Yeo E E, Miller J H
Department of Radiology, Childrens Hospital, Los Angeles, CA 90027.
Clin Nucl Med. 1994 Dec;19(12):1045-8. doi: 10.1097/00003072-199419120-00001.
Post-transplant hypertension can be a diagnostic dilemma. In a select population of pediatric patients, in whom other diagnostic methods failed to reveal an abnormality, renal cortical SPECT imaging, using either Tc-99m GH or Tc-99m DMSA, revealed information that was not apparent on conventional planar renal scintigraphy. Abnormalities detected by this methodology included unsuspected renal infarct and areas of segmental perfusion deficit. The authors conclude that this methodology is a valuable tool in the evaluation of post renal transplantation hypertension in pediatric patients.
移植后高血压可能是一个诊断难题。在一部分特定的儿科患者中，其他诊断方法未能发现异常，而使用锝-99m促生长激素（Tc-99m GH）或锝-99m二巯丁二酸（Tc-99m DMSA）进行的肾皮质单光子发射计算机断层显像（SPECT），揭示了一些在传统平面肾闪烁显像中不明显的信息。通过这种方法检测到的异常包括意外的肾梗死和节段性灌注缺损区域。作者得出结论，这种方法是评估儿科患者肾移植后高血压的一种有价值的工具。
