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Tc-99m mebrofenin hepatobiliary scintigraphy to assess future liver remnant function before major liver surgery

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Názov: Tc-99m mebrofenin hepatobiliary scintigraphy to assess future liver remnant function before major liver surgery
Autori: Smet, H., Uldry, E., Duran, R., Girardet, R., Schaefer, N., Prior, J.O., Denys, A., Halkic, N., Demartines, N., Melloul, E.
Zdroj: Journal of surgical oncology, vol. 128, no. 8, pp. 1312-1319
Informácie o vydavateľovi: 2023.
Rok vydania: 2023
Predmety: Humans, Liver Function Tests, Liver/diagnostic imaging, Liver/surgery, Hepatectomy/adverse effects, Hepatectomy/methods, Liver Failure/diagnostic imaging, Liver Failure/etiology, Radionuclide Imaging, Liver Neoplasms/surgery, Embolization, Therapeutic, Portal Vein/diagnostic imaging, Retrospective Studies, hepatectomy, hepatobiliary scintigraphy, liver failure, liver function test
Popis: Assessment of liver function is paramount before hepatectomy. This study aimed to assess future liver remnant function (FLR-F) using hepatobiliary scintigraphy (HBS) and to compare it to FLR volume (FLR-V) in the prediction of posthepatectomy liver failure (PHLF). The impact of volume and function gains were also assessed in patients undergoing portal vein embolization (PVE) or liver venous deprivation (LVD). All consecutive patients undergoing major hepatectomy between 02/2018 and 09/2021 with preoperative HBS were included. FLR-V was expressed as percentage of total liver volume and analyzed using preoperative computed tomography. FLR-V and FLR-F gains after embolization were expressed in percentage. Receiver operating characteristic analysis was performed to compare both methods in predicting PHLF. Thirty-six patients were included. PVE and LVD were performed in 4 (11%) and 28 patients (78%), respectively. Overall, PHLF occurred in eight patients (22%). FLR-F gain after embolization showed significant ability to predict PHLF (area under the curve [AUC] = 0.789), with cut-off value of 150% showing a sensitivity of 1.00, a specificity of 0.42, and a negative predictive value of 1.00. Preoperative HBS shows a high sensitivity to predict PHLF when HBS is performed twice to measure the function gain after venous embolization.
Druh dokumentu: Article
Popis súboru: application/pdf
Jazyk: English
Prístupová URL adresa: https://serval.unil.ch/resource/serval:BIB_320D6A0EAFB8.P001/REF.pdf
https://serval.unil.ch/notice/serval:BIB_320D6A0EAFB8
http://nbn-resolving.org/urn/resolver.pl?urn=urn:nbn:ch:serval-BIB_320D6A0EAFB86
Rights: CC BY NC ND
Prístupové číslo: edsair.od......1900..af7dbe7def9d2e1f45112a8ca20d9e18
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  Data: Tc-99m mebrofenin hepatobiliary scintigraphy to assess future liver remnant function before major liver surgery
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  Data: <searchLink fieldCode="AR" term="%22Smet%2C+H%2E%22">Smet, H.</searchLink><br /><searchLink fieldCode="AR" term="%22Uldry%2C+E%2E%22">Uldry, E.</searchLink><br /><searchLink fieldCode="AR" term="%22Duran%2C+R%2E%22">Duran, R.</searchLink><br /><searchLink fieldCode="AR" term="%22Girardet%2C+R%2E%22">Girardet, R.</searchLink><br /><searchLink fieldCode="AR" term="%22Schaefer%2C+N%2E%22">Schaefer, N.</searchLink><br /><searchLink fieldCode="AR" term="%22Prior%2C+J%2EO%2E%22">Prior, J.O.</searchLink><br /><searchLink fieldCode="AR" term="%22Denys%2C+A%2E%22">Denys, A.</searchLink><br /><searchLink fieldCode="AR" term="%22Halkic%2C+N%2E%22">Halkic, N.</searchLink><br /><searchLink fieldCode="AR" term="%22Demartines%2C+N%2E%22">Demartines, N.</searchLink><br /><searchLink fieldCode="AR" term="%22Melloul%2C+E%2E%22">Melloul, E.</searchLink>
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  Data: Journal of surgical oncology, vol. 128, no. 8, pp. 1312-1319
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  Data: 2023.
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  Data: <searchLink fieldCode="DE" term="%22Humans%22">Humans</searchLink><br /><searchLink fieldCode="DE" term="%22Liver+Function+Tests%22">Liver Function Tests</searchLink><br /><searchLink fieldCode="DE" term="%22Liver%2Fdiagnostic+imaging%22">Liver/diagnostic imaging</searchLink><br /><searchLink fieldCode="DE" term="%22Liver%2Fsurgery%22">Liver/surgery</searchLink><br /><searchLink fieldCode="DE" term="%22Hepatectomy%2Fadverse+effects%22">Hepatectomy/adverse effects</searchLink><br /><searchLink fieldCode="DE" term="%22Hepatectomy%2Fmethods%22">Hepatectomy/methods</searchLink><br /><searchLink fieldCode="DE" term="%22Liver+Failure%2Fdiagnostic+imaging%22">Liver Failure/diagnostic imaging</searchLink><br /><searchLink fieldCode="DE" term="%22Liver+Failure%2Fetiology%22">Liver Failure/etiology</searchLink><br /><searchLink fieldCode="DE" term="%22Radionuclide+Imaging%22">Radionuclide Imaging</searchLink><br /><searchLink fieldCode="DE" term="%22Liver+Neoplasms%2Fsurgery%22">Liver Neoplasms/surgery</searchLink><br /><searchLink fieldCode="DE" term="%22Embolization%2C+Therapeutic%22">Embolization, Therapeutic</searchLink><br /><searchLink fieldCode="DE" term="%22Portal+Vein%2Fdiagnostic+imaging%22">Portal Vein/diagnostic imaging</searchLink><br /><searchLink fieldCode="DE" term="%22Retrospective+Studies%22">Retrospective Studies</searchLink><br /><searchLink fieldCode="DE" term="%22hepatectomy%22">hepatectomy</searchLink><br /><searchLink fieldCode="DE" term="%22hepatobiliary+scintigraphy%22">hepatobiliary scintigraphy</searchLink><br /><searchLink fieldCode="DE" term="%22liver+failure%22">liver failure</searchLink><br /><searchLink fieldCode="DE" term="%22liver+function+test%22">liver function test</searchLink>
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  Data: Assessment of liver function is paramount before hepatectomy. This study aimed to assess future liver remnant function (FLR-F) using hepatobiliary scintigraphy (HBS) and to compare it to FLR volume (FLR-V) in the prediction of posthepatectomy liver failure (PHLF). The impact of volume and function gains were also assessed in patients undergoing portal vein embolization (PVE) or liver venous deprivation (LVD). All consecutive patients undergoing major hepatectomy between 02/2018 and 09/2021 with preoperative HBS were included. FLR-V was expressed as percentage of total liver volume and analyzed using preoperative computed tomography. FLR-V and FLR-F gains after embolization were expressed in percentage. Receiver operating characteristic analysis was performed to compare both methods in predicting PHLF. Thirty-six patients were included. PVE and LVD were performed in 4 (11%) and 28 patients (78%), respectively. Overall, PHLF occurred in eight patients (22%). FLR-F gain after embolization showed significant ability to predict PHLF (area under the curve [AUC] = 0.789), with cut-off value of 150% showing a sensitivity of 1.00, a specificity of 0.42, and a negative predictive value of 1.00. Preoperative HBS shows a high sensitivity to predict PHLF when HBS is performed twice to measure the function gain after venous embolization.
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RecordInfo BibRecord:
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    Languages:
      – Text: English
    Subjects:
      – SubjectFull: Humans
        Type: general
      – SubjectFull: Liver Function Tests
        Type: general
      – SubjectFull: Liver/diagnostic imaging
        Type: general
      – SubjectFull: Liver/surgery
        Type: general
      – SubjectFull: Hepatectomy/adverse effects
        Type: general
      – SubjectFull: Hepatectomy/methods
        Type: general
      – SubjectFull: Liver Failure/diagnostic imaging
        Type: general
      – SubjectFull: Liver Failure/etiology
        Type: general
      – SubjectFull: Radionuclide Imaging
        Type: general
      – SubjectFull: Liver Neoplasms/surgery
        Type: general
      – SubjectFull: Embolization, Therapeutic
        Type: general
      – SubjectFull: Portal Vein/diagnostic imaging
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      – SubjectFull: Retrospective Studies
        Type: general
      – SubjectFull: hepatectomy
        Type: general
      – SubjectFull: hepatobiliary scintigraphy
        Type: general
      – SubjectFull: liver failure
        Type: general
      – SubjectFull: liver function test
        Type: general
    Titles:
      – TitleFull: Tc-99m mebrofenin hepatobiliary scintigraphy to assess future liver remnant function before major liver surgery
        Type: main
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            NameFull: Smet, H.
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            NameFull: Halkic, N.
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              Type: published
              Y: 2023
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