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WorksheetsLiver & Spleen Imaging Quiz (20 Questions)
Total questions: 23
Worksheet time: 12mins
What radiopharmaceutical is commonly used in liver-spleen imaging to assess Kupffer cell function?
99mTc-MAA
99mTc-sulfur colloid
99mTc-labeled RBCs
18F-FDG
Which liver cell type is primarily responsible for phagocytosis of foreign materials?
Hepatocytes
Sinusoidal endothelial cells
Kupffer cells
Bile duct cells
In a normal liver/spleen scan, what percentage of the tracer is typically taken up by the liver?
30-40%
50-60%
80-90%
100%
using 99mTc-labeled RBCs?
No uptake
Decreased perfusion
Focal increased uptake
Homogeneous distribution
What is the critical organ for 99mTc sulfur colloid imaging?
Bone marrow
Liver
Lung
Kidney
A lung shunt fraction of greater than what percentage typically contraindicates Y-90 therapy?
5%
10%
20%
30%
What is the function of Technetium-99m MAA in hepatic arterial mapping?
Detect fatty infiltration
Assess hepatic blood flow via portal vein
What is the primary function of hepatocytes?
Store bile
Filter red blood cells
Phagocytosis
Metabolize nutrients and produce bile
What structure separates the right and left lobes of the liver?
Inferior vena cava
Falciform ligament
Hepatic artery
Common bile duct
Which of the following is NOT a function of the liver?
Digestion
Vitamin storage
Oxygen transport
Detoxification
What imaging modality is often used first to evaluate liver disease?
MRI
CT
Ultrasound
PET
Which tracer is preferred for imaging hepatic hemangiomas?
99mTc-MAA
99mTc-RBC (in vitro tagged)
18F-FDG
99mTc-sulfur colloid
How long after 99mTc-RBC injection are delayed images typically taken?
Immediately
15 minutes
1 hour
2 hours
Which imaging technique provides 3D data and better localization than planar imaging?
CT
Ultrasound
SPECT/CT
PET
Which structure carries blood out of the liver back to the heart?
Hepatic vein
Portal vein
Hepatic artery
Inferior vena cava
What causes uptake of sulfur colloid in the lungs?
Proper kit heating
Oversized colloid particles
Excessive RBC tagging
Low oxygen saturation
What role do Kupffer cells play in liver imaging?
Produce bile
Tag RBCs
Phagocytose colloid particles
Store glucose
Kupffer cells in the liver primarily:
Produce bile
Synthesize albumin
Uptake radiocolloids via phagocytosis
Store glucose
What organ should NOT show uptake in a properly placed hepatic artery catheter study?
Liver
Lungs
Stomach
Heart
What is the average particle size of sulfur colloid used for liver scans?
0.1-0.2 m
0.3-1.0 m
1.5-3.0 m
10-15 m
Why is 99mTc-MAA injected slowly during hepatic mapping?
To improve image resolution
To match the flow rate of therapeutic microspheres
To reduce tracer binding
To limit splenic uptake
Imaging diagnostic tool that combines a series of cross sections...using high amounts of radiation.
CT Scan
MRI
Ultrasound
X-Ray
The medical imaging technique used to take a picture of soft tissue is a ______________.
CAT scan
xray
MRI
