rentradВестник рентгенологии и радиологииJournal of radiology and nuclear medicine0042-46762619-0478Limited Liability Company "LUCHEVAYA DIAGNOSTIKA", Russian Association of Radiologists10.20862/0042-4676-2015-0-4-7-13rentrad-76Research ArticleСЛУЧАЙ ИЗ ПРАКТИКИCLINICAL NOTEФантомная почка при ангионефросцинтиграфииPhantom kidney at angionephroscintigraphyМироновС. П.MironovS. P.

д. м. н., профессор, врач радиоизотопной лаборатории

MD, PhD, DSc, Professor, Radiologist of Nuclear Medicine Division

СергиенкоВ. Б.SergienkoV. B.

д. м. н., профессор, руководитель отдела радионуклидной диагностики

MD, PhD, DSc, Professor, Head of Nuclear Medicine Department

НарусовО. Ю.NarusovO. Yu.

к. м. н., ст. науч. сотр. отдела заболеваний миокарда и cердечной недостаточности

MD, PhD, Senior Researcher of Department of Myocardial Disease and Heart Failure

ШульгинД. Н.Shul’ginD. N.

к. м. н., врач радиоизотопной лаборатории

MD, PhD, Radiologist of Nuclear Medicine Division

НИИ клинической кардиологии им. А.Л. Мясникова ФГБУ «Российский кардиологический научно-производственный комплекс» Министерства здравоохранения РФРоссияA.L. Myasnikov Institute of Clinical Cardiology, Russian Cardiology Research-and-Production Complex, Ministry of Health of the RFRussian Federation201504032016044044Copyright © Миронов С.П., Сергиенко В.Б., Нарусов О.Ю., Шульгин Д.Н., 20162016Миронов С.П., Сергиенко В.Б., Нарусов О.Ю., Шульгин Д.Н.Mironov S.P., Sergienko V.B., Narusov O.Y., Shul’gin D.N.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.russianradiology.ru/jour/article/view/76

На основе анализа данных литературы и собственных клинических наблюдений рассматривается диагностическая значимость малоизвестного сцинтиграфического феномена «фантомная почка» – сосудистого пула, выявляемого на ангиографическомэтапе динамической сцинтиграфии почек с 99mТс-диэтилентриаминпентауксусная кислота, имитирующего удаленную или отсутствующую почку. Приводятся два наблюдения фантомной почки. В одном случае фантомная почка, выявленная на стороне нефрэктомии, манифестировала рецидив рака почки в ложе удаленного органа, в другом – почкообразный сосудистый пул у пациента с левосторонней тазовой дистопией почки был следствием регистрации сосудистой сети кишечника в месте ожидаемого расположения почки. Соблюдение ряда методических условий проведения исследования и досмотр в режиме совмещенной однофотонной эмиссионной компьютерной томографии/компьютерной томографии позволит избежать интерпретационных ошибок и обеспечить адекватный дальнейший диагностический алгоритм.

Based on the analysis of the data available in the literature and own clinical observations, the authors consider the diagnostic value of the little known scintigraphic phantom kidneyphenomenon, a vascular pool that is detected at the angiographic stage of 99mТс-DTPA dynamic renal scintigraphy and that mimics a removed or absent kidney. The paper  describes two cases of the phantom kidney. In one case, the phantom kidneydetected on the side of nephrectomy manifested a kidney cancer recurrence in the bed of the removed organ; in the other, the kidney-like vascular pool in the patient with left-sided pelvic dystopic kidney was due to the recording of the intestinal vasculature at the site of the expected kidney location. Adherence to a number of methodical conditions for  conducting a study, as well as combined single-photon emission computed tomography/computed tomography examination will be able to avoid interpretation errors and to ensure an adequate further diagnostic algorithm.

фантомная почкаангионефросцинтиграфия с 99mТс- диэтилентриаминпентауксусная кислотарецидив рака почкитазовая дистопия почкиphantom kidney99mТс-DTPA angionephroscintigraphykidney cancer recurrencepelvic dystopic kidneyReferencesAltenbrunn J.H., Georgi P. Функциональная диагностика почек с помощью сцинтилляционной гамма-камеры. Радиология–диагностика. 1967; 8 (3): 326–31.Altenbrunn J.H., Georgi P. Функциональная диагностика почек с помощью сцинтилляционной гамма-камеры. Радиология–диагностика. 1967; 8 (3): 326–31.Potsybina V.V., Levchuk D.I. Seminar for medical residents and General practitioners: angiorenoscintigraphy – normal parameters, the problems of visualization and analysis. Radiologiya–praktika. 2006; 1: 48–55 (in Russian).Potsybina V.V., Levchuk D.I. Seminar for medical residents and General practitioners: angiorenoscintigraphy – normal parameters, the problems of visualization and analysis. Radiologiya–praktika. 2006; 1: 48–55 (in Russian).Rambler L.E., Winter P.F., Johnson P.M. Mesenteric vasculature masquerading as kidney at renal imaging. Radiology. 1976; 120 (2): 369–70.Rambler L.E., Winter P.F., Johnson P.M. Mesenteric vasculature masquerading as kidney at renal imaging. Radiology. 1976; 120 (2): 369–70.Holmes E.R., Klingensmith W.C., Kirchner P.T., Wagner N.W. Phantom kidney in Technetium-99m DTPA studies of renal blood flow: case report. J. Nucl. Med. 1977; 18 (7): 702–5.Holmes E.R., Klingensmith W.C., Kirchner P.T., Wagner N.W. Phantom kidney in Technetium-99m DTPA studies of renal blood flow: case report. J. Nucl. Med. 1977; 18 (7): 702–5.Mochizuki T., Charron M., Shan A.N., Tauxe W.N. Phantom kidney: a CT correlation. Ann. Nucl. Med. 1991; 5 (4): 163–5.Mochizuki T., Charron M., Shan A.N., Tauxe W.N. Phantom kidney: a CT correlation. Ann. Nucl. Med. 1991; 5 (4): 163–5.Lin D.S. Phantom kidney on perfusion renal imaging. Seminar Nucl. Med. 1984; 14 (1): 59–61.Lin D.S. Phantom kidney on perfusion renal imaging. Seminar Nucl. Med. 1984; 14 (1): 59–61.Chu D.D.M., Belzberg A.S. Phantom kidney on renal scintigraphy. Clin. Nucl. Med. 1991; 16 (1): 62–3.Chu D.D.M., Belzberg A.S. Phantom kidney on renal scintigraphy. Clin. Nucl. Med. 1991; 16 (1): 62–3.Merimsky E., Greenstein A., Baron J., Braf Z. Phantom kidney – a pitfall in radionuclide study of urinary tract. Urology. 1987; 30 (1): 85–7.Merimsky E., Greenstein A., Baron J., Braf Z. Phantom kidney – a pitfall in radionuclide study of urinary tract. Urology. 1987; 30 (1): 85–7.Bekis R., Bozkurt H., Celic A., Imren Y., Serim A., Degirmenci B. et al. Phantom image in Tc-99m DTPA renal transplatation imaging. Turk. J. Nucl. Med. 2007; 16: 11–3.Bekis R., Bozkurt H., Celic A., Imren Y., Serim A., Degirmenci B. et al. Phantom image in Tc-99m DTPA renal transplatation imaging. Turk. J. Nucl. Med. 2007; 16: 11–3.O’Reilly P.H., Testa H.J., Prescott M.C. Phantom kidneys. In: O’Reilly P.H., Shield R.A., Testa H.J. (еds). Nuclear medicine in urology and nephrology. London: Butterworths; 1986: 122–3.O’Reilly P.H., Testa H.J., Prescott M.C. Phantom kidneys. In: O’Reilly P.H., Shield R.A., Testa H.J. (еds). Nuclear medicine in urology and nephrology. London: Butterworths; 1986: 122–3.Veliev E.V., Bogdanov A.B. Features of metastasis of kidney cancer, surgical treatment of recurrences and metastases. Prakticheskaya onkologiya. 2005; 6 (3): 167–71 (in Russian).Veliev E.V., Bogdanov A.B. Features of metastasis of kidney cancer, surgical treatment of recurrences and metastases. Prakticheskaya onkologiya. 2005; 6 (3): 167–71 (in Russian).Criteria for risk of development of renal failure after nephrectomy in patients with renal carcinoma. In: Davydov M.I., Dolgushin B.I. (eds) Radionuclide evaluation of renal function and urodynamics in oncology. Moscow: Prakticheskaya meditsina; 2007: 177–203 (in Russian).Criteria for risk of development of renal failure after nephrectomy in patients with renal carcinoma. In: Davydov M.I., Dolgushin B.I. (eds) Radionuclide evaluation of renal function and urodynamics in oncology. Moscow: Prakticheskaya meditsina; 2007: 177–203 (in Russian).Frolova V.E., Maksimov A.Yu., Demidova A.A., Agarkova E.I. Prediction of chronic after nephrectomy in patients with kidney cancer. Sovremennye problemy nauki i obrazovaniya. 2011; 6: 2–9 (in Russian).Frolova V.E., Maksimov A.Yu., Demidova A.A., Agarkova E.I. Prediction of chronic after nephrectomy in patients with kidney cancer. Sovremennye problemy nauki i obrazovaniya. 2011; 6: 2–9 (in Russian).Ozard A.T., Haynie T.P., Gutierrez C.R. Recurrent renal cell carcinoma following nephrectomy mimicking a normal kidney on bone scan. Eur. J. Med. 1983; 8 (4): 148–9.Ozard A.T., Haynie T.P., Gutierrez C.R. Recurrent renal cell carcinoma following nephrectomy mimicking a normal kidney on bone scan. Eur. J. Med. 1983; 8 (4): 148–9.Wulfeck D.W., Sakow N.K., Senler S. Detection of recurrent renal cell carcinoma by three-phase bone scan. Clin. Nucl. Med. 1993; 18 (5): 441–3.Wulfeck D.W., Sakow N.K., Senler S. Detection of recurrent renal cell carcinoma by three-phase bone scan. Clin. Nucl. Med. 1993; 18 (5): 441–3.Meyers M.A.,Whalen J.P., Evans J.A., Viamonte M. Malposition and displacement of the bowel in renal agenesis and ectopia: new observations. Am. J. Roentgenol. 1973; 117 (2): 323–33.Meyers M.A.,Whalen J.P., Evans J.A., Viamonte M. Malposition and displacement of the bowel in renal agenesis and ectopia: new observations. Am. J. Roentgenol. 1973; 117 (2): 323–33.Mascatelo V., Lebowitz R.L. Malposition of the colon in left renal agenesis and ectopia. Radiology. 1976; 120 (2): 371–6.Mascatelo V., Lebowitz R.L. Malposition of the colon in left renal agenesis and ectopia. Radiology. 1976; 120 (2): 371–6.Curtis J.A., Sadhu R.M. Malposition of the colon in right renal agenesis, ectopia and anterior nephrectomy. Am. J. Roentgenol. 1977; 129 (5): 845–50.Curtis J.A., Sadhu R.M. Malposition of the colon in right renal agenesis, ectopia and anterior nephrectomy. Am. J. Roentgenol. 1977; 129 (5): 845–50.

The authors declare that there are no conflicts of interest present.