원저 : 99mTc - DTPA 및 Gamma Scintillation Camera를 이용한 사구체 여과율의 측정 ( Estimation of Glomerular Filtration Rate Using 99mTc - DTPA and Gamma Scintillation Camera ) () |
Author |
최재걸(Jae Gol Choe),백세현(Sei Hyun Baik),이민재(Min Jae Lee),서원혁(Won Hyuck Suh), |
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Abstract |
The radioisotopic measurement of glomerular filtration
rate (GFR) has required analysis of serial blood or
urine samples over several hours, and does not allow
measurement of separate renal function unless separate
catherterization of individual ureters is done. Gates
described isotopic method for the measurement of global
and unilateral GFR based on the determination by
scintillation camera of the fraction of the injected
dose of Tc-99m-diethylenetriaminepentaacetic acid
(DTPA) present in the kidneys 2-3 minutes after its
administration.We calculated GFR according to Gates'
method in 58 adult patients with various levels of
global renal function using Tc-99m DTPA and validated
this technique by correlation with 24 hour creatinine
clearance. A good correlation was observed between 24
hour creatinine clearance and GFR calculated by Gates'
formula, with an r value of 0.91 (p〈0.01). We
concluded that determination of GFR according to the
Gates' formula allows good and reproducible prediction
of GFR with great rapidity and simplicity rendering
this technique suitable for clinical practice. |
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Full text Article |
28501161.pdf
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