Bingham J B, Maisey M N, Joyce M R, Saxton H M
Contrib Nephrol. 1978;11:95-9. doi: 10.1159/000401784.
The use of 99Tcm-labelled DMSA as a static renal imaging agent has been analyzed semi-quantitatively in 366 patients. Study with this agent proved to be of most value in patients with equivocal space-occupying lesions of the kidney, provided useful information in various destructive diseases of the kidney when used for determining divided renal function but was of little value in chronic renal failure. In 33 patients, the uptake of 99Tcm-DMSA at 3 h as a measure of divided renal function was compared with the uptake of 99Tcm-DTPA from 30 to 150 sec following injection and was found to correlate well. In a series of 7 dogs with induced unilateral renal impairment, divided function determined with 99Tcm-DMSA was found to correlate well with results obtained using 51Cr-EDTA.
对366例患者使用99锝标记的二巯基丁二酸(99Tcm-DMSA)作为静态肾显像剂进行了半定量分析。该显像剂的研究对肾脏占位性病变诊断不明确的患者最有价值,用于测定分肾功能时,对各种肾脏破坏性疾病能提供有用信息,但对慢性肾衰竭患者价值不大。在33例患者中,将注射后3小时99Tcm-DMSA的摄取量作为分肾功能的指标,与注射后30至150秒99Tcm-二乙三胺五醋酸(99Tcm-DTPA)的摄取量进行比较,发现两者相关性良好。在一组7只诱导单侧肾损伤的犬中,发现用99Tcm-DMSA测定的分肾功能与用51铬-乙二胺四乙酸(51Cr-EDTA)获得的结果相关性良好。