Holmes E R, Klingensmith W C, Kirchner P T, Wagner H N
J Nucl Med. 1977 Jul;18(7):702-5.
Renal perfusion, filtration rate, and excretion can be evaluated with technetium-99m diethylenetriamine pentaactate (Tc-DTPA) using immediate and delayed imaging. Two cases are presented in which the immediate images reveal a bilateral distribution of radiotracer characteristic of bilateral renal perfusion, but the delayed images showed no evidence of filtration or excretion on one side. There was congenital absence of the kidney on that side in one case and surgical absence in the other. The apparent renal perfusion on the side of the absent kidney was probably attributable to perfusion of small bowel occupying the renal fossa.
可使用锝-99m二乙三胺五乙酸(Tc-DTPA)并通过即时和延迟显像来评估肾灌注、滤过率及排泄情况。本文报告了两例病例,即时显像显示放射性示踪剂呈双侧分布,具有双侧肾灌注的特征,但延迟显像显示一侧无滤过或排泄迹象。其中一例为该侧先天性肾缺如,另一例为手术切除所致肾缺如。肾缺如侧的明显肾灌注可能归因于占据肾窝的小肠的灌注。