지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.1
- 수록면
- 107 - 113 (7page)
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초록· 키워드
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Purpose: This study aimed to evaluate the relationships between 99mTecniciumdimercaptosuccinic acid (DMSA) scan findings and clinical parameters including age and fever duration.
Methods: The positive rates for abnormal DMSA scans were analyzed according to the age of patients, fever duration prior to admission, and total fever duration.
DMSA scan findings were divided into 3 categories: single defect, multifocal defects, and discrepant defects. We evaluated the detection rates of vesicoureteral reflux according to DMSA scan lesions.
Results: Among a total 320 cases, 141 (44.1%) had abnormal DMSA scans. The infant group (0-1 year of age) had a shorter total fever duration, and a lower Creactive protein (CRP) value and DMSA positive rate (39.8% vs. 60.6%, P =0.002) compared to children group (2-15 years of age). Patients with abnormal scans had a longer total fever duration and higher CRP compared to those with normal scans. The positivity rate of abnormal scans did not differ between the patients with a short fever duration prior to admission of ≤2 days and those with longer fever duration of ≥3 days. However, patients with longer total fever duration had a higher rate of abnormal DMSA scans (P =0.02). Among cases with a single defect, multifocal defects, and discrepant defects, vesicoureteral reflux was observed in 22.4%, 60% and 70.6% of cases, respectively (P =0.004).
Conclusion: Although DMSA scan has limitations in early diagnosis, DMSA scan findings may aid in the prediction of the severity of systemic inflammation and detection of vesicoureteral reflux.
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등록된 정보가 없습니다.
참고문헌 (24)
참고문헌 신청
Ataei N / 2005 / Evaluation of acute pyelonephritis with DMSA scans in children presenting after the age of 5 years / Pediatr Nephrol 20 : 1439 ~ 1444
Benador D / 1994 / Cortical scintigraphy in the evaluation of renal parenchyma changes in children with pyelonephritis / J Pediatr 124 : 17 ~ 20
Berg UB / 1983 / Age as a main determinant of renal functional damage in urinary tract infection / Arch Dis Child 58 : 963 ~ 969
Edefonti A / 2014 / Febrile urinary tract infections:clinical and laboratory diagnosis, imaging, and prognosis / Semin Nucl Med 44 : 123 ~ 128
Elder JS / 2015 / Nelson textbook of Pediatrics / WB Saunders company : 2556 ~ 2567
Benador D / 1994 / Cortical scintigraphy in the evaluation of renal parenchyma changes in children with pyelonephritis / J Pediatr 124 : 17 ~ 20
Berg UB / 1983 / Age as a main determinant of renal functional damage in urinary tract infection / Arch Dis Child 58 : 963 ~ 969
Edefonti A / 2014 / Febrile urinary tract infections:clinical and laboratory diagnosis, imaging, and prognosis / Semin Nucl Med 44 : 123 ~ 128
Elder JS / 2015 / Nelson textbook of Pediatrics / WB Saunders company : 2556 ~ 2567
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