Rossleigh M A
Department of Nuclear Medicine, Prince of Wales and Sydney Children's Hospitals, Sydney, Australia.
Q J Nucl Med Mol Imaging. 2009 Feb;53(1):72-7.
The scintigraphic imaging modality of choice in the evaluation of renal infections is renal cortical scintigraphy utilizing [(99m)Tc]dimercaptosuccinic acid (DMSA). This technique is able to demonstrate upper tract involvement with infection and to assess for the presence of renal cortical scarring following a urinary tract infection (UTI). There are recent publications advocating its use to determine which patients need to proceed to further investigation with cystography. It is also being utilized in the evaluation of different treatment regimes used in patients with UTI. Fluorodeoxyglucose (FDG)-PET and leukocyte scanning have only a minor role in the diagnosis of renal infection. Their main application is in the diagnosis of renal cyst infections in patients with polycystic renal disease.
在评估肾脏感染时，首选的闪烁成像方式是使用[（99m）Tc]二巯基丁二酸（DMSA）的肾皮质闪烁扫描。该技术能够显示上尿路感染累及情况，并评估尿路感染（UTI）后肾皮质瘢痕的存在情况。最近有出版物主张使用它来确定哪些患者需要进一步进行膀胱造影检查。它还被用于评估UTI患者使用的不同治疗方案。氟脱氧葡萄糖（FDG）-PET和白细胞扫描在肾脏感染的诊断中作用较小。它们的主要应用是诊断多囊肾病患者的肾囊肿感染。
