New clearance evaluation method for hepatological diagnostics

Pulse dye densitometry (PDD) enables the evaluation of hemodynamic state as well as liver function. A repeated examination, even after a short pause (or under stress condition), enables to follow safely the dynamics of liver pathology. From presented parameters we have evaluated as reliable the C5-c...

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Veröffentlicht in:Physiological research 2009-01, Vol.58 (2), p.287-292
Hauptverfasser: Tichý, J A, Loucka, M, Trefný, Z M, Hojerová, M, Svacinka, J, Müller, J, Friedrichová, M
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container_end_page 292
container_issue 2
container_start_page 287
container_title Physiological research
container_volume 58
creator Tichý, J A
Loucka, M
Trefný, Z M
Hojerová, M
Svacinka, J
Müller, J
Friedrichová, M
description Pulse dye densitometry (PDD) enables the evaluation of hemodynamic state as well as liver function. A repeated examination, even after a short pause (or under stress condition), enables to follow safely the dynamics of liver pathology. From presented parameters we have evaluated as reliable the C5-clearance, an expression of equilibrium state in the two compartment liver system. Furthermore, T-index expresses ratio of C5 value to cardiac output, it is a sensitive indicator of the blood pole, i.e. sinusoidal uptake, which is in very good correlation with staging of hepatopathies. The isolated h constant in correlation to T-index is valuable For functional grading. The Japanese automatic analyzer of indocyanine green (ICG) dilution and elimination curves, after incorporation of a two compartment mathematical model, becomes more useful for complex hepatological diagnostics. Non-invasive PDD is becoming of uppermost importance to clinical interest, yielding comparable results as other complicated and invasive examinations and may be, therefore, repeated in short time intervals for different indications with minimal stress of examined patient.
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subjects Adult
Aged
Body Fluid Compartments
Cardiac Output
Coloring Agents - pharmacokinetics
Confidence intervals
Conflicts of interest
Densitometry - methods
Densitometry - standards
Fatty Liver - diagnosis
Fatty Liver - metabolism
Female
Humans
Indocyanine Green - pharmacokinetics
Liver diseases
Liver Function Tests - methods
Liver Function Tests - standards
Male
Mathematical models
Middle Aged
Models, Biological
Nonlinear Dynamics
Regression Analysis
Reproducibility of Results
Young Adult
title New clearance evaluation method for hepatological diagnostics
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