Single photon emission computed tomography with Tc-99m-dimercaptosuccinic acid in patients with upper urinary tract infection and/or vesicoureteral reflux
By means of Tc-99m dimercaptosuccinic acid (DMSA) scintigraphy, an established method for assessing renal cortical damage, we evaluated the pick-up rate for renal defects (scars) by single photon computed tomography (SPECT) and planar images of 10 normal volunteers, and 58 patients (70 scintigrams)...
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Veröffentlicht in: | Annals of nuclear medicine 1991-03, Vol.5 (1), p.29-34 |
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creator | Itoh, K Asano, Y Tsukamoto, E Kato, C Nakada, K Nagao, K Furudate, M Gotoh, T Nonomura, K Koyanagi, T |
description | By means of Tc-99m dimercaptosuccinic acid (DMSA) scintigraphy, an established method for assessing renal cortical damage, we evaluated the pick-up rate for renal defects (scars) by single photon computed tomography (SPECT) and planar images of 10 normal volunteers, and 58 patients (70 scintigrams) with upper urinary tract infections, most of whom had a history of vesicoureteral reflux (VUR). The positive study rate for renal defects depended on the severity of VUR. The overall positive rates for renal cortical defects obtained by DMSA SPECT imaging and DMSA planar imaging were 60% and 43%, respectively, and the difference between these was significant (p less than 0.005). The mean absolute individual renal uptake (/injected dose) at 2 hours post-injection was decreased in kidneys with defects detected by SPECT alone. The positive study rate for intravenous urography (IVU) depended on the grade of VUR and was 15% overall. DMSA SPECT imaging detects renal cortical defects at greater frequency than previously achieved. |
doi_str_mv | 10.1007/BF03164610 |
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The positive study rate for renal defects depended on the severity of VUR. The overall positive rates for renal cortical defects obtained by DMSA SPECT imaging and DMSA planar imaging were 60% and 43%, respectively, and the difference between these was significant (p less than 0.005). The mean absolute individual renal uptake (/injected dose) at 2 hours post-injection was decreased in kidneys with defects detected by SPECT alone. The positive study rate for intravenous urography (IVU) depended on the grade of VUR and was 15% overall. DMSA SPECT imaging detects renal cortical defects at greater frequency than previously achieved.</description><identifier>ISSN: 0914-7187</identifier><identifier>EISSN: 1864-6433</identifier><identifier>DOI: 10.1007/BF03164610</identifier><identifier>PMID: 1650570</identifier><language>eng</language><publisher>Japan</publisher><subject>Adolescent ; Adult ; Child ; Child, Preschool ; Female ; Humans ; Infant ; Kidney Cortex - diagnostic imaging ; Kidney Cortex - pathology ; Male ; Middle Aged ; Organotechnetium Compounds ; Succimer ; Technetium Tc 99m Dimercaptosuccinic Acid ; Tomography, Emission-Computed, Single-Photon ; Urinary Tract Infections - complications ; Urinary Tract Infections - diagnostic imaging ; Urinary Tract Infections - pathology ; Vesico-Ureteral Reflux - complications ; Vesico-Ureteral Reflux - diagnostic imaging ; Vesico-Ureteral Reflux - pathology</subject><ispartof>Annals of nuclear medicine, 1991-03, Vol.5 (1), p.29-34</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c228t-da345d316bda25a781d5b5fa8086b6f66f638ecf4c57f36449cc156b25dee2973</citedby><cites>FETCH-LOGICAL-c228t-da345d316bda25a781d5b5fa8086b6f66f638ecf4c57f36449cc156b25dee2973</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/1650570$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Itoh, K</creatorcontrib><creatorcontrib>Asano, Y</creatorcontrib><creatorcontrib>Tsukamoto, E</creatorcontrib><creatorcontrib>Kato, C</creatorcontrib><creatorcontrib>Nakada, K</creatorcontrib><creatorcontrib>Nagao, K</creatorcontrib><creatorcontrib>Furudate, M</creatorcontrib><creatorcontrib>Gotoh, T</creatorcontrib><creatorcontrib>Nonomura, K</creatorcontrib><creatorcontrib>Koyanagi, T</creatorcontrib><title>Single photon emission computed tomography with Tc-99m-dimercaptosuccinic acid in patients with upper urinary tract infection and/or vesicoureteral reflux</title><title>Annals of nuclear medicine</title><addtitle>Ann Nucl Med</addtitle><description>By means of Tc-99m dimercaptosuccinic acid (DMSA) scintigraphy, an established method for assessing renal cortical damage, we evaluated the pick-up rate for renal defects (scars) by single photon computed tomography (SPECT) and planar images of 10 normal volunteers, and 58 patients (70 scintigrams) with upper urinary tract infections, most of whom had a history of vesicoureteral reflux (VUR). The positive study rate for renal defects depended on the severity of VUR. The overall positive rates for renal cortical defects obtained by DMSA SPECT imaging and DMSA planar imaging were 60% and 43%, respectively, and the difference between these was significant (p less than 0.005). The mean absolute individual renal uptake (/injected dose) at 2 hours post-injection was decreased in kidneys with defects detected by SPECT alone. The positive study rate for intravenous urography (IVU) depended on the grade of VUR and was 15% overall. DMSA SPECT imaging detects renal cortical defects at greater frequency than previously achieved.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Female</subject><subject>Humans</subject><subject>Infant</subject><subject>Kidney Cortex - diagnostic imaging</subject><subject>Kidney Cortex - pathology</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Organotechnetium Compounds</subject><subject>Succimer</subject><subject>Technetium Tc 99m Dimercaptosuccinic Acid</subject><subject>Tomography, Emission-Computed, Single-Photon</subject><subject>Urinary Tract Infections - complications</subject><subject>Urinary Tract Infections - diagnostic imaging</subject><subject>Urinary Tract Infections - pathology</subject><subject>Vesico-Ureteral Reflux - complications</subject><subject>Vesico-Ureteral Reflux - diagnostic imaging</subject><subject>Vesico-Ureteral Reflux - pathology</subject><issn>0914-7187</issn><issn>1864-6433</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1991</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkU9LHTEUxUOx2Kd2030hKxeFqUlmksksq9QqCF2o6yFzc8eXMjNJ80frV_HTdh5PcClcuHfx41zOOYR84ew7Z6w9O79kNVeN4uwD2XCtmko1dX1ANqzjTdVy3X4iRyn9YUxoqcUhOeRKMtmyDXm5dcvDhDRsffYLxdml5NYD_BxKRkuzn_1DNGH7TJ9c3tI7qLpurqybMYIJ2acC4BYH1ICz1C00mOxwyWnPlxAw0hLdYuIzzdFAXqERIe_emMWe-UgfMTnwJWLGaCYacZzKvxPycTRTws-v-5jcX_68u7iqbn7_ur74cVOBEDpX1tSNtKv_wRohTau5lYMcjWZaDWpU69QaYWxAtmOtmqYD4FINQlpE0bX1MTnd64bo_xZMuV9DAJwms6AvqdesFYxL-S4oOBdK6p3itz0I0ae0uulDdPPqv-es3zXWvzW2wl9fVcswo31D9xXV_wGPG5Re</recordid><startdate>199103</startdate><enddate>199103</enddate><creator>Itoh, K</creator><creator>Asano, Y</creator><creator>Tsukamoto, E</creator><creator>Kato, C</creator><creator>Nakada, K</creator><creator>Nagao, K</creator><creator>Furudate, M</creator><creator>Gotoh, T</creator><creator>Nonomura, K</creator><creator>Koyanagi, T</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QO</scope><scope>8FD</scope><scope>FR3</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>199103</creationdate><title>Single photon emission computed tomography with Tc-99m-dimercaptosuccinic acid in patients with upper urinary tract infection and/or vesicoureteral reflux</title><author>Itoh, K ; Asano, Y ; Tsukamoto, E ; Kato, C ; Nakada, K ; Nagao, K ; Furudate, M ; Gotoh, T ; Nonomura, K ; Koyanagi, T</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c228t-da345d316bda25a781d5b5fa8086b6f66f638ecf4c57f36449cc156b25dee2973</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1991</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Female</topic><topic>Humans</topic><topic>Infant</topic><topic>Kidney Cortex - diagnostic imaging</topic><topic>Kidney Cortex - pathology</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Organotechnetium Compounds</topic><topic>Succimer</topic><topic>Technetium Tc 99m Dimercaptosuccinic Acid</topic><topic>Tomography, Emission-Computed, Single-Photon</topic><topic>Urinary Tract Infections - complications</topic><topic>Urinary Tract Infections - diagnostic imaging</topic><topic>Urinary Tract Infections - pathology</topic><topic>Vesico-Ureteral Reflux - complications</topic><topic>Vesico-Ureteral Reflux - diagnostic imaging</topic><topic>Vesico-Ureteral Reflux - pathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Itoh, K</creatorcontrib><creatorcontrib>Asano, Y</creatorcontrib><creatorcontrib>Tsukamoto, E</creatorcontrib><creatorcontrib>Kato, C</creatorcontrib><creatorcontrib>Nakada, K</creatorcontrib><creatorcontrib>Nagao, K</creatorcontrib><creatorcontrib>Furudate, M</creatorcontrib><creatorcontrib>Gotoh, T</creatorcontrib><creatorcontrib>Nonomura, K</creatorcontrib><creatorcontrib>Koyanagi, T</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Annals of nuclear medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Itoh, K</au><au>Asano, Y</au><au>Tsukamoto, E</au><au>Kato, C</au><au>Nakada, K</au><au>Nagao, K</au><au>Furudate, M</au><au>Gotoh, T</au><au>Nonomura, K</au><au>Koyanagi, T</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Single photon emission computed tomography with Tc-99m-dimercaptosuccinic acid in patients with upper urinary tract infection and/or vesicoureteral reflux</atitle><jtitle>Annals of nuclear medicine</jtitle><addtitle>Ann Nucl Med</addtitle><date>1991-03</date><risdate>1991</risdate><volume>5</volume><issue>1</issue><spage>29</spage><epage>34</epage><pages>29-34</pages><issn>0914-7187</issn><eissn>1864-6433</eissn><abstract>By means of Tc-99m dimercaptosuccinic acid (DMSA) scintigraphy, an established method for assessing renal cortical damage, we evaluated the pick-up rate for renal defects (scars) by single photon computed tomography (SPECT) and planar images of 10 normal volunteers, and 58 patients (70 scintigrams) with upper urinary tract infections, most of whom had a history of vesicoureteral reflux (VUR). 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subjects | Adolescent Adult Child Child, Preschool Female Humans Infant Kidney Cortex - diagnostic imaging Kidney Cortex - pathology Male Middle Aged Organotechnetium Compounds Succimer Technetium Tc 99m Dimercaptosuccinic Acid Tomography, Emission-Computed, Single-Photon Urinary Tract Infections - complications Urinary Tract Infections - diagnostic imaging Urinary Tract Infections - pathology Vesico-Ureteral Reflux - complications Vesico-Ureteral Reflux - diagnostic imaging Vesico-Ureteral Reflux - pathology |
title | Single photon emission computed tomography with Tc-99m-dimercaptosuccinic acid in patients with upper urinary tract infection and/or vesicoureteral reflux |
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