Steudel A, Nicolas V, Klehr H U, Spannbrucker N, Molitor D, Harder T
Radiologische Klinik, Universität Bonn.
Rofo. 1987 Nov;147(5):514-20. doi: 10.1055/s-2008-1048690.
The results obtained by MR tomography in 30 patients after renal grafting are compared with the clinical and histological data in respect of corticomedullary contrast (CMC). In 22 patients with regular functioning of the transplant the CMC was normal at 19.4%. Eight MR examinations yielded a clearly reduced CMC below 14%. In 7 of these 8 patients it was possible to prove histologically the existence of an acute tubular necrosis or of a transplant rejection. Noninvasive MR tomography yielded an early indication for treating the acute renal transplant rejection without being able to differentiate between such a rejection and acute renal failure.
对30例肾移植患者进行磁共振断层扫描所获得的结果，就皮髓质对比度（CMC）而言，与临床和组织学数据进行了比较。在22例移植功能正常的患者中，19.4%的患者CMC正常。8次磁共振检查显示CMC明显降低至14%以下。在这8例患者中的7例中，组织学上证实存在急性肾小管坏死或移植排斥反应。无创性磁共振断层扫描可为急性肾移植排斥反应的治疗提供早期指征，但无法区分这种排斥反应与急性肾衰竭。
