2024-03-28T15:40:23Z
https://niigata-u.repo.nii.ac.jp/oai
oai:niigata-u.repo.nii.ac.jp:00006539
2022-12-15T03:39:50Z
453:456
471:537:568:633
Imaging Diagnosis and Urinary Parameters in Reflux Nephropathy Patients : Clinical Correlates
Imaging Diagnosis and Urinary Parameters in Reflux Nephropathy Patients : Clinical Correlates
Takeda, Masayuki
Katayama, Yasushi
Tsutsui, Toshiki
Sato, Shotaro
The value of various imaging techniques and urinary parameters for the assessment of reflux nephropathy was examined in 183 patients with primary vesicoureteric reflux attending Niigata University Hospital. 1. To detect scarring, dimercaptosuccinic acid (DMSA) planar renal scintigraphy was superior to intravenous pyelography, while both DMSA SPECT scintigraphy and magnetic resonance imaging were superior to DMSA planar scintigraphy. 2. ^<99m>Tc-DMSA uptake was measured in patients with reflux as an index of absolute split renal function. Although the DMSA- uptake of kideney with reflux up to grade 3 was within normal limits in children, many adults with lower grades of reflux showed decreased DMSA uptake. 3. Both the urinary β2-microglobulin index and N-acetyl β-D-glucosaminidase (NAG) index increased with the grade of reflux. However, many patients with low-grade reflux showed a high NAG index despite a normal β2-microglobulin index. Neither of these indices determined at the first visit could predict the change of serum creatinine after treatment.
Niigata University School of Medicine
1992-03
eng
departmental bulletin paper
http://hdl.handle.net/10191/33411
https://niigata-u.repo.nii.ac.jp/records/6539
AA00508361
05677734
Acta medica et biologica
Acta medica et biologica
40(Supplement)
1
9
https://niigata-u.repo.nii.ac.jp/record/6539/files/40(Suppl.)_1-9.pdf
application/pdf
1.7 MB
2019-08-06