Abstract
We investigated a curve-fitting method for the rate of blood retention of99mTc-galactosyl serum albumin (GSA) as a substitute for the blood sampling method. Seven healthy volunteers and 27 patients with liver disease underwent99mTc-GSA scanning. After normalization of they-intercept as 100 percent, a biexponential regression curve for the precordial time-activity curve provided the percent injected dose (%ID) of99mTc-GSA in the blood without blood sampling. The discrepancy between %ID obtained by the curve-fitting method and that by the multiple blood samples was minimal in normal volunteers 3.1 ± 2.1% (mean ± standard deviation, n = 77 sampling). Slightly greater discrepancy was observed in patients with liver disease (7.5 ± 6.1%, n = 135 sampling). The %ID at 15 min after injection obtained from the fitted curve was significantly greater in patients with liver cirrhosis than in the controls (53.2 ± 11.6%, n = 13; vs. 31.9 ± 2.8%, n = 7, p < 0.0001). There was a highly linear correlation between the %IDs of99mTc-GSA and the plasma retention rate for indocyanine green (r = − 0.869, p < 0.0001, n = 27). These results indicate that the curve-fitting method provides an accurate %ID of99mTc-GSA and could be a substitute for the blood sampling method.
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Morell AG, Irvine RA, Sternlieb I, Scheunberg IH, Ashwell G. Physical and chemical studies on ceruloplasmin. V. Metabolic studies on sialic acid-free ceruloplasminin vivo.J Biol Chem 243: 155–159, 1968.
Ashwell G, Morell AG. The role of surface carbohydrates in the hepatic recognition and transport of circulating glycoproteins.Adv Enzymol 41: 99–128, 1974.
Pricer WE, Ashwell G. The binding of desialylated glycoproteins by plasma membranes of liver.J Biol Chem 246: 4825–4833, 1971.
Stockert RJ, Becker FF. Diminished hepatic binding protein for desialylated glycoproteins during chemical hepatocarcinogenesis.Cancer Res 40: 3632–3634, 1980.
Sawamura T, Kawasato S, Shiozaki Y, Samesima Y, Nakada H, Tashiro Y. Decrease of a hepatic binding protein specific for asialoglycoproteins with accumulation of serum asialoglycoproteins in galactosamine-treated rats.Gastroenterology 81: 527–533, 1981.
Sawamura T, Nakada H, Hazama Y, Shiozaki Y, Samesima Y, Tashiro Y. Hyperasialoglycoproteinemia in patients with chronic liver diseases and/or liver cell carcinoma.Gastroenterology 87: 1217–1221, 1984.
Stadalnik RC, Vera DR, Woodle ES, Trudeau WL, Porter BA, Ward RE, et al. Technetium-99m NGA functional hepatic imaging: preliminary clinical experience.J Nucl Med 26: 1233–1242, 1985.
Kawa S, Hazama H, Kojima M, Nishiyama Y, Nakazawa M, Hasegawa T, et al. A new liver function test using the asialoglycoprotein-receptor system on the liver cell membrane: II. Quantitative evaluation of labeled neoglycoprotein clearance.KAKU IGAKU (Jpn J Nucl Med) 23: 907–916, 1986 (in Japanese).
Galli G, Maini CL, Orlando P, Cobelli C, Thomaset K, Deleide G, et al. A radiopharmaceutical for the study of the liver:99mTc-DTPA-asialo-orosomucoid. II: Human dynamic and imaging studies.J Nucl Med Allied Sci 32: 117–126, 1988.
Bossuyt A, De Geeter F, Jacobs A, Camus M, Thornback JR. Initial clinical experience with a new kit formulation of Tc-99m-b galactosylated albumin for functional hepatic imaging.Nucl Med Comm 11: 469–475, 1990.
Ha-Kawa SK, Tanaka Y. A quantitative model of technetium-99m-DTPA-galactosyl-HSA for the assessment of hepatic blood flow and hepatic binding receptor.J Nucl Med 32:2233–2240, 1991.
Kubota Y, Kojima M, Hazama H, Kawa S, Nakazawa M, Nishiyama Y, et al. A new liver function test using the asialoglycoprotein-receptor system on the liver cell membrane: I. Evaluation of liver imaging using the Tc-99m-neoglycoprotein.KAKU IGAKU (Jpn J Nucl Med) 23: 899–905, 1986 (in Japanese).
Hazama H, Kawa S, Kubota Y, Kojima M, Murase T, Okuno H, et al. A new liver function test using the asialoglycoprotein-receptor system on the liver cell membrane: III. Evaluation for usefulness by liver function test using the Tc-99m-neoglycoprotein.KAKU IGAKU (Jpn J Nucl Med) 23: 917–926, 1986 (in Japanese).
Torizuka K, Ha-Kawa SK, Ikekubo K, Suga Y, Tanaka Y, Hino M, et al. Phase I clinical study on99mTc-GSA, a new agent for functional imaging of the liver.KAKU IGAKU (Jpn J Nucl Med) 28: 1321–1331, 1991 (in Japanese).
Torizuka K, Ha-Kawa SK, Kudo M, Kitagawa S, Kubota Y, Tanaka Y, et al. Phase II clinical study on99mTc-GSA, a new agent for functional imaging of the liver.KAKU IGAKU (Jpn J Nucl Med) 29: 85–95, 1992 (in Japanese).
Torizuka K, Ha-Kawa SK, Kudo M, Kubota Y, Yamamoto K, Itoh K, et al. Phase III Multi-center clinical study on99mTc-GSA, a new agent for functional imaging of the liver.KAKU IGAKU (Jpn J Nucl Med) 29: 159–181, 1992 (in Japanese).
Fujita T. The measurement of circulating blood volume.Respiration and Circulation 18: 13–24, 1970 (in Japanese).
Lieberman FL, Reynolds TB. Plasma volume in cirrhosis of the liver: Its relation to portal hypertension, ascites, and renal failure.J Clin Invest 46: 1297–1308, 1967.
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Ha-Kawa, S.K., Suga, Y., Kouda, K. et al. Validation of curve-fitting method for blood retention of99mTc-GSA: Comparison with blood sampling method. Ann Nucl Med 11, 15–20 (1997). https://doi.org/10.1007/BF03164752
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DOI: https://doi.org/10.1007/BF03164752