Gotoh K, Toyoda N, Tanaka Y
Int Urol Nephrol. 1976;8(1):11-6. doi: 10.1007/BF02081986.
As a routine diagnostic approach to patients who present hematuria or abnormal findings in X-ray films such as intravenous pyelograms, the cases are submitted to serial scintiphotography every two minutes after the intravenous administration of 250 muCi of 131I-Hippuran and to renography with PHO/GAMMA Scintillation Camera (Nuclear-Chicago). When scintiphotography with 131I-Hippuran reveals filling defect in the kidney region, scintiphotography with 150 muCi of 203Hg-chlormerodrin and renal blood flow scintiphotography after antecubital intravenous injection of 10 mCi of 99mTc are carried out. The present report concerns 8 cases of renal tumor and 5 cases of renal cyst confirmed by X-ray examination and surgical operation. The scintiphotography revealed decreased uptake of 131I-Hippuran and 203Hg-chlormerodrin in both tumor and cyst sites, exhibiting round or band-shaped filling defects. On the other hand, renal blood flow scintiphotography with 99mTc demonstrated the cyst as a filling defect but failed to visualize most of tumors. Accordingly, these techniques are available for differential diagnosis of the two lesions.
对于出现血尿或在静脉肾盂造影等X线片上有异常表现的患者，常规诊断方法是在静脉注射250微居里的131I - 马尿酸后每两分钟进行一次连续闪烁照相，并使用PHO/GAMMA闪烁相机（核芝加哥公司）进行肾造影。当131I - 马尿酸闪烁照相显示肾区有充盈缺损时，进行静脉注射150微居里的203Hg - 氯汞丙脲闪烁照相以及在前臂静脉注射10毫居里的99mTc后的肾血流闪烁照相。本报告涉及8例经X线检查和手术证实的肾肿瘤及5例肾囊肿。闪烁照相显示肿瘤和囊肿部位对131I - 马尿酸和203Hg - 氯汞丙脲的摄取减少，呈现圆形或带状充盈缺损。另一方面，99mTc肾血流闪烁照相显示囊肿为充盈缺损，但未能显示大多数肿瘤。因此，这些技术可用于这两种病变的鉴别诊断。
