选择性动脉钙刺激试验在高胰岛素性低血糖诊断中的应用

Yasemin nsal, zen l, S. Cander, Co Ate, E. Aydemir, Oktay nsal, C. Ersoy, Erdin rk
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引用次数: 0

摘要

我们检查了高胰岛素性低血糖患者,他们进行了无创成像技术,结果可疑或失败。我们比较了选择性动脉钙刺激试验(SACST)和无创成像技术的性能。回顾性分析8例高胰岛素性低血糖患者,经影像学评估后行SACST。SACST术后3例诊断为非胰岛素瘤性胰源性低血糖综合征(NIPHS), 4例诊断为胰岛素瘤,1例诊断为自身免疫性低血糖。SACST与手术证实的胰岛素瘤病理之间的一致性为50%(2/4),而胰岛素瘤定位的准确性为25%。虽然SACST在胰岛素瘤的定位上与手术证实的病理并没有很高的一致性和准确性,但在没有其他成像技术的医疗中心,或者在其他成像方法诊断可疑/不充分的情况下,SACST可能是鉴别诊断高胰岛素血症性低血糖的首选方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The use of selective arterial calcium stimulation test in the diagnosis of the hyperinsulinemic hypoglycemia
We examined the patients with hyperinsulinemic hypoglycemia who were performed non-invasive imaging techniques with doubtful or failed results. We compared the performances of the Selective Arterial Calcium Stimulation Test (SACST) and non-invasive imaging techniques. Eight patients with hyperinsulinemic hypoglycemia, performed SACST after evaluating with imaging modalities were examined retrospectively. Three patients were diagnosed with Non-Insulinoma Pancreatogenous Hypoglycemia Syndrome (NIPHS), 4 with insulinoma, and 1 with autoimmune hypoglycemia after SACST. While the concordance between the SACST and surgery-proven pathology for insulinoma was 50% (2/4), the accuracy in the localization of insulinoma was 25%. Although SACST does not have high concordance with surgery-proven pathology and accuracy in the localization of insulinoma, it may be preferred in the differential diagnosis of hyperinsulinemic hypoglycemia in medical centers where other imaging techniques are not available, or in cases where other imaging methods obtain suspicious/inadequate diagnosis.
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