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[通过¹⁶⁹Yb - DTPA清除率测定肾小球滤过率的方法的比较评估]

[A comparative evaluation of methods for determining the glomerular filtration rate by 169Yb-DTPA clearance].

作者信息

Kasatkin Iu N, Shliakhto E V, Kaiukov I G, Dolgova I B, Pushkarev A A

出版信息

Med Radiol (Mosk). 1989 Nov;34(11):55-8.

PMID:2586263
Abstract

The authors present the results of comparative analysis of 7 radionuclide clearance methods for the determination of glomerular filtration rate (GFR), based on single administration of 169Yb-DTPC. A reference method was based on the determination of GFR by a curve of a decrease in plasma concentrations with subsequent biexponential analysis on a DVK-2M computer. Methods of the determination of GFR based on 2 blood drawing tests after achieving a uniform distribution of the indicator in its volume of dilution (1) and extracorporal labeling of gamma radiation by a precordial detector (2) showed the highest degree of correlation with the reference method (r = 0.918, p less than 0.001 and r = 0.920, p less than 0.001, respectively). The use of both methods based on a single-chamber model of renal clearance, led to good results, provided the measurements were to start not earlier than 1.5 h after administration of the indicator.

摘要

作者介绍了基于单次注射169Yb-DTPC的7种放射性核素清除率方法用于测定肾小球滤过率(GFR)的对比分析结果。参考方法是通过血浆浓度降低曲线测定GFR,并随后在DVK-2M计算机上进行双指数分析。基于在指示剂稀释体积中达到均匀分布后进行2次采血测试(1)以及通过心前区探测器对γ辐射进行体外标记(2)来测定GFR的方法,与参考方法显示出最高程度的相关性(分别为r = 0.918,p<0.001和r = 0.920,p<0.001)。基于肾清除单室模型的两种方法的使用,只要在指示剂给药后不早于1.5小时开始测量,就能得到良好结果。

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