Japanese
Title骨シンチグラフィー時に描出される腎イメージについて
Subtitle原著
Authors柳沢宗利*, 町田豊平*, 三木誠*, 大石幸彦*, 上田正山*, 木戸晃*
Authors(kana)
Organization*東京慈恵会医科大学泌尿器科学教室
Journal核医学
Volume15
Number2
Page221-226
Year/Month1978/4
Article原著
Publisher日本核医学会
Abstract「I. 緒言」99mTc-polyphosphate, -pyrophosphate, -diphosphonateなど各種の99mTc標識リン酸塩が, 骨スキャン剤として使用されるようになってから, 骨シンチグラフィーは極めて盛んになってきた. もちろん骨シンチグラフィーは骨病変の検索のために施行されるのであるが, 99mTcリン酸塩による骨シンチグラフィーでは同時に腎イメージも描出されるため, 骨イメージとあわせて腎イメージを読む有用性が指摘されるようになった. かねてよりわれわれもこの点に注目してきたが, 骨シンチグラフィー時に描出される腎イメージの臨床的意味について, 腎, 尿路系疾患を中心に検討を行ったので報告する. 「II. 対象および方法」対象は1973年4月より1976年4月までの3年間に慈恵医大附属病院で行った全身骨シンチグラフィー127例, 年齢は4歳から83歳までで, 泌尿器科, 整形外科, 内科など各科の症例が含まれている.
Practice臨床医学:一般
KeywordsRenal images, Whole-bone scanning, 99mTc-pyrophospate
English
TitleRetrospective Sturdy of Renal Images on Whole Bone Scanning
SubtitleOriginal Articles
AuthorsMunetoshi YANAGISAWA, Toyohei MACHIDA, Makoto MIKI, Yukihiko OHISHI, Masataka UEDA, Akira KIDO
Authors(kana)
OrganizationDepartment of urology, Jikei University School of Medicine
JournalThe Japanese Journal of nuclear medicine
Volume15
Number2
Page221-226
Year/Month1978/4
ArticleOriginal article
PublisherTHE JAPANESE SOCIETY OF NUCLEAR MEDICINE
Abstract[Summary]Renal images on whole-bone scanning were evaluated. One hundred and twenty-seven cases were surveyed by 99mTc-pyrophosphate at Jikei hospital. Renal images on whole-bone scanning were observed in all cases; 75% of all renal images were normal and 25% were abnormal. Thirteen percent of these abnormal images were symmetric and 87% were asymmetric. Four of the symmetric renal images were bilaterally bad. Three of the four bilaterally bad renal images involved prostate carcinomas with general metastases and the last involved serious bilateral hydronephrosis. The aeason for the high percentage of asymmetric renal images was that the materials involved many urogenital cases. Asymmetric renal images other than the urogenital cases, were recognised in 8% of all cases. This percentage is consistent with Hattner's report. Unilateral abnormal renal images involved 8 hydronephrosis cases, 2 unilateral nonfunctioning kidneys and one malrotation kidney. Among the hydronephrosis cases, serious cases gave low uptake and mild cases gave high uptake. The reason for this phenomenon was, presumably, that there were differences in renal uptake, renal excretion and renal pelvic accumulation. In nine cases, one kidney was not visualized on whole-bone scanning, 8 of them involved nephrectomy and the remainining one unilateral nonfunctioning kidney. Six cases presented locally abnormal renal images on whole-bone scanning, three of them suffered renal cell carcinomas and the rest renal solitary cyst. Eighty-eight percent of the abnormal renal images agreed with IVP findings. The renal images on whole-bone scanning faith-fully reflected the original renal lesion. Two cases of renal carcinoma and renal solitary cyst recognized on whole-bone scanning are presented, to indicate the usefulness of renal images on whole-bone scanning.
PracticeClinical medicine
KeywordsRenal images, Whole-bone scanning, 99mTc-pyrophospate

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