원저 : 골스캔상 신장의 미만성 방사능집적 증가소견의 임상적 의의 ( Evaluation of Significance of Diffusely Increased Bilateral Renal Uptake on Bone Scan ) () |
Author |
성미숙(Mi Sook Sung),양우진(Woo Jin Yang),변재영(Jae Young Byun),박정미(Jung Mi Park),신경섭(Kyung Sub Shinn),박용휘(Yong Whee Bahk), |
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Abstract |
Unexpected renal abnormality can be detected on bone
scan using Tc-99m-MDP. The purpose of the study is to
evaluate the diagnostic significance of diffusely
increased bliateral renal uptake on bone scan. 1,500
bone scan were reviewed and 43 scans which showed
diffusely increased bliateral renal uptake were
selected for analysis. Laboratory findings for renal
and liver function tests including routine urinalysis
were reviewed in 43 patients. 26 of 43 case showed
abnormality in urinalysis and renal function study. 20
of 43 cases showed abnormal liver function study and 3
of these cases were diagnosed as hepatorenal syndrome
later. 13 of those 20 cases had liver cirrhosis with or
without hepatoma. 12 of 43 cases showed abnormality
both in renal and liver function studies. 2 of 43 cases
showed diffusely increased bilateral renal uptake after
chemotherapy for cancer but not on previous scans
before chemotherapy. 2 of 43 cases showed hypercalcemia
and 8 of 43 cases had multifocal bone uptake due to
metastasis or benign bone lesion. but the latter showed
no hypercalcemia at all. There was no significant
correlation between increased renal uptake and MDP
uptake in soft tissue other than kidneys. This study
raised the possibility that the impaired liver and/or
renal function may result in diffuse increase of
bliateral renal uptake of MDP of unknown mechaninsm. It
seems to need further study on this correlation. |
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Full text Article |
28500974.pdf
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