在儿童中使用Tc-99m DMSA进行皮膜成像:机构审查
Septi Hardina1, Trias Nugrahadi1, Hendra Budiawan1
1Department of Nuclear Medicine, Padjadjaran University, Hasan Sadikin General Hospital, Bandung, Indonesia.
World journal of nuclear medicine
|August 22, 2024
概括
在评估儿科尿路感染 (UTI) 时,模囊糖酸 (DMSA) 扫描非常重要. 膀回流 (VUR) 与儿童的异常DMSA发现和功能受损有显著的关联.
科学领域:
- 儿科脏病学 儿科脏病学
- 核医学是一种核医学.
- 儿科泌尿外科 儿科泌尿外科
背景情况:
- 尿路感染 (UTI) 是一个常见的儿科疾病.
- 滴滴酸 (DMSA) 剪影评价皮质功能和形态,检测外细胞缺陷经常错过了超声波.
- 这项研究调查了儿童的DMSA光阴学,以确定与皮质缺陷相关的因素.
研究的目的:
- 为了检查儿童的DMSA光学扫描结果.
- 在儿科患者中确定与皮层缺陷相关的因素.
- 为了评估粘膜尿液回流 (VURs) 和DMSA光成像结果之间的关系.
主要方法:
- 在2019年11月至2023年2月期间接受DMSA光学扫描的30名儿童 (≤18岁) 的回顾性分析.
- 静脉注射99mTc-DMSA,然后进行静态平面和SPECT成像.
- 根据既定标准对皮质发现和功能差异进行分类.
主要成果:
- 大多数患者是女性 (53%),平均年龄为5.85岁; 73%患有尿路感染.
- 22名儿童患有先天性尿路异常,所有患有VUR的患者都表现出阳性缺陷.
- 在17名儿童中观察到异常的DMSA光阴扫描,VUR显著与异常发现和差异性功能受损相关 (p <0.05).
结论:
- 膀回流 (VURs) 与异常的DMSA光成像发现有显著的关联.
- 异常的DMSA扫描与儿童的差异性功能受损相关.
- 患有VUR的儿童需要特别注意,因为DMSA异常发现和功能障碍的可能性很高.
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