원저 : 99mTc - DMSA와 99ㅡTc - DTPA의 상대적 신섭취율을 이용한 신기능의 평가 ( Evaluation of Renal Function Determined by Relative Renal Uptake of 99mTc - DMSA and Relative Glomerular Filteration Rate of 99mTc - DTPA ) () |
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정병천(Byung Chun Chung),최정일(Chung Il Choi),김광원(Kwang Weon Kim),이재태(Jae Tae Lee),이규보(Kyu Bo Lee),권태환(Tae Hwan Kwon),조동규(Dong Kyu Cho), |
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Abstract |
Background: The evaluation of individual renal function
is important to diagnosis and follow-up of various
diseases. Ureteral catheterization of each kidney has
been widely used for this purpose, but this method had
some technical difficulty, frequent complications and
much restriction in reapplication. Therefore we tried
to applicate radiopharmaceuticals for the evaluation of
individuai renal function. Methods: We measured 2 hour,
4 hour and 24 hour relative renal uptake of 99mTc-DMSA
and relative glomerular filteration rate of 99mTc-DTPA
with 59 patients with various renal diseases to
determine their usefulness for assessment of individual
renal function and to compare correlations between
every renal uptake of Tc-DMSA and relative glornerular
filteration rate. Results: The correlations between 2
hour-, 4 hour- and 24 hour- relative renal uptake of
99mTc-DMSA and relative glomerular filterat.ion rate of
99mTc-DTPA were R=0.9190 (p<0.001), R=O. 9229 (p<0.001)
and R=0.9917 (p<0.001). In acute obstructive uropathy,
the correlations at 2 hour and 4 houre were poor as
R=0.1812 (p<0.05) and R=0.4923 (p<0.05), but the
correlation at 24 hour was good as R=0.9942 (p<0.001).
Conclusions: We concluded that relative renal uptake at
2 hour and 4 hour had good correlation with relative
DTPA uptake ratio in the cases without chronic renal
failure and obstructive uropathy. Delayed image with 24
hour relative renal uptake of 99mTc-DMSA had the best
correlation with relative glomerular filteration rate
of 99mTc-DTPA and that might be useful in evaluation
of chronic renal disease in which showed increased
beckground activity or acute obstructive uropathy. |
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Full text Article |
28501137.pdf
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