DIAGNOSTIC VALUE OF LIVER SCINTIGRAPHY, COMPUTED TOMOGRAPHY AND ULTRASONOGRAPHY OF ACUTE HEPATITIS

Abstract

Liver scintigraphy, computed tomography (CT) and ultrasonography were performed in 70 patients with acute hepatitis of acute phase, and these findings were compared with the clinical severity and laparoscopic findings in recovered stage. Cases with severe necrotic lesions of the liver on laparoscopy showed severe clinical courses, however, not vice versa. The low-uptake of the liver on scintigraphy were seen in 3 cases and was related to clinical severity and massive hepatic necrosis . The heterogenous RI distribution of the liver and splenomegaly were showen in most cases of A-type and were related to rapid clinical deterioration. Two cases with the finding of a localized low density area of the liver in CT and irregular echo pattern in sonography showed severe massive necrotic lesions on laparoscopy. Scintigraphy, computed tomography and sonography are valuable in the evaluation of acute hepatic failure in patients with acute hepatitis.