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  • Title: [The value of dynamic pulmonary perfusion imaging in the diagnosis of hepatopulmonary syndrome (HPS)].
    Author: Lu W, Lu G, Zhu Y.
    Journal: Zhonghua Jie He He Hu Xi Za Zhi; 1996 Aug; 19(4):219-21. PubMed ID: 9596828.
    Abstract:
    OBJECTIVE: To evaluate the value of 99m-Tc-MAA dynamic pulmonary perfusion imaging in the diagnosis of HPS. METHODS: 3 cases of liver cirrhosis with marked hypoxemia were studied. RESULTS: The shunt ratios with 100% inspired oxygen were elevated (16%, 27% and 11% respectively). Imaging with gamma camera revealed radioisotope uptake in their lungs, brains and kidneys. Shunt ratios estimated by the quantitative radionuclide method were 43%, 52% and 32% respectively). (control < 7%). The contradictory shunt ratio by using the above method results from dilation of alveolar capilaries. The same examinations were done in 10 cases of healthy controls and other patients. CONCLUSION: The imaging helps diagnosing the HPS as well as estimating the degree of shunting.
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