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131I - 19 - 胆固醇在肾上腺活体功能动态研究中的应用。II. 临床应用。

Use of 131I-19-cholesterol in functional dynamic studies of the adrenals in vivo. II. Clinical application.

作者信息

Pavoni P, Favella A, Mango L, Sciortino R, Vitale L

出版信息

Eur J Nucl Med. 1977 Dec 30;2(4):247-56. doi: 10.1007/BF00252573.

DOI:10.1007/BF00252573
PMID:608467
Abstract

Functional dynamic studies of the adrenal in vivo employing 131I-19-cholesterol were carried out as a further screening test, according to the method previously described (Pavonia and Magrini, 1977), on seven patients in whom hyperadrenocorticism was suspected on the basis of clinical symptoms. The data obtained in basal conditions, under ACTH stimulation, and under dexamethasone suppression, compared with each other and supported by the results of conventional examinations, demonstrate that the quantitative information provided by this radioisotope test is correlated with the functional state of each adrenal, thus confirming the potential value of the method for diagnostic purposes. The functional dynamic test proposed does not require a higher dose of tracer than morphologic studies and the radiation risk (approximately 2.5 rad to the ovaries or gonads) seems acceptable in adult subjects.

摘要

根据先前描述的方法(帕沃尼亚和马格里尼,1977年),对7名因临床症状怀疑患有肾上腺皮质功能亢进的患者进行了使用131I-19-胆固醇的肾上腺活体功能动态研究,作为进一步的筛查测试。在基础条件下、促肾上腺皮质激素(ACTH)刺激下和地塞米松抑制下获得的数据相互比较,并得到传统检查结果的支持,表明该放射性同位素测试提供的定量信息与每个肾上腺的功能状态相关,从而证实了该方法在诊断方面的潜在价值。所提出的功能动态测试所需的示踪剂剂量并不比形态学研究高,而且辐射风险(对卵巢或性腺约为2.5拉德)在成年受试者中似乎是可以接受的。

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Use of 131I-19-cholesterol in functional dynamic studies of the adrenals in vivo. II. Clinical application.131I - 19 - 胆固醇在肾上腺活体功能动态研究中的应用。II. 临床应用。
Eur J Nucl Med. 1977 Dec 30;2(4):247-56. doi: 10.1007/BF00252573.
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引用本文的文献

1
Use of 131I-19 cholesterol in functional dynamic studies of the adrenals in vivo. III. Compartmental analysis.
Eur J Nucl Med. 1980 Jun;5(3):247-55. doi: 10.1007/BF00271907.

本文引用的文献

1
Percent uptake of 131-I radioactivity in the adrenal from radioiodinated cholesterol.放射性碘化胆固醇在肾上腺中对131-I放射性的摄取百分比。
J Clin Endocrinol Metab. 1972 Jan;34(1):36-43. doi: 10.1210/jcem-34-1-36.
2
Imaging functional nodules of the adrenal glands with 131-I-19-iodocholesterol.用¹³¹I-19-碘胆固醇对肾上腺功能性结节进行成像。
J Nucl Med. 1974 Apr;15(4):246-51.
3
Differential diagnosis of female hirsutism, Cushing's and Conn's syndrome. Quantitative sequential scintigraphy of the adrenals with 131-J-19-iodocholesterol.
女性多毛症、库欣综合征和原发性醛固酮增多症的鉴别诊断。用131-J-19-碘胆固醇对肾上腺进行定量序贯闪烁扫描。
Acta Endocrinol Suppl (Copenh). 1973;173:171. doi: 10.1530/acta.0.072s171.
4
Adrenal gland photoscanning by means of 131I-iodinated cholesterol.
Ric Clin Lab. 1976 Jan-Mar;6(7):85-91.