{"id":19216,"date":"2018-03-09T09:08:07","date_gmt":"2018-03-09T09:08:07","guid":{"rendered":""},"modified":"2018-03-09T09:08:07","modified_gmt":"2018-03-09T09:08:07","slug":"aplicacion-de-la-gammagrafia-de-leucocitos-marcados-con-tecnecio-99-metaestables-hexametil-propilen-amino-oxima-99-mtc-hmpao-en-la-valoracion-cla%c2%adnica-de-la-enfermedad-inflamatoria-cronica-inte","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/aplicacion-de-la-gammagrafia-de-leucocitos-marcados-con-tecnecio-99-metaestables-hexametil-propilen-amino-oxima-99-mtc-hmpao-en-la-valoracion-cla%c2%adnica-de-la-enfermedad-inflamatoria-cronica-inte\/","title":{"rendered":"Aplicaci\u00f3n de la gammagrafia de leucocitos marcados con tecnecio 99 metaestables hexametil propilen amino oxima (99 mtc hmpao) en la valoraci\u00f3n cl\u00ednica de la enfermedad inflamatoria cr\u00f3nica intestinal"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Jos\u00e9 M. Paredes Arquila <\/strong><\/h2>\n<p>Se ha realizado un trabajo prospectivo y ciego para determinar la utilidad de la gammagraf\u00eda de leucocitos marcados (glm) con 99 mtc hmpao en la valoraci\u00f3n cl\u00ednica (actividad y extensi\u00f3n) de la enfermedad inflamatoria cr\u00f3nica intestinal (eici).  se estudiaron 68 pacientes diagnosticados de eici, 41 hombres y 27 mujeres, con edad media de 32,8 a\u00f1os y desviaci\u00f3n est\u00e1ndar de 13,18 a\u00f1os; de ellos 25 presentaban colitis ulcerosa y 43 enfermedad de crohn. Asimismo, se incluy\u00f3 un grupo de pacientes controles positivos (patolog\u00edas inflamatorias abdominales y extrabdominales) y otro de controles negativos (patolog\u00edas no inflamatorias abdominales), para determinar la validez de la t\u00e9cnica. la actividad de la enfermedad se determin\u00f3 mediante: criterios cl\u00ednicos (indice de truelove-witts modificado e indice de actividad de la enfermedad de crohn), par\u00e1metros de laboratorio (velocidad de sedimentaci\u00f3n globular y prote\u00edna c reactiva) y criterios endosc\u00f3picos e histol\u00f3gicos (seg\u00fan una clasificaci\u00f3n de actividad preestablecida para ambos casos). La valoraci\u00f3n de la extensi\u00f3n se realiz\u00f3 mediante endoscopia e histolog\u00eda para la afectaci\u00f3n del colon (se consideran 4 segmentos: colon ascedente ciego, colon descendente y rectosigma) y t\u00e9cnicas de imagen para el estudio de ileon terminal e intestino delgado. El marcaje de leucocitos, para el estudio gammagr\u00e1fico, se realiz\u00f3 seg\u00fan los criterios de la sociedad espa\u00f1ola de radiofarmacia y la valoraci\u00f3n de sus im\u00e1genes fue realizada por dos observadores independientes y a ciegas, empleando el sistema visual simple para cuantificar la actividad. en el an\u00e1lisis estad\u00edstico se utiliz\u00f3 el estad\u00edstico kappa, el kappa ponderado y las curvas roc.  la gammagraf\u00eda present\u00f3 una excelente fiabilidad entre ambos revisores. mostr\u00f3 concordancias significativas con los \u00edndices cl\u00ednicos, endosc\u00f3picos e histol\u00f3gicos para valorar la actividad y, con la endoscopia, la histolog\u00eda y la ra<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Aplicaci\u00f3n de la gammagrafia de leucocitos marcados con tecnecio 99 metaestables hexametil propilen amino oxima (99 mtc hmpao) en la valoraci\u00f3n cl\u00ednica de la enfermedad inflamatoria cr\u00f3nica intestinal<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Aplicaci\u00f3n de la gammagrafia de leucocitos marcados con tecnecio 99 metaestables hexametil propilen amino oxima (99 mtc hmpao) en la valoraci\u00f3n cl\u00ednica de la enfermedad inflamatoria cr\u00f3nica intestinal <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Jos\u00e9 M. Paredes Arquila <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Universitat de val\u00e9ncia (estudi general)<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 27\/09\/2002<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Eduardo Moreno Osset<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: adolfo Benages Martinez <\/li>\n<li>Miguel Perez mateo regadera (vocal)<\/li>\n<li>alejandro Espi macias (vocal)<\/li>\n<li>francisca Pons pons (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Jos\u00e9 M. Paredes Arquila Se ha realizado un trabajo prospectivo y ciego para determinar la utilidad de [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"footnotes":""},"categories":[9,491,139],"tags":[11564,27028,12123,29301,59141,11374],"class_list":["post-19216","post","type-post","status-publish","format-standard","hentry","category-ciencias-medicas","category-gastroenterologia","category-medicina-interna","tag-adolfo-benages-Martinez","tag-alejandro-espi-macias","tag-eduardo-moreno-osset","tag-francisca-pons-pons","tag-jose-m-paredes-arquila","tag-miguel-perez-mateo-regadera"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/19216","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/comments?post=19216"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/19216\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=19216"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=19216"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=19216"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}