Using 99mTc-DTPA galactosyl human serum albumin liver scintigraphy as a prognostic indicator in jaundice-free patients with biliary atresia

Study of 45 jaundice-free biliary atresia patients post-Kasai procedure demonstrates 99mTc-GSA liver scintigraphy parameters (HH15, H/L15) effectively predict need for liver transplantation. Patients requiring transplant showed significantly elevated scintigraphy markers and liver function abnormalities compared to those maintaining native liver function.