Radionuclide venography in Budd-Chiari syndrome with intrahepatic vena-caval obstruction. 1985

M J Huang, and Y F Liaw, and K Y Tzen

Radionuclide imaging of the inferior vena cava (RIVC) was performed by injecting [99mTc] phytate into a dorsal pedal vein, as an initial diagnostic procedure for eight patients with clinical features of Budd-Chiari syndrome. In five of them, membranous occlusion of the inferior vena cava (IVC) was proved by contrast venography and subsequent surgery. The other three patients, with histologically verified hepatocellular carcinoma, were proved to have tumor-induced narrowing or occlusion of the IVC by contrast venography. The RIVC findings include a sharply truncated inferior vena cava with marked hand-up of activity, extensive collaterals, and delayed visualization of the heart. Our results indicate that RIVC is as accurate and specific as contrast venography, by demonstrating the occlusion of the IVC and collateral circulation from the functional aspect. This simple and noninvasive method could therefore be used as a first-line test in patients with unexplained edema, ascites, superficial abdominal venous collaterals, and even in patients with hepatocellular carcinoma, for the detection of obstruction in the inferior vena cava.

UI MeSH Term Description Entries
D008113 Liver Neoplasms Tumors or cancer of the LIVER. Cancer of Liver,Hepatic Cancer,Liver Cancer,Cancer of the Liver,Cancer, Hepatocellular,Hepatic Neoplasms,Hepatocellular Cancer,Neoplasms, Hepatic,Neoplasms, Liver,Cancer, Hepatic,Cancer, Liver,Cancers, Hepatic,Cancers, Hepatocellular,Cancers, Liver,Hepatic Cancers,Hepatic Neoplasm,Hepatocellular Cancers,Liver Cancers,Liver Neoplasm,Neoplasm, Hepatic,Neoplasm, Liver
D010833 Phytic Acid Complexing agent for removal of traces of heavy metal ions. It acts also as a hypocalcemic agent. Inositol Hexaphosphate,Phytin,Calcium Phytate,Inositol Hexakisphosphate,Phytate,Sodium Phytate,Acid, Phytic,Hexakisphosphate, Inositol,Hexaphosphate, Inositol,Phytate, Calcium,Phytate, Sodium
D011877 Radionuclide Imaging The production of an image obtained by cameras that detect the radioactive emissions of an injected radionuclide as it has distributed differentially throughout tissues in the body. The image obtained from a moving detector is called a scan, while the image obtained from a stationary camera device is called a scintiphotograph. Gamma Camera Imaging,Radioisotope Scanning,Scanning, Radioisotope,Scintigraphy,Scintiphotography,Imaging, Gamma Camera,Imaging, Radionuclide
D006502 Budd-Chiari Syndrome A condition in which the hepatic venous outflow is obstructed anywhere from the small HEPATIC VEINS to the junction of the INFERIOR VENA CAVA and the RIGHT ATRIUM. Usually the blockage is extrahepatic and caused by blood clots (THROMBUS) or fibrous webs. Parenchymal FIBROSIS is uncommon. Chiari's Syndrome,Hepatic Venous Outflow Obstruction,Hepatic Vein Thrombosis,Budd Chiari Syndrome,Chiari Syndrome,Chiaris Syndrome,Hepatic Vein Thromboses,Thromboses, Hepatic Vein,Thrombosis, Hepatic Vein,Vein Thromboses, Hepatic,Vein Thrombosis, Hepatic
D006528 Carcinoma, Hepatocellular A primary malignant neoplasm of epithelial liver cells. It ranges from a well-differentiated tumor with EPITHELIAL CELLS indistinguishable from normal HEPATOCYTES to a poorly differentiated neoplasm. The cells may be uniform or markedly pleomorphic, or form GIANT CELLS. Several classification schemes have been suggested. Hepatocellular Carcinoma,Hepatoma,Liver Cancer, Adult,Liver Cell Carcinoma,Liver Cell Carcinoma, Adult,Adult Liver Cancer,Adult Liver Cancers,Cancer, Adult Liver,Cancers, Adult Liver,Carcinoma, Liver Cell,Carcinomas, Hepatocellular,Carcinomas, Liver Cell,Cell Carcinoma, Liver,Cell Carcinomas, Liver,Hepatocellular Carcinomas,Hepatomas,Liver Cancers, Adult,Liver Cell Carcinomas
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D013667 Technetium The first artificially produced element and a radioactive fission product of URANIUM. Technetium has the atomic symbol Tc, and atomic number 43. All technetium isotopes are radioactive. Technetium 99m (m Technetium 99m,99m, Technetium
D014682 Vena Cava, Inferior The venous trunk which receives blood from the lower extremities and from the pelvic and abdominal organs. Inferior Vena Cava,Inferior Vena Cavas,Vena Cavas, Inferior
D015609 Organotechnetium Compounds Organic compounds that contain technetium as an integral part of the molecule. These compounds are often used as radionuclide imaging agents. Compounds, Organotechnetium

Related Publications

M J Huang, and Y F Liaw, and K Y Tzen
May 1979, Pediatrics,
M J Huang, and Y F Liaw, and K Y Tzen
August 1982, Radiology,
M J Huang, and Y F Liaw, and K Y Tzen
July 1985, Clinical radiology,
M J Huang, and Y F Liaw, and K Y Tzen
May 2013, World journal of hepatology,
M J Huang, and Y F Liaw, and K Y Tzen
January 2015, European review for medical and pharmacological sciences,
M J Huang, and Y F Liaw, and K Y Tzen
April 1957, Radiology,
M J Huang, and Y F Liaw, and K Y Tzen
June 1968, Gastroenterology,
M J Huang, and Y F Liaw, and K Y Tzen
November 2018, The lancet. Gastroenterology & hepatology,
M J Huang, and Y F Liaw, and K Y Tzen
February 1996, Annals of nuclear medicine,
M J Huang, and Y F Liaw, and K Y Tzen
June 1968, Gastroenterology,
Copied contents to your clipboard!