Preoperative evaluation of residual liver function for extended hepatic resection with positron emission tomography and L-[methyl-11C] methionine

Kazunori Otsuki, Takehide Asano, Shinichi Okazumi, Kazuo Enomoto, Wataru Takayama, Yasushi Shinohara, Fumihiko Miura, Kaichi Isono

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3 Scopus citations

Abstract

To evaluate residual liver functional reserve before major hepatectomy, volumetry of the residual liver was measured by computed tomography (CT) and the uptake of L-[methyl-11C] methionine of the residual liver was expressed by differential absorption ratio (DAR) with positron emission tomography (PET). Residual liver functional volume was quantified as the functional volume index (FVI). FVI of 11 normal whole liver was 8697 ±2009 (mean S.D.). Cases, 11, of malignant liver tumors with obstructive jaundice underwent major hepatectomy. FVI of the eight patients (5561 ± 1087) who had good course after operation was significantly higher than that of the other cases (2665 ± 685) died of liver failure (P < 0.005). FVI is a useful index to quantify residual liver functional reserve to avoid liver failure after major hepatectomy.

Original languageEnglish
Pages (from-to)43-47
Number of pages5
JournalHepatology Research
Volume7
Issue number1
DOIs
StatePublished - 1997
Externally publishedYes

Keywords

  • Hepatic functional reserve
  • Major hepatectomy
  • Methionine Amino acid metabolism

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