Bingxiu Ren Department of Nuclear Medicine,the first affiliated hospital of Kunming Medical University Mar.31,2014. 肝胆显像（ Hepatobiliary scintigraphy ）. Bingxiu Ren, PhD, attending doctor. Mayjor in nuclear imaging & therapy. Email:[email protected] Phone: +86 13529168551. 显像原理.
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Department of Nuclear Medicine,the first affiliated hospital of Kunming Medical University
99mTc-imniodiactic acid(IDA): 可与胆汁均匀混合，早期常用，但图像质量易受血液中总胆红素浓度的影响.
99mTc-MIBI can be up taken and secreted by hepatocytes, often used without concerning the TBIL level.
3-5 min liver can be visualized clearly
5-10min left and right hepatic ducts can be displayed
15-30min gallbladder ,choledochus and duodenum were seen clearly with the gradual decrease of radioactivity in the liver
The time of radio-tracer appears in gallbladder and duodenum ≤ 60min
if over 24 h,no bowel excretion is visualized ,high possibility of biliary atresia may exit
Case 1, 患儿因临床黄疸查因，请对根据其hepatobiliary scintigraphy 图像做其出最可能的诊断。
Case 2, 患儿因临床黄疸查因，请对根据其hepatobiliary scintigraphy 图像做其出最可能的诊断。
case 3, A patient complaining of acute right quadrant pain. What is the most possible diagnose of the patient?
1. In hepatobiliary scintigraphy, the radio tracer can be up taken by ( ).
A.hepatic cells B. vascular endothelial cells
C.Kupffer cells D. stellate cells E.biliary duct endothelial cells.
Thank you ! pain. What is the most possible diagnose of the patient?