호 ; Min Ho Lee ; 정화순 ; Wha Soon Chung ; 조석신 ; Seok Shin Cho ; 이재원 ; Jae Won Lee</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-k426-490e8f13a702f7abdb8a8fe4c1a23728cd77e9605848964d07f24f616a06d9e83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>kor</language><creationdate>1994</creationdate><topic>Chronic liver disease</topic><topic>ICG Rmax</topic><topic>Shunt index</topic><topic>T1 - 201 test</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>이경상</creatorcontrib><creatorcontrib>Kyung Sang Lee</creatorcontrib><creatorcontrib>황선호</creatorcontrib><creatorcontrib>Seon Ho Hwang</creatorcontrib><creatorcontrib>함준수</creatorcontrib><creatorcontrib>Joon Soo Hahm</creatorcontrib><creatorcontrib>이종철</creatorcontrib><creatorcontrib>Jong Chul Rhee</creatorcontrib><creatorcontrib>기춘석</creatorcontrib><creatorcontrib>Choon Suhk Kee</creatorcontrib><creatorcontrib>박경남</creatorcontrib><creatorcontrib>Kyung Nam Park</creatorcontrib><creatorcontrib>이민호</creatorcontrib><creatorcontrib>Min Ho Lee</creatorcontrib><creatorcontrib>정화순</creatorcontrib><creatorcontrib>Wha Soon Chung</creatorcontrib><creatorcontrib>조석신</creatorcontrib><creatorcontrib>Seok Shin Cho</creatorcontrib><creatorcontrib>이재원</creatorcontrib><creatorcontrib>Jae Won Lee</creatorcontrib><collection>KISS</collection><collection>Korean Studies Information Service System (KISS) B-Type</collection><jtitle>The Korean journal of medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>이경상</au><au>Kyung Sang Lee</au><au>황선호</au><au>Seon Ho Hwang</au><au>함준수</au><au>Joon Soo Hahm</au><au>이종철</au><au>Jong Chul Rhee</au><au>기춘석</au><au>Choon Suhk Kee</au><au>박경남</au><au>Kyung Nam Park</au><au>이민호</au><au>Min Ho Lee</au><au>정화순</au><au>Wha Soon Chung</au><au>조석신</au><au>Seok Shin Cho</au><au>이재원</au><au>Jae Won Lee</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>만성 간질환에서의 ICG - Rmax 와 Thallium - 201 Test per Rectum ( Sunt Index ) 의 임상적 의의</atitle><jtitle>The Korean journal of medicine</jtitle><addtitle>대한내과학회지 (Korean J Med)</addtitle><date>1994-01-01</date><risdate>1994</risdate><volume>46</volume><issue>1</issue><spage>19</spage><pages>19-</pages><issn>1738-9364</issn><abstract>Objectives: Thallium-201 test per rectum (shunt index) and ICG-Rmax have been used for studying the portosystemic shunt and the functional reserve of liver. The clinical values of shunt index and ICG-Rmax in pateints with chronic liver disease were evaluated using the data obtained in 74patients. Methods: 0.5mCi thallium-201 was administered per rectum to 37 patients witchronic active hepatitis (CAH) and 37Patients with liver cirrhosis, and the heart to liver uptake ratio was taken at 20min. ICG-Rmax was also taken using Paumgartner`s method. We used simple linear regression and ANOVA methods for the correlation between ICG Rmax and shunt index. Results: 1) The mean shunt index was 0.251±0. 140 in CAH group and 0.565±0.351 in cirrhosis group (P&lt;0,005). 2) The mean ICG-Rmax was 1.720±l.320 (mg/kg/ min) in CAH group and 0.867±0.625 in cirrhosis group (P&lt;0 005). 3) There was no significant correlation between ICG- Rmax and shunt index in CAH group (P=0.358). 4) Correlation between ICG-Rmax and shunt index was significant in cirrhosis group (P=0,001; R-square= 0 321; 1/ICG-Rmax=2 64 * shunt index+0.49) Conclusions: Thallium-201 scintigraphy per rectum and ICG-Rmax may be useful in diagnosis of chronic liver diseases, especially differentiating CAH from cirrhosis. These study will help us to predict the prognosis of chronic liver diseases and give us more information for the treatment of chronic liver diseases.</abstract><pub>대한내과학회</pub><tpages>7</tpages></addata></record>
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identifier ISSN: 1738-9364
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source KoreaMed Open Access
subjects Chronic liver disease
ICG Rmax
Shunt index
T1 - 201 test
title 만성 간질환에서의 ICG - Rmax 와 Thallium - 201 Test per Rectum ( Sunt Index ) 의 임상적 의의
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