[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 54.167.149.128. Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Article
January 20, 1969

Liver Scanning for Detection of Collateral Circulation in Liver DiseaseA Survey of 567 Hepatic Photoscans

Author Affiliations

USN; USN; USN
From the National Naval Medical Center and the Department of Gastroenterology. US Naval Hospital, Bethesda, Md (CAPT Lukash); the Department of Internal Medicine, US Naval Dispensary, Washington. DC (LCDR Johnson); and the Department of Gasteroenterology, Lemuel Shattuck Hospital, Boston (LCDR Castell).

JAMA. 1969;207(3):528-532. doi:10.1001/jama.1969.03150160040009
Abstract

To determine whether the liver-scan findings previously shown to be related to portal-systemic collateral circulation occur only in patients with fibrotic liver disease, 567 hepatic scans with gold Au 198 performed over a six-year period were reviewed. Observance for liver "mottling," splenic uptake, or bone-marrow uptake of the isotope showed that one or more of these abnormalities was present in 51 (9.0%) of the patients. Evidence of portal-systemic collateral circulation on scan was most prominent in hepatic cirrhosis (76.6%); extrahepatic malignancies, acute and chronic hepatitis, hereditary hemorrhagic telangiectasia, and chronic lung disease accounted for the remainder. Evidence of portal-systemic shunting is most common in cirrhosis, and, when seen in the noncirrhotic patient, occurs when portal hypertension and hepatic collateral circulation are likely to be present.

×