冯逢,孟薇,苏颖,金征宇.动态增强磁共振成像对正常人肾功能的评估[J].中国医学影像技术,2002,18(11):1150~1153
动态增强磁共振成像对正常人肾功能的评估
Functional Evaluation of Normal Kidney by Means of Gadolinium-DTPA Enhanced Dynamic MRI
投稿时间:2002-06-23  
DOI:
中文关键词:  磁共振成像  肾功能  对比剂
英文关键词:MRI  Renal function  Contrast medium
基金项目:
作者单位
冯逢 中国医学科学院 中国协和医科大学 北京协和医院放射科,北京 100730 
孟薇 中国医学科学院 中国协和医科大学 北京协和医院放射科,北京 100730 
苏颖 中国医学科学院 中国协和医科大学 北京协和医院肾内科,北京 100730 
金征宇 中国医学科学院 中国协和医科大学 北京协和医院放射科,北京 100730 
摘要点击次数: 2962
全文下载次数: 1817
中文摘要:
      目的 评估动态增强磁共振检查对正常肾脏肾功 能评价的作用。方法 15名正常志愿者,三天内行血清肌酐(Scr)及尿素 氮(BUN)测定及肾脏动态增强MRI检查。肾脏功能分析为在动态增强MR影像上选择感兴趣区测 量各肾皮质及髓质的信号强度,绘出各部位平均信号强度-时间曲线,记录皮质、髓质的平 均峰值及峰值/达峰时间比,研究这些参数与Scr及BUN的相关性。 结果 皮质信 号峰值及髓质信号峰值与Scr呈显著线性相关(P<0.001, r=-0.78, r=-0.76) 。结论 动态增强MRI作为评估正常肾脏灌注及肾小管浓缩功能的无创性影像 学方法,可综合反映肾脏结构及功能。
英文摘要:
      Purpose To assess the function of normal kidneys w ith dynamic contrast-enhanced MRI. Methods In 15 healthy volunte ers, serum creat inine (Scr) and blood urea nitrogen (BUN) were tested and dynamic contrast-enhan ced renal imaging was performed within 3 days.Functional analysis was ev aluated with the mean signal intensity-time curves using the regio n of interest (ROI) in the upper, middle and lower parts of both cortex and medu lla of each kidney. Mean peak intensity value (P) and the P/Time to peak ratio at the renal cortex and medulla (Pc, Pm, Pc/Tc, Pm/Tm) of each kid ney were measured. The relationship of these parameters to Scr and BUN was inves tigated. Results A statistically significant correlation was fo und between Pc, Pm and Scr (P<0.001, r=-0.78, -0.76 respecti vely). Conclusion Gd-DTPA enhanced dynamic MRI provides noninva sive assessment of renal perfusion and tubular concentrating ability in normal k idney.
查看全文  查看/发表评论  下载PDF阅读器