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锝-99m-乙二巯基丁二酸在分肾功能计算中的作用:与二巯基丁二酸肾闪烁显像的比较研究

Role of Technetium-99m-Ethylenedicysteine in the Calculation of Differential Renal Function: A Comparison Study with Dimercaptosuccinic Acid Renal Scintigraphy.

作者信息

Hedayati Raheleh, Hekmat Sepideh, Rastgou Fereydoun, Yaghoobi Nahid, Firoozabadi Hasan, Bitarafan-Rajabi Ahmad, Malek Hadi, Arabshameli Somaie

机构信息

Department of Nuclear Medicine, Rassoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.

Department of Nuclear Medicine, School of Medicine, Hasheminejad Hospital, Iran University of Medical Sciences, Tehran, Iran.

出版信息

Indian J Nucl Med. 2021 Jan-Mar;36(1):21-24. doi: 10.4103/ijnm.IJNM_94_20. Epub 2021 Mar 4.

DOI:10.4103/ijnm.IJNM_94_20
PMID:34040291
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8130686/
Abstract

PURPOSE OF THE STUDY

The aim of our study was to compare the technetium-99m (Tc-99m)-ethylenedicysteine (EC) renography calculation of differential renal function (DRF) with this measurement using Tc-99m-dimercaptosuccinic acid (DMSA) scintigraphy.

MATERIALS AND METHODS

Patients referred to our department were included in our study, and both DMSA and EC scans were performed for each patient according to the standard imaging protocols. A checklist was filled for each patient. Statistical analysis was performed using correlation and regression methods.

RESULTS

Forty-two patients (mean age: 3.6 ± 3.4 years), including 32 boys and 10 girls, participated in our study. The results of EC scintigraphy were significantly correlated with the values of DMSA scintigraphy ( < 0.001). Performing linear regression, EC renography significantly ( < 0.001) predicted the DRF as it was calculated by DMSA scintigraphy ( = 0.92, < 0.001). This test was significant in both male and female subgroups ( < 0.001).

CONCLUSIONS

Overall, our study findings were similar to the reported results in the other reviewed studies, showing that Tc-99m-EC can be considered as an alternative for DMSA scintigraphy, providing interchangeable results.

摘要

研究目的

我们研究的目的是比较锝-99m(Tc-99m)-乙二巯基丁二酸(EC)肾图计算的分肾功能(DRF)与使用Tc-99m-二巯基丁二酸(DMSA)闪烁扫描法进行的该测量结果。

材料与方法

转诊至我们科室的患者纳入本研究,根据标准成像方案对每位患者进行DMSA和EC扫描。为每位患者填写一份检查表。使用相关性和回归方法进行统计分析。

结果

42例患者(平均年龄:3.6±3.4岁),包括32名男孩和10名女孩,参与了我们的研究。EC闪烁扫描结果与DMSA闪烁扫描值显著相关(<0.001)。进行线性回归分析,EC肾图显著(<0.001)预测了DMSA闪烁扫描法计算的DRF(=0.92,<0.001)。该检测在男性和女性亚组中均具有显著性(<0.001)。

结论

总体而言,我们的研究结果与其他综述研究中报告的结果相似,表明Tc-99m-EC可被视为DMSA闪烁扫描法的替代方法,能提供可互换的结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/75cb/8130686/06202202af65/IJNM-36-21-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/75cb/8130686/2acffc2d8897/IJNM-36-21-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/75cb/8130686/06202202af65/IJNM-36-21-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/75cb/8130686/2acffc2d8897/IJNM-36-21-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/75cb/8130686/06202202af65/IJNM-36-21-g002.jpg

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Semin Nucl Med. 2017 May;47(3):204-228. doi: 10.1053/j.semnuclmed.2016.12.002. Epub 2017 Mar 6.
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Comparison of DMSA scan 99 m and EC scan 99 m in diagnosis of cortical defect and differential renal function.
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The Society for Fetal Urology consensus statement on the evaluation and management of antenatal hydronephrosis.胎儿泌尿外科学会关于产前肾积水的评估和管理的共识声明。
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Comparison of relative renal function measured with either 99mTc-DTPA or 99mTc-EC dynamic scintigraphies with that measured with 99mTc-DMSA static scintigraphy.用99mTc-DTPA或99mTc-EC动态闪烁扫描法测量的相对肾功能与用99mTc-DMSA静态闪烁扫描法测量的相对肾功能的比较。
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