I. Hino et al., INDEX FOR PREDICTING POSTOPERATIVE RESIDUAL LIVER-FUNCTION BY PREOPERATIVE DYNAMIC LIVER SPET, Nuclear medicine communications, 18(11), 1997, pp. 1040-1048
To predict residual liver function before hepatic resection, we devise
d a predictive index by combining clearance values with functional liv
er volume measured by liver dynamic single photon emission tomography
(SPET). Forty-seven patients with liver disease underwent liver dynami
c SPET with Tc-99(m)-Sn colloid before hepatic resection. There were n
o operation-related deaths. Three patients died from hepatic failure m
ore than 1 month following the operation. Their predictive indices wer
e 0.24, 0.33 and 0.34. When the predictive index was above 0.35, no pa
tient had symptoms of hepatic failure or died. Our data suggest that w
hen the predictive index is above 0.35, there is a low probability of
hepatic failure after hepatectomy.