Significance of $^{99m}Tc-tin$ Colloid Scan in Rejection of Transplanted Kidney

이식신(移植腎) 거부반응(拒否反應)에서 $^{99m}Tc-tin$ colloid 스캔의 의의

  • Oh, Ha-Young (Department of Internal Medicine, College of Medicine, Seoul National University) ;
  • Kim, Seung-Taik (Department of Internal Medicine, College of Medicine, Seoul National University) ;
  • Park, Seon-Yang (Department of Internal Medicine, College of Medicine, Seoul National University) ;
  • Kim, Sung-Gwon (Department of Internal Medicine, College of Medicine, Seoul National University) ;
  • Lee, Myung-Chul (Department of Internal Medicine, College of Medicine, Seoul National University) ;
  • Cho, Bo-Youn (Department of Internal Medicine, College of Medicine, Seoul National University) ;
  • Lee, Jung-Sang (Department of Internal Medicine, College of Medicine, Seoul National University) ;
  • Koh, Chang-Soon (Department of Internal Medicine, College of Medicine, Seoul National University)
  • 오하영 (서울대학교 의과대학 내과학교실) ;
  • 김승택 (서울대학교 의과대학 내과학교실) ;
  • 박선양 (서울대학교 의과대학 내과학교실) ;
  • 김성권 (서울대학교 의과대학 내과학교실) ;
  • 이명철 (서울대학교 의과대학 내과학교실) ;
  • 조보연 (서울대학교 의과대학 내과학교실) ;
  • 이정상 (서울대학교 의과대학 내과학교실) ;
  • 고창순 (서울대학교 의과대학 내과학교실)
  • Published : 1982.11.25

Abstract

Renal transplant uptake of $^{99m}Tc-tin$ colloid was evaluated in 26 patients. Seventy-seven examinations were performed comparing transplant with bone marrow activity, clinical and/or pathological diagnosis. There were 13 instances of acute rejection; 7 of these exhibited slight uptake of radiocolloid in the renal transplant, 1 had marked uptake, and 5 had no evidence of uptake. There were 7 instances of chronic rejection; 5 of which demonstrated marked transplant uptake of radiocolloid, 1 had slight uptake, and 1 had no evidence of uptake. There were 2 instances of acute tubular necrosis and 55 instances of normal transplant function, but none of these exhibited transplant uptake of radiocolloid. From the result, the uptake of $^{99m}Tc-tin$ colloid by renal transplant appears to signal rejection as long. as the vascular supply is not severely compromised. Acute rejection may be represented by slight radiocolloid uptake, and chronic rejection by marked uptake when compared to bone marrow activity.

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