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The Monitoring of Renal Dysfunction in Renal Emphysema by Dual Radiopharmaceutical Scintiscanning

Veterans Administration Center and Eastern Virginia Medical School, Hampton, Virginia

Correspondence: For reprints contact: T. K. Chaudhuri, Nuclear Medicine Service, V. A. Hospital, Hampton, VA 23667.

ABSTRACT

Followup renal scintiscans using two radiopharmaceuticals were performed in a patient with renal emphysema. This allowed us to more accurately determine whether the emphysematous pyelonephritis was responding to antibiotic therapy or whether surgical intervention was indicated. Both Ga-67 citrate and a cortical agent (Tc-99m dimethylsuccinate) were used. A reciprocal relationship in the renal uptake of these two agents indicates the response of therapy and the degree of improvement of renal cortical function.