CLINICAL INTERPRETATION OF THE RESULTS OF RADIONUCLIDE RESEARCH METHODS IN THE EVALUATION OF DISEASES OF THE URINARY SYSTEM IN CHILDREN (LECTURE)
Abstract
All modern methods of nuclear medicine used in assessing the state of the urinary system in children are presented in the article. With an emphasis on clinical interpretation, the main points of dynamic and static nephroscintigraphy scanning, radionuclide direct and indirect cystography, as well as hybrid SPECT study are described the purpose of each study, the tasks to be solved during the study, the features of clinical evaluation. It is indicated that the full planning of research technologies, taking into account the anatomical and functional state of the kidneys and the urinary tract is the key to successful diagnostic and determination of the way of treatment. In particular, the authors present diagnostic technologies developed and implemented by them in practice over the past 10 years, such as direct radionuclide cystography and SPECT with dynamic nephroscintigraphy. This work, on the one hand, will allow doctors of clinical practice, pediatric urologists-andrologists, nephrologists, urologists to get more information about the methods of radionuclide diagnostics, and on the other hand, it will be useful for nuclear medicine specialists in understanding clinical tasks.
About the Authors
A. Y. PavlovRussian Federation
Z. R. Sabirzyanova
Russian Federation
References
1. Kaminskaya, A.L. Ispol'zovanie kosvennoi radionuklidnoi tsistografii v radionuklidnykh otdeleniyakh /A.L. Kaminskaya, A.V. Makarenko, G.O. Romanenko, M.O. Nikolov //Ukraїns'kii radіologіchnii zhurnal. ‒ 2012. ‒ T. 20, № 3. ‒S. 304-305.
2. Krylov, A.S. Metodologicheskie osnovy yadernoi meditsiny v pediatrii / A.S. Krylov, B.Ya. Narkevich, A.D. Ryzhkov // Onkologicheskii zhurnal: luchevaya diagnostika, luchevaya terapiya. ‒ 2022. ‒ T. 5, № 1. ‒ S. 18-36.
3. Lyugai O.O. Vozmozhnosti primeneniya gibridnykh diagnosticheskikh tekhnologii u detei s obstruktivnymi uropatiyami: diss… kand. med. nauk. – M., 2017.
4. Matyushina K.M. Znachenie markerov rannikh narushenii funktsii pochek v obosnovanii khirurgicheskoi i konservativnoi taktiki pri gidronefroze u detei grudnogo i rannego vozrasta: diss… kand. med. nauk 14.01.19. ‒ M., 2015.
5. Pavlov, A.Yu. Sovremennye vozmozhnosti vyyavleniya puzyrnomochetochnikovogo reflyuksa u detei / A.Yu. Pavlov, Z.R. Sabirzyanova, D.K. Fomin, O.O. Lyugai, G.V., O.V. Miftyakhetdinova, Simonyan [i dr.] // Vestnik Rossiiskogo nauchnogo tsentra rentgenoradiologii. ‒ 2012. ‒ № 12-4. ‒ S. 2.
6. Pavlov, A.Yu. Sovremennye vozmozhnosti radionuklidnoi i luchevoi diagnostiki v otsenke anatomo-funktsional'nogo sostoyaniya pochek i mochevykh putei u detei / A.Yu. Pavlov, Z.R. Sabirzyanova, D.K. Fomin, O.O. Lyugai, G.V. Simonyan [i dr.] // Pediatriya. Zhurnal im. G.N. Speranskogo. ‒ 2015. ‒ T. 94, № 3. ‒ S. 52-56.
7. Pavlov, A.Yu. Formirovanie novogo algoritma diagnostiki anomalii i porokov razvitiya mochevoi sistemy u detei / A.Yu. Pavlov, D.K. Fomin, O.O. Lyugai, Z.R. Sabirzyanova, G.V. Simonyan [i dr.] // Vestnik Rossiiskogo nauchnogo tsentra rentgenoradiologii. ‒ 2016. ‒ T. 16, № 4.
8. Sidenko, A.V. Nefrostsintigrafiya v diagnostike povrezhdenii pochek pri obstruktivnykh uropatiyakh u detei: obzor literatury / A.V. Sidenko, S.P. Yatsyk, N.P. Gerasimova, N.L. Komarova, Yu.V. Kalashnikova, A.O. Tarzyan // Pediatriya. Consilium Medicum. ‒ 2019. ‒ № 3. ‒ S. 69-77.
9. Smirnov, I.E. [i dr.]. Radionuklidnye issledovaniya strukturno-funktsional'nogo sostoyaniya pochek pri gidronefroze u detei / Smirnov I. E. [i dr.] // Rossiiskii pediatricheskii zhurnal. ‒ 2013. ‒ T. 3. – S.
10. Solodkii V.A., Pavlov A.Yu., Fomin D.K., Lyugai O.O., Sabirzyanova Z.R. Sposob vizualizatsii pochechnoi lokhanki, verkhnego, srednego, priust'evogo, intramural'nogo otdelov mochetochnika s pomoshch'yu OFEKT-KT diagnosticheskoi sistemy u vzroslykh i detei s obstruktivnymi uropatiyami/ Patent na izobretenie RU 2562326 C1, 10.09.2015. Zayavka № 2014140435/14 ot 07.10.2014.
11. Tkachenko, M.N. Kompleksnoe stsintigraficheskoe issledovanie detei, bol'nykh puzyrno-mochetochnikovym reflyuksom / M.N. Tkachenko, G.O. Romanenko, V.Yu. Kundin // Ukraїns'kii radіologіchnii zhurnal. ‒ 2012. ‒ T. 20, № 3. ‒ S. 336-338.
12. I. Gordon, A. Piepsz, R. Sixt, M. Auspices of Paediatric Committee of European Association of Nuclear. Guidelines for standard and diuretic renogram in children / I. Gordon, A. Piepsz, R. Sixt, M. Auspices of Paediatric Committee of European Association of Nuclear // Eur J Nucl Med Mol Imaging. ‒ 2011. ‒ Т. 38, №6. ‒ С. 1175-1188.
13. S.A. Camlar [и др.] The role of dynamic renal scintigraphy on clinical decision making in hydronephrotic children / S. A. Camlar [и др.] // Saudi J Kidney Dis Transpl. ‒ 2017. ‒ Т. 28, №1. ‒ С. 76-80.
Review
For citations:
Pavlov A.Y., Sabirzyanova Z.R. CLINICAL INTERPRETATION OF THE RESULTS OF RADIONUCLIDE RESEARCH METHODS IN THE EVALUATION OF DISEASES OF THE URINARY SYSTEM IN CHILDREN (LECTURE). Bashkortostan Medical Journal. 2023;18(1):103-108. (In Russ.)