- 99mTc-DMSA 신티그램을 이용한 신장기능의 임상적 평가
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- 문태용
- ㆍ 간행물명
- 대한방사선의학회지
- ㆍ 권/호정보
- 1991년|27권 5호|pp.732-739 (8 pages)
- ㆍ 발행정보
- 대한영상의학회
- ㆍ 파일정보
- 정기간행물| PDF텍스트
- ㆍ 주제분야
- 기타
99mTc-DMSA(dimercaptosuccinic acid) renal uptake rates have provided an index for the cortical functioning mass and also made feasible a quantitative assessment of differential renal function by setting up a regression equation such as y=0.841x-4.5746(y: quantitative renal uptake rate, x: simple renal uptake rate). The author have investigated 99mTc-DMSA renal uptake rates in order to evaluate the renal function according to 1 group with normal kidney and 5 groups with renal diseases and to compare with serum BUN and creatinine in 335 cases which underwent 99mTc-DMSA renal scintigram during the last 3 years at Pusan National University Hospital. The quantitative renal uptake rates of 99mTc-DMSA at 3 hours after intravenous injection were 50.1$pm$1.5% in the normal kidndys group, 49.2$pm$3.4% in the healthy solitary kidney group, 28.3$pm$3.9% in the pathologic solitary kidneys group, 45.9$pm$1.3% in the unilateral nephropathy group, 26.0$pm$3.2% in the bilateral symmetric nephropathy group, and 32.3$pm$3.9% in the bilateral dissymmetric nephropathy group. When the diagnostic sensitivity of 99mTc-DMSA renal uptake rates was compared with those of serum BUN and creatinine, the 99mTc-DMSA renal uptake rates were more sinsitive than the latter in the true positive ratio. The 99mTc-DMSA renal scintigram provides good renal image qualiaty concomitantly. So 99mTc-DMSA renal scintigram could provide important clues in determinig the diagnosis, therapeutic effectiveness, and prognosis of renal diseases.