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Comparison of 99mTc-Tin colloid colloid and 99mTc-DISIDA Hepatoscintigraphy in Miniature Pigs

미니돼지에서 99mTc-Tin colloid와 99mTc-DISIDA를 사용한 간신티그라피의 비교 연구

  • Shim, Kyung-Mi (College of Veterinary Medicine Bio-therapy Human Resources Center and Biotechnology Research Institute, Chonnam National University) ;
  • Kim, Se-Eun (College of Veterinary Medicine Bio-therapy Human Resources Center and Biotechnology Research Institute, Chonnam National University) ;
  • Lee, Won-Guk (Department of Nuclear Medicine, College of Medicine, Chungbuk National University) ;
  • Koong, Sung-Soo (Department of Nuclear Medicine, College of Medicine, Chungbuk National University) ;
  • Bae, Chun-Sik (College of Veterinary Medicine Bio-therapy Human Resources Center and Biotechnology Research Institute, Chonnam National University) ;
  • Lee, Jae-Yeong (College of Veterinary Medicine, Chungbuk National University) ;
  • Choi, Seok-Hwa (College of Veterinary Medicine, Chungbuk National University) ;
  • Han, Ho-Jae (College of Veterinary Medicine Bio-therapy Human Resources Center and Biotechnology Research Institute, Chonnam National University) ;
  • Kang, Seong-Soo (College of Veterinary Medicine Bio-therapy Human Resources Center and Biotechnology Research Institute, Chonnam National University) ;
  • Park, Soo-Hyun (College of Veterinary Medicine Bio-therapy Human Resources Center and Biotechnology Research Institute, Chonnam National University)
  • 심경미 (전남대학교 수의과대학 바이오치료 산업인력 양성팀 및 생물공학연구소) ;
  • 김세은 (전남대학교 수의과대학 바이오치료 산업인력 양성팀 및 생물공학연구소) ;
  • 이원국 (충북대학교 의과대학 핵의학교실) ;
  • 궁성수 (충북대학교 의과대학 핵의학교실) ;
  • 배춘식 (전남대학교 수의과대학 바이오치료 산업인력 양성팀 및 생물공학연구소) ;
  • 이재영 (충북대학교 수의과대학) ;
  • 최석화 (충북대학교 수의과대학) ;
  • 한호재 (전남대학교 수의과대학 바이오치료 산업인력 양성팀 및 생물공학연구소) ;
  • 강성수 (전남대학교 수의과대학 바이오치료 산업인력 양성팀 및 생물공학연구소) ;
  • 박수현 (전남대학교 수의과대학 바이오치료 산업인력 양성팀 및 생물공학연구소)
  • Published : 2006.10.01

Abstract

Non-invasive evaluation of liver function in animal models remains a challenge. Hepatoscintigraphy provides information about changes in liver size and shape, and enables to understand general liver function. Futhermore it is readily used to diagnosis complications of liver transplantation like hepatitis, rejections and biliary complications. In this study, we investigated the usefulness of evaluating the liver function in miniature pigs with $^{99m}Tc-Tin$ colloid and $^{99m}Tc-DISIDA$ which are the most commonly used radiopharmaceuticals in human medicine. In result, $^{99m}Tc-Tin$ colloid was uptaked in lung, liver, gastric wall and kidney in miniature pigs. And $^{99m}Tc-DISIDA$ showed continuous uptake images of heart, lung, liver, gallbladder and duodenum, and it was similar to human's. Therefore we could conclude $^{99m}Tc-Tin$ colloid would not be suitable for evaluating hepatic function because of it's nonspecific affinity, however $^{99m}Tc-DISIDA$ scintigraphy would be an effective method for detecting hepatobiliary function in miniature pigs.

동물 모델에서의 간기능의 비침습적 평가는 하나의 과제로 남아있다. 간신티그라피는 간의 크기 및 모양의 변화에 대한 정보를 제공할 뿐 아니라 간의 전체적인 기능을 파악할 수 있게 해 주며 간이식의 주요 합병증인 간염, 거부반응 및 담도계 합병증의 진단에도 편리하게 사용될 수 있다. 이에 본 연구에서는 미니돼지의 간 기능을 평가하기 위해 사람에서 주로 사용되는 방사성의약품인 $^{99m}Tc-Tin$ colloid와 $^{99m}Tc-DISIDA$를 이용하여 간 및 간담도 신티그라피를 시행하였다. 그 결과, 사람의 간신티그라피와 달리 미니돼지에서는 $^{99m}Tc-Tin$ colloid가 폐, 간, 위벽 및 신장에 섭취되고 폐와 간의 영상이 겹쳐져 간의 관심영역을 설정할 수 없었다. 그러나 $^{99m}Tc-DISIDA$를 사용한 간담도 신티그라피에서는 심장, 폐, 간, 담낭 및 십이지장으로의 연속적 방사능섭취를 관찰할 수 있었다. 따라서 미니돼지에서의 $^{99m}Tc-Tin$ colloid의 사용은 비특이적 결합력으로 인해 간 기능 평가를 위한 영상에는 적합하지 않으나 $^{99m}Tc-DISIDA$는 간담도 기능을 파악하는데 있어 좋은 수단이 될 수 있을 것으로 생각된다.

Keywords

References

  1. Calne, R. Y., H. J. O. White, D. E. Yoffa, R. R. Maginn, R. M. Binns, J. R. Samuel and V. P. Molina. 1967. Observations of orthotopic liver transplantation in the pig. Br. Med. J. 2, 478-480 https://doi.org/10.1136/bmj.2.5550.478
  2. Caride, V. J. and D. W. Gibson. 1982. Noninvasive evaluation of bile leakage. Surg. Gynecol. Obstet. 154, 517-520
  3. Chitko-McKown, C. G and F. Blecha. 1992. Pulmonary intravascular macrophages: a review of immune properties and functions. Ann. Rech. Vet. 23, 201-214
  4. De Jonge, M. N., E. K. Pauwels, P. J. Hennis, D. J. Ruiter, C. T. Koch, J. Blom, S. W. Schalm and J. L. Terpstra. 1983. Cholescintigraphy with 99mTc-diethyl-IDA for the detection of rejection of auxiliary liver transplants in pigs. Eur. J. Nucl. Med. 8, 485-488 https://doi.org/10.1007/BF00598906
  5. Duman, D. G., F. Dede, H. Akin, F. Sen, H. T. Turoglu, C. Celikel and N. Tozun. 2006. Colloid scintigraphy in non-alcoholic steatohepatitis: a conventional diagnostic method for an emerging disease. Nucl. Med. Commun. 27, 387-393 https://doi.org/10.1097/01.mnm.0000203629.15784.2e
  6. Fernandez-Rodriguez, O. M., A. Rios, J. L. Navarro, J. A. Pons, C. G. Palenciano, R. Mota, J. J. Berenguer, F. Mulero, J. Contreras, C. Conesa, P. Ramirez, T. Fuente and P. Parrilla. 2006. Doppler ultrasonographic and scintigraphic assessment of an auxiliary heterotopic liver transplantation with portal vein arterialization in pigs. Transplant Proc. 38, 963-966 https://doi.org/10.1016/j.transproceed.2006.02.030
  7. Fung, J., A. Rao and T. Starzl. 1996. Clinical trials and projected future of liver xenotransplantation. World J. Surgery 21, 956-961 https://doi.org/10.1007/s002689900333
  8. Gelfand, M. J., H. S. Smith, F. C. Ryckman, W. F. Balistreri, B. Specker, K. H. Caron and S. H. Pedersen. 1992. Hepatobiliary scintigraphy in pediatric liver transplant recipients. Clin. Nucl. Med. 17, 542-549 https://doi.org/10.1097/00003072-199207000-00002
  9. Hawkins, R. A., T. Hall, S. S. Gambhir, R. W. Busuttil, S. C. Huang, S. Glickman, D. Marciano, R. K. Brown and M. E. Phelps. 1988. Radionuclide evaluation of liver transplants. Semin. Nucl. Med. 18, 199-212 https://doi.org/10.1016/S0001-2998(88)80028-X
  10. Jeong, S. Y., J. T. Lee, M. R. Seo, J. A. Yoo, J. H. Bae, B. C. Ahn, J. S. Hwang, J. M. Jeong, J. H. Ha and K. B. Lee. 2003. Evaluation of liver function using 99mTc-lactosylated serum albumin liver scintigraphy in rat with acute hepatic injury induced by dimethylnitrosamine. Korean J. Nucl. Med. 37, 418-427
  11. Koh, C. S. 1997. Nuclear medicine. pp. 467-469, 2nd eds., Korea Medical Book Publisher, Seoul
  12. Kurzawinski, T. R., L. Selves, M. Farouk, J. Dooley, A. Hilson, J. R. Buscombe, A. Burroughs, K. Rolles and B. R. Davidson. 1997. Prospective study of hepatobiliary scintigraphy and endoscopic cholangiography for the detection of early biliary complications after orthotopic liver transplantation. Br. J. Surg. 84, 620-623 https://doi.org/10.1002/bjs.1800840511
  13. Lee, S. G. 2005. Current status of liver transplantation in Korea. Korean J. Gastroenterol. 46, 75-83
  14. Matsunami, H., Y. Shimizu, A. Shimizu, K. Horita, N. Yamakita and T. Ikeda. 2000. Management of post liver transplantation complications. Rinsho Byori. 48, 993-1005
  15. Miot-Noirault, E., L. Faure, Y. Guichard, J. Montharu and A. Le Pape. 2001. Scintigraphic in vivo assessment of the development of pulmonary intravascular macrophages in liver disease: experimental study in rats with biliary cirrhosis. Chest 120, 941-947 https://doi.org/10.1378/chest.120.3.941
  16. Mochizuki, T., W. N. Tauxe, J. Dobkin, A. N. Shah, R. Shanker, S. Todo and T. E. Starzl. 1991. Detection of complications after liver tranplantaion by technetium-99m mebrofenin hepatobiliary scintigraphy. Ann. Nucl. Med. 5, 103-107 https://doi.org/10.1007/BF03164622
  17. Schalm, S. W., J. L. Terpstra, J. R. Achterberg, V. Noordhook Hegt, J. Haverkate, D. T. Popescu, R. A. F. Krom and J. J. Veltkamp. 1975. Orthotopic liver transplantation: An experimental study on mechanisms of hemorrhagic diathesis and thrombosis. Surgery 78, 499-507
  18. Shah, A. N., F. Dodson and J. Fung. 1995. Role of nuclear medicine in liver transplantation. Semin. Nucl. Med. 25, 36-48 https://doi.org/10.1016/S0001-2998(05)80005-4
  19. Sohn, I., I. S. Kwon, J. S. Park, M. C. Lee, B. Y. Cho, C. S. Koh and M. L. Lee. 1983. Significance of diffuse lung uptake of $^{99m}Tc-Tin$ colloid in liver scanning. Korean J. Nucl. Med. 17, 33-39
  20. Staub, N. C. 1994. Pulmonary intravascular macrophages. Annu. Rev. Physiol. 56, 47-67 https://doi.org/10.1146/annurev.ph.56.030194.000403
  21. Tjen, H. S. L. M. 1979. The clinical pharmacology of technetium diethyl-IDA, pp. 225-243, In Cox, P. H. (ed.), Progress in radiopharmacology, Elsevier/North-Holland Biomedical Press, Amsterdam
  22. Von Moll, L. K., J. E. Juni and R. M. Merion. 1988. Scintigraphic demonstration of accessory hepatic duct leak following liver transplantation. J. Nucl. Med. 29, 259-262
  23. Warner, A. E., B. E. Barry and J. D. Brain. 1986. Pulmonary intravascular macrophages in sheep: morphology and function of a novel constituent of the mononuclear phagocyte system. Lab. Inves. 55, 276-288
  24. Warner, A. E. and J. D. Brain. 1986. Intravascular pulmonary macrophages: a novel cell removes particles from blood. Am. J. Physiol. 250, R728-R732
  25. Winkler, G. C. 1988. Pulmonary intravascular macrophages in domestic animal species: review of structural and functional properties. Am. J. Anat. 181, 217-234 https://doi.org/10.1002/aja.1001810302
  26. Wistow, B. W., G. Subramanian, R. L. Van Heertum, R. W. Henderson, G. M. Gagne, R. C. Hall and J. G. McAfee. 1977. An evaluation of $^{99m}Tc-labeled$ hepatobiliary agents. J. Nucl. Med. 18, 455-461
  27. Young, S. A., G. N. Sfakianakis, N. Pyrsopoulos and S. Nishida. 2003. Hepatobiliary scintigraphy in liver transplant patients: the 'blind end sign' and its differentiation from bile leak. Clin. Nucl. Med. 28, 638-642 https://doi.org/10.1097/00003072-200308000-00003