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New clearance evaluation method for hepatological diagnostics
Josef A. Tichý, Miloslav Loučka, Zdeněk M. Trefný, Markéta Hojerová, Jiří Svačinka, Jindřich Müller, Michaela Friedrichová
Language English Country Czech Republic
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- MeSH
- Coloring Agents diagnostic use pharmacokinetics MeSH
- Models, Biological MeSH
- Densitometry methods standards MeSH
- Adult MeSH
- Financing, Organized MeSH
- Indocyanine Green diagnostic use pharmacokinetics MeSH
- Liver Function Tests methods mortality MeSH
- Body Fluid Compartments MeSH
- Middle Aged MeSH
- Humans MeSH
- Cardiac Output MeSH
- Young Adult MeSH
- Nonlinear Dynamics MeSH
- Regression Analysis MeSH
- Aged MeSH
- Fatty Liver diagnosis metabolism MeSH
- Check Tag
- Adult MeSH
- Middle Aged MeSH
- Humans MeSH
- Young Adult MeSH
- Male MeSH
- Aged MeSH
- Female MeSH
Pulse dye densitometry (PDD) enables the evaluation of hemodynamic state as well as liver function. A repeated examination, even after a short pause (or under stress condition), enables to follow safely the dynamics of liver pathology. From presented parameters we have evaluated as reliable the C5-clearance, an expression of equilibrium state in the two compartment liver system. Furthermore, T-index expresses ratio of C5 value to cardiac output, it is a sensitive indicator of the blood pole, i.e. sinusoidal uptake, which is in very good correlation with staging of hepatopathies. The isolated h constant in correlation to T-index is valuable For functional grading. The Japanese automatic analyzer of indocyanine green (ICG) dilution and elimination curves, after incorporation of a two compartment mathematical model, becomes more useful for complex hepatological diagnostics. Non-invasive PDD is becoming of uppermost importance to clinical interest, yielding comparable results as other complicated and invasive examinations and may be, therefore, repeated in short time intervals for different indications with minimal stress of examined patient.
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Lit.: 22
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- $a Pulse dye densitometry (PDD) enables the evaluation of hemodynamic state as well as liver function. A repeated examination, even after a short pause (or under stress condition), enables to follow safely the dynamics of liver pathology. From presented parameters we have evaluated as reliable the C5-clearance, an expression of equilibrium state in the two compartment liver system. Furthermore, T-index expresses ratio of C5 value to cardiac output, it is a sensitive indicator of the blood pole, i.e. sinusoidal uptake, which is in very good correlation with staging of hepatopathies. The isolated h constant in correlation to T-index is valuable For functional grading. The Japanese automatic analyzer of indocyanine green (ICG) dilution and elimination curves, after incorporation of a two compartment mathematical model, becomes more useful for complex hepatological diagnostics. Non-invasive PDD is becoming of uppermost importance to clinical interest, yielding comparable results as other complicated and invasive examinations and may be, therefore, repeated in short time intervals for different indications with minimal stress of examined patient.
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