| Japanese |
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| Title | 腎の核医学 |
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| Subtitle | 総説 |
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| Authors | 井上登美夫* |
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| Authors(kana) | |
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| Organization | *群馬大学医学部核医学教室 |
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| Journal | 核医学 |
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| Volume | 34 |
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| Number | 12 |
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| Page | 1149-1153 |
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| Year/Month | 1997/12 |
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| Article | 報告 |
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| Publisher | 日本核医学会 |
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| Abstract | 「要旨」昨年の米国核医学会誌に3つのコンセンサスレポートが掲載された. そのレポートの課題は, 腎クリアランス測定, 腎血管性高血圧の検出のためのACE阻害剤レノグラフィ, 上部尿路拡張を調べる利尿レノグラフィの3つである. 腎臓核医学は腎機能評価に有用な手法であるが, 施設間での検査手技, 検査方法, 解釈などのバラツキが大きかった. このコンセンサスレポートによる標準化は日常の腎臓核医学検査のレベルの向上の一助となるであろう. 99mTc-MAG3の導入は, その早いクリアランスとガンマカメラによるイメージングに適したガンマ線エネルギーによって, 腎臓核医学の有用性をさらに高めた. 本稿では, 99mTc-MAG3を用いたクリアランス測定, ACE阻害剤レノグラフィ, 利尿レノグラフィの検査原理, 手技, 検査の解釈について概説する. |
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| Practice | 臨床医学：一般 |
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| Keywords | 99mTc-MAG3, ACE inhibitor, Diuretic renography, Clearance |
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| English |
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| Title | Nuclear Nephrology |
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| Subtitle | Reviews |
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| Authors | Tomio INOUE |
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| Authors(kana) | |
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| Organization | Department of Nuclear Medicine, Gunma University School of Medicine |
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| Journal | The Japanese Journal of nuclear medicine |
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| Volume | 34 |
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| Number | 12 |
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| Page | 1149-1153 |
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| Year/Month | 1997/12 |
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| Article | Report |
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| Publisher | THE JAPANESE SOCIETY OF NUCLEAR MEDICINE |
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| Abstract | Three consensus reports entitled "renal clearance," "ACE inhibitor renography for detecting renovascular hypertension," and "diuresis renography for investigating the dilated upper urinary tract" were published in The Journal of Nuclear Medicine in 1996. Although nuclear nephrology is useful technique to evaluate renal function, there were wide variations of technical procedure and their interpretations among different centers. Minimal standardization by these consensus reports may help to raise the level of practice of renal nuclear medicine. The introduction of 99mTc-MAG3 (MAG3) enhanced the utility of renal nuclear medicine because of the rapid clearance and suitable γ-ray energy for imaging by gamma camera. In this chapter, the principle, procedures, and interpretations of renal nuclear medicine examinations using MAG3 regarding renal clearance measurements, ACE inhibitor renography, and diuresis renography are explained and discussed. |
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| Practice | Clinical medicine |
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| Keywords | 99mTc-MAG3, ACE inhibitor, Diuretic renography, Clearance |
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