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Biomedical subjects

B Saitta

Publications and source records attributed to B Saitta.

44 records · Page 3Linked to original sources

Radionuclear determination of glomerular filtration rate and renal plasma flow to detect early decrease of renal function in insulin dependent diabetes.

To evaluate the role of renal haemodynamic factors in the pathophysiology of diabetic nephropathy, we determined by radionuclear techniques glomerular filtration rate (GFR) and renal plasma flow (RPF) in 18 patients affected by insulin dependent diabetes mellitus (IDDM) in good metabolic control, with normal blood pressure and plasma creatinine. GFR and RPF measured in the same patients after ten months correlated with proteinuria and duration of diabetes. Our finding of a significant correlation between the decline of RPF and duration of diabetes may support the haemodynamic hypothesis of progression of diabetic nephropathy.

Adolescent↗

Computerized study with 201T1 of the cold thyroid node.

Because of its physical and potassium-metabolic characteristics 201T1 is more suitable than 131Cs for radioisotopic studies of the cold thyroid nodule, with the further diagnostic possibility of quantitatively assessing intranodular behavior for a specific differentiation among different kinds of neoformations. Using a gamma-camera on line with a computer data processing device, sequential scintiscans were recorded for the first 20-30 min after i.v. administration of 15-20 microCi/kg of radiothallium; delayed sequences were taken at 40-60 min if intranodular uptake appeared. A quantitative appraisal was made of the differential 201T1 uptake-ratio between nodule and healthy thyroid tissue (density-index) and the multiparameter analysis of thyroid time/activity curves generated on the relative regions of interest (ROIs). This computerized study, in 120 out of 293 patients submitted to this radiothallium test, has shown a) diagnostic agreement between clinical-histological and radioisotopic findings in 76 out of 79 colloid-cystic or degenerative neoformations, in all 16 malignant and in 23 out of 25 hyperplastic benign nodules; b) significant statistical difference of the density-index in solid versus cystic but not between benign and malignant nodules; c) different 201T1 kinetics behaviour in different kinds of solid thyroid lesions with a satisfactory statistical difference of the radiothallium nodular disappearance-index.

Adenocarcinoma↗

[Determination of glomerular filtration during sequential scintigraphy in the evaluation of separate renal function].

The serial renal scan, a rapid series of images obtained with a scintillation camera, is explained; it visualizes the arrival to the kidneys and the passage through the parenchyma and the pelvocalyceal system of 99mTc-DTPA, a tracer cleared by glomerular filtration. Dynamic imaging of the kidneys provides more extensive information regarding anatomical structure and renal function that cannot be obtained by other noninvasive techniques. Computerized data analysis provides a lot of parameters, such as global and parenchymal transit times, useful in differentiating obstructive from non-obstructive uropathy, and total and separate glomerular filtration rate. 99mTc-DTPA computer-assisted scintigraphy is recommended as a routine method in nephro-urologic conditions where an accurate evaluation of separate renal function is required.

Child↗