Discordance between Clinical Parameters and 99mTc-GSA Scintigraphy in Predicting Liver Dysfunction: A case report

Authors

  • Arman Nessipkhan MD, Department of Radioisotope Medicine, Graduate School of Biomedical Sciences, Nagasaki University, 1-12-4 Sakamoto, Nagasaki 852-8523, Japan, Tel: +81-80-4112-7205
  • Takashi Kudo Department of Radioisotope Medicine, Atomic Bomb Disease Institute, Nagasaki University, Japan https://orcid.org/0000-0002-8484-9209

DOI:

https://doi.org/10.3941/jrcr.5403

Abstract

We present a retrospective case report highlighting severe discordance between clinical parameters and quantitative parameters derived from 99mTc-GSA liver scintigraphy in a patient undergoing planned valve surgery for severe tricuspid/mitral (TR/MR) valve regurgitation. Despite mild to moderate liver damage suggested by clinical evaluations, the 99mTc-GSA parameters indicated extremely severe liver dysfunction. The patient, who underwent successful valve surgery, ultimately succumbed to severe liver failure within one-month post-operation, emphasizing the importance of 99mTc-GSA as a powerful prognostic tool.

This figure illustrates images obtained at 3 minutes (left) and 12-15 minutes (right) after the injection of Technetium-99m Galactosyl Human Serum Albumin (99mTc-GSA)

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Published

2024-07-30

Issue

Vol. 18 No. 7 (2024)

Section

Gastrointestinal Radiology

License

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