Xenon-133 hepatic retention ratio: A useful index for fatty liver quantification

S. H. Yeh, L. C. Wu, W. J. Wang, H. C. Lin, R. S. Liu, S. D. Lee, J. C. Wu

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Xenon-133 hepatic retention ratio was developed for quantifying fatty liver. Data were acquired in frame mode in the hepatic region and both lung bases for 5 min after rebreathing 20 mCi of gasseous 133Xe and for another 5 min during washout. Static [99mTc]sulfur colloid liver imaging was performed with the patient in the identical position immediately after the ventillation study and data were stored for liver localization. A hepatic time-activity curve corrected for background activity was generated. The 133Xe retention ratio was derived by dividing the activity at 3.5 min after washout by the peak activity. The data of 16 controls and 20 patients with fatty liver were analyzed. The retention ratio (mean ±s.d.) was greatly increased in patients with fatty infiltration (0.43 ± 0.20 vs 0.04 ± 0.08 in controls, p<0.001). There was a strong positive correlation between the 133Xe retention ratios and percentage of fat on biopsy as assessed by the amount of the liver tissue occupied by fat globules on H and E stained sections. The 133Xe hepatic retention ratio is a simple, accurate and clinically useful index of detecting, quantifying and managing fatty infiltration of the liver.

Original languageEnglish
Pages (from-to)1708-1712
Number of pages5
JournalJournal of Nuclear Medicine
Issue number10
StatePublished - Oct 1989


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