Method and apparatus for measuring hepatic blood flow amount

• US 6,176,838 B1
• Filed: 03/17/1999
• Issued: 01/23/2001
• Est. Priority Date: 01/29/1998
• Status: Expired due to Fees

• Current Assignee: Anzai Medical Kabushiki Kaisha
• Original Assignee: Anzai Medical Kabushiki Kaisha
• Inventors: Sase, Shigeru
• Primary Examiner(s): Nasser, Robert L.
• Application Number:
  US09/271,253
• Time in Patent Office: 678 Days
• Field of Search: 600/504, 600/505, 600/431
• US Class Current: 600/504
• CPC Class Codes: A61B 6/481 involving the use of contrast agents
• CPC Class Codes: A61B 6/507 for determination of haemodynamic parameters, e.g. perfusion CT

Abstract

In order to easily measure the hepatic arterial blood flow amount and the portal blood flow amount flowing through the liver, a mixed gas supply apparatus is used to supply a mixed gas of xenon gas and oxygen gas to the lung of a specimen for a certain period of time so that the change in xenon concentration in the tissue of the liver of the specimen is measured (detected) while making decomposition into picture elements by using an X-ray CT system. The hepatic arterial blood flow amount and the portal blood flow amount concerning the respective picture elements obtained by the decomposition are determined by using a computer on the basis of the fact that the xenon concentration in the liver tissue is determined by the xenon concentration in the hepatic arterial blood flow and the xenon concentration in the portal blood flow.

Claims

1. A method for measuring a hepatic blood flow amount, comprising the steps of:

detecting a change in xenon concentration by supplying a mixed gas of xenon gas and oxygen gas to a lung of a specimen for a certain period of time using a gas inhalator so that said change in xenon concentration in respective regions of liver tissue of said specimen is detected by generating picture element data corresponding to said respective regions using an X-ray CT system;

calculating blood flow amounts based on said picture element data to determine a hepatic arterial blood flow amount and a portal blood flow amount in each of said respective regions by using a processing unit, on the basis of the fact that said xenon concentration in said liver tissue is determined by a xenon concentration in a hepatic arterial blood flow and a xenon concentration in a portal blood flow; and

displaying on a display unit tomographic images of said liver as represented by said plurality of picture elements obtained by said X-ray CT system, said tomographic images comprising a hepatic arterial blood flow map and a portal blood flow map, wherein said hepatic arterial blood flow map shows the hepatic arterial blood flow amount in each of said respective regions of liver tissue, and said portal blood flow map shows the portal blood flow amount in each of said respective regions of liver tissue.

2. The method according to claim 1, wherein said mixed gas is a mixed gas of a ratio of 30% of xenon gas and 70% of oxygen.

3. The method according to claim 1, wherein an inhalation period, which is a period of time to supply said mixed gas to said lung of said specimen for said certain period of time, is about 4 minutes.

4. The method according to claim 3, wherein a washing period, which follows the inhalation period of about 4 minutes, is about 5 minutes.

5. The method according to claim 1, further comprising, following said step of calculating said blood flow amounts, the steps of diagnosing that a portion of said liver tissue is normal if a ratio between said hepatic arterial blood flow amount and said portal blood flow amount in said portion is about ⅓

, and diagnosing that a portion of said liver tissue is abnormal if the ratio in said portion is substantially greater or less than about ⅓

.

6. The method according to claim 1, wherein a display form in said step of displaying is a display form in which said hepatic arterial blood flow amount and said portal blood flow amount are displayed using different colors.

7. An apparatus for measuring a hepatic blood flow amount, comprising:

a gas inhalator for supplying a mixed gas of xenon gas and oxygen gas to a lung of a specimen;

an X-ray CT system for detecting a change in xenon concentration in respective regions of liver tissue of said specimen while generating picture element data corresponding to said respective regions;

a control unit for controlling said gas inhalator and said X-ray CT system, wherein said control unit operates said gas inhalator so that said mixed gas is inhaled by said specimen for a certain period of time, and determines a hepatic arterial blood flow amount and a portal blood flow amount in each of said respective regions from said picture element data while referring to an expression in which said xenon concentration in said liver tissue is determined by a xenon concentration in a hepatic arterial blood flow and a xenon concentration in a portal blood flow; and

a display unit for displaying tomographic images of said liver as represented by said plurality of picture elements obtained by said X-ray CT system, said tomographic images comprising a hepatic arterial blood flow map and a portal blood flow map, wherein said hepatic arterial blood flow map shows the hepatic arterial blood flow amount in each of said respective regions of liver tissue, and said portal blood flow map shows the portal blood flow amount in each of said respective regions of liver tissue.

8. The apparatus according to claim 7, wherein said mixed gas is a mixed gas of a ratio of 30% of xenon gas and 70% of oxygen.

9. The apparatus according to claim 7, wherein an inhalation period, which is a time for supplying said mixed gas to said lung of said specimen for said certain period of time, is about 4 minutes.

10. The apparatus according to claim 9, wherein a washing period after said inhalation period of about 4 minutes is about 5 minutes.

11. The apparatus according to claim 7, wherein said control unit diagnoses that a portion of said liver tissue is normal if a ratio between said hepatic arterial blood flow amount and said portal blood flow amount in said portion is about ⅓

, and diagnoses that a portion of said liver tissue is abnormal if the ratio in said portion is substantially greater or less than about ⅓

.

12. The apparatus according to claim 7, wherein said display form on said display unit is a display form in which said hepatic arterial blood flow amount and said portal blood flow amount are displayed using different colors.

13. The apparatus according to claim 7, wherein said expression provides said xenon concentration Ch(T) in said liver tissue in accordance with the following equation: