46. Isotope renography (indications, radiopharmaceuticals, imaging).

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Revision as of 22:09, 4 January 2024 by Nikolas (talk | contribs) (Created page with "* Renal scintigraphy ** Static method ** '''99mTc-DMSA''' ** Measures corticol loss ** Can measure relative ratio of renal function between the two kidneys ** Indications *** Pyelonephritis *** Renal infarction *** Acute renal failure *** Hydronephrosis * Camera-renography ** Dynamic method ** Images before and after furosemide *** If furosemide improves excretion the obstruction is anatomical *** If it doesn’t then it’s a functional problem of the kidney ** '''99mTc...")
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  • Renal scintigraphy
    • Static method
    • 99mTc-DMSA
    • Measures corticol loss
    • Can measure relative ratio of renal function between the two kidneys
    • Indications
      • Pyelonephritis
      • Renal infarction
      • Acute renal failure
      • Hydronephrosis
  • Camera-renography
    • Dynamic method
    • Images before and after furosemide
      • If furosemide improves excretion the obstruction is anatomical
      • If it doesn’t then it’s a functional problem of the kidney
    • 99mTc-DTPA – for glomerular secretion
    • 99mTc-MAG3 – for tubular secretion
    • Creates a time-activity curve = renogram with 3 phases
      • Phase I – perfusion
      • Phase II – filtration or secretion function
      • Phase III – excretion function
    • Indications
      • Obstructive renal disease
      • Hypertension
      • Measuring GFR