신장 Depth 측정 방법에 따른 GFR 값의 최적화

• 영문명: Optimization of GFR value according to Kidney Depth Measurement Methods
• 발행기관: 대한핵의학기술학회
• 저자명: 권형진(Hyeong-Jin Kwon) 문일상(Il-Sang Moon) 노경운(Gyeong Woon Noh) 강건욱(Keon Wook Kang)
• 간행물 정보: 『핵의학기술』Vol.23 No.2, 25~28쪽, 전체 4쪽
• 주제분류: 의약학 > 방사선과학
• 파일형태: PDF
• 발행일자: 2019.10.30

영문 초록

Purpose In patients with unusual kidney position after ⁹⁹ᵐTc-DTPA renal dynamic imaging study, the GFR(Glomerular Filtration Rate) values are significantly different according to the depth of the kidney. Thus, we tried to compare the difference of the GFR values between the depth measurement methods and in-vitro test. 30 adult patients who were subjected to renal study. 27 patients were in usual position and 3 patients were in unusual. 555±37 MBq of ⁹⁹ᵐTc-DTPA was administrated to all patients. GE infinia gamma camera was used. GFR values were obtained in-vivo(gates method) and in-vitro(blood). The kidney depth in-vivo was calculated by three methods(tonnensen, manual, taylor). In-vitro, GFR was performed by blood test. Differences in the mean values of GFR and correlation between depth and GFR values were evaluated using the SPSS 12.0 statistical program. The GFR values for 27 patients with kidney in the usual position are as follows(1.tonnensen 2.manual 3.taylor 4.invitro); 69.3±4.2, 88.2±5.6, 77.8±4.3, 82.2±5.8 ml/min. The three unusual cases are as follows, first(congenital renal anomaly): 66.4, 101.24, 69.07, 94.8 ml/min. second(transplantation kidney): 12.22, 29.99, 19.36, 23.5 ml/min. third(horseshoe kidney): 37.37, 93.54, 35.9, 92.5 ml/min. There was a difference between tonnensen and manual in the usual position of the kidney(p<0.05). There was no significant difference between the other methods. However, there was a significant difference in case of the unusual position of the kidneys. Correlation analysis between both kidney depth and GFR value shows person correlation as follows; Rt kidney: 0.298, Lt kidney: 0.322. When compared with the GFR values in-vitro test, it was useful to calculate the GFR value by measuring the kidney depth using a manual formula in the unusual position of the kidneys. GFR values and kidney depth were significantly related.

목차

서론

실험재료 및 방법

결과

결론 및 고찰

요약

REFERENCE

키워드

GFR(Glomerular Filtration Rate) tonnensen taylor Gates method