[Renoscintigraphy applied with etylenedicysteine labeled with technetium 99m and SPECT technique as a method of examining kidneys in children with vesicoureteric reflux]. / Renoscyntygrafia z zastosowaniem etylenodicysteiny znakowanej technetem 99m oraz technika SPECT jako metody badania nerek u dzieci z rozpoznanymi wstecznymi odplywami pechorzowo-moczowodowymi.

Vesicoureteric reflux (VUR) can lead to renal parenchymal damage. Renal scarring is an important cause of chronic renal failure and hypertension in children. The significance of possible effects determines the necessity of early diagnosis of urinary tract pathology. The aim of the paper was to evaluate the morphology and function of kidneys with VUR using selected radioisotope techniques, and to compare the sensitivity of planar technique and single-photon emission computed tomography (SPECT) technique in detection of renal scarring. In 45 children with VUR the following test were performed: ultrasonography, renoscintigraphy with technetium-99m-ethylenedicysteine (EC-Tc-99m) and technetium-99m-dimercaptosuccinic acid (DMSA-Tc-99m) scintigraphy with planar and SPECT mode. Stage of VUR correlates with stage of cortical lesions estimated as a value of effective renal plasma flow (ERPF) in kidney, as well as scarring intensity in static scintigraphy. The use of SPECT increases sensitivity of examination for detection small, single scars. It seems that SPECT should be used more frequently in children in the group of scarring risk. That would allow for earlier diagnosis of renal scarring, enabling efficient treatment. Due to the correlation between ERPF and parameters obtained in DMSA scintigraphy, renoscintigraphy with EC-Tc-99m may be applied to monitor the progress of renal scarring.

Clinical efficacy of 'essential' phospholipids in patients chronically exposed to organic solvents.

A total of 45 workers, who had been chronically exposed to a potentially hepatotoxic xylene-toluene-benzene mixture in the atmosphere, were treated for 3 months with 'essential' phospholipids. Routine biochemical tests and radioisotope investigations to assess liver damage were carried out both at baseline and after treatment. The liver:spleen index was increased in 71% of subjects and the mean isotope transit time in the liver was reduced in 90% of the patients after treatment. The biochemical parameters remained within the normal range throughout the treatment period. The results suggest that 'essential' phospholipids may be of value in the treatment of liver damage that has arisen as a result of chronic exposure to organic solvents.