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99mTc - DISIDA를 이용한 간 혈류 중 동맥 분획의 측정
양일권(Il Kwon Yang),박용휘(Yong Whee Bahk),이해규(Hae Giu Lee),임계연(Gye Yeon Lim),김학희(Hack Hee Kim),임정익(Jung Ik Lim),한석원(Sok Won Han),한남익(Nam Ik Han),이영석(Young Sok Lee) 대한핵의학회 1991 핵의학 분자영상 Vol.25 No.2
N/A Arteriai fraction of total hepatic blood flow was estimated by a new method, slope method, on radionuclid angiogram using 99mTc-DISIDA and was compared with that from 99mTc-Phytate radionu clide angiogram. This study included ll of normal subjects, 37 of intermediate group with various liver diseases, and 25 patients with liver cirrhosis. We analyzed the datas with slope method from radionuclide angiograms and the results were compared with hepatic arterial fractions from uptake method, introduced by Lee et al. at 1986. The hepatic arterial fractions from radionuclide angiograms using Tc-DISIDA and 99mTc- Phytate were 0.32 +- 0.09 and 0.31 +- O.11 respectively in normal subjects, and 0.75+0.18 and 0.77+0.21 respectively in patients with liver cirrhosis. The hepatic arterial fractions by the slope method was well correlated with those of the uptake method on 99mTc-DISIDA scan. There was high correlation between the hepatic arterial fractions from 99mTc-DISIDA and 99mTc-Phytate scans. Hepatic arterial fraction estimated by the slope method is a useful index for the diagnosis of liver cirrhosis and the evaiuation of status of portal hypertension.
소아의 상부 요관확장증에서 폐쇄 유무 감별에 있어 Tc-99m DTPA 이뇨 신장 신티그램의 유용성
한성태,이재문,손형선,임계연,양기라 대한핵의학회 1999 핵의학 분자영상 Vol.33 No.1
Purpose: The purpose of this study was to evaluate the accuracy of Tc-99m DTPA diuretic renal scans in children upper urinary tract. Materials and Methods: We reviewed diuretic renal scans of 14 pediatric patients (age range: 3 days to 4 years) with unilateral hydronephrosis diagnosed by ultrasonography. Diuretic renal scan was done using Tc-99m DTPA and standardized protocol. In 3 neonates, diuretic renal scans were performed within 1 week and 3-7 months after birth. Results: Six patients required pyeloplasty and eight were managed conservatively. All 6 patients requiring pyeloplasty were diagnosed as having ureteropelvic junction obstruction in the diuretic renal scan. In these 6 patients, post-operative renal scans at 3-12 months after surgery were converted to nonobstructive pattern in 5 and a nonobstructive patterns in 1. In 3 patients who underwent diuretic renal scan within 1 week after birth., nonobstructive patterns of initial scan were coverted to obstructive patterns in the follow-up scan. However, all patients with nonobstructive diuretic renal scans performed after the neonatal period did well on serial ultrasonography and showed favorable clinical outcome without progression to obstruction. Conclusion: Tc-99m DTPA diuretic renal scan with standarized protocol is useful in assessing suspected ureteropelvic junction obstruction in children as an initial diagnostic or post-operative follow-up modality. Nonobstructive or indeterminate scan results in the neonatal period requires follow-up scan to monitor development of the obstructive pattern.