Mariss P, Thiede G
Rofo. 1977 May;126(5):442-6. doi: 10.1055/s-0029-1230613.
Hg-Cl2-accumulation and early hippuran uptake are widely used for the estimation of individual renal function, a clinically important procedure in nephrological-urological nuclear medicine. After clinical experience in more than 2500 patients we investigated the assessment of individual renal function by the uptake of Tc-DMSA, a new radiopharmaceutical for renal scintigraphy. Tc-DMSA-uptake was measured after application of 0.8-1.6 mCi Tc-99m-DMSA by a scintillation camera connected to a computer system and by a rectilinear scanner with data storage, additionally hippuran kinetics were registered with a scintillation camera, the total body clearance was performed due to the method of Oberhausen with a modified whole body counter. A good agreement and high correlation between Tc-DMSA-uptake with background corection and the unilateral renal clearance could be established. This easily available and clinically valuable method also can be adjusted to institutions with a rather simple equipment.
汞-氯化物蓄积和早期马尿酸摄取被广泛用于评估个体肾功能,这是肾泌尿核医学中一项临床重要的程序。在对2500多名患者进行临床经验后,我们研究了通过摄取锝-二巯基丁二酸(Tc-DMSA)来评估个体肾功能,Tc-DMSA是一种用于肾脏闪烁显像的新型放射性药物。在应用0.8 - 1.6毫居里的锝-99m-二巯基丁二酸后,通过连接到计算机系统的闪烁相机和带有数据存储功能的直线扫描仪测量Tc-DMSA摄取量,此外,用闪烁相机记录马尿酸动力学,采用奥伯豪森方法并使用改良的全身计数器进行全身清除率测定。在进行背景校正后,Tc-DMSA摄取量与单侧肾脏清除率之间可以建立良好的一致性和高度相关性。这种易于获得且具有临床价值的方法也可以适用于设备较为简单的机构。