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The Journal of Nuclear Medicine Vol. 37 No. 11 1872-1876
© 1996 by Society of Nuclear Medicine
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Consensus on Diuresis Renography for Investigating the Dilated Upper Urinary Tract

Patrick O'Reilly, Mattius Aurell, Keith Britton, Klaus Kletter, Leonard Rosenthal and Tito Testa

Department of Urology, Stepping Hill Hospital, Stockport, England
Department of Nephrology, Sahlgrenska Sjukhuset, Goteborg, Sweden
Department of Nuclear Medicine, St. Bartholomew's Hospital, London, England
Department of Nuclear Medicine, University Hospital, Vienna, Austria
Department of Nuclear Medicine, The Montreal General Hospital, Montreal, Canada
Department of Nuclear Medicine, Manchester Royal Infirmary, Manchester, England

Correspondence: For correspondence or reprints contact: Patrick O'Reilly, MD, Department of Urology, Stepping Hill Hospital, Stockport SK2 7JE, UK.

ABSTRACT

There is great variation in technique and interpretation of diuresis renography between different establishments. Methods: To address this problem, an International Consensus Committee was appointed by the Ninth International Symposium on Radionuclides in Nephrourology in 1994. Results: The final document was produced and addressed: objectives, equipment, data acquisition, choice of radiopharmaceutical, patient preparation, position, dosage of furosemide, timing of furosemide, role of bladder catheter, duration of study, pediatric considerations, evaluation of the furosemide response, interpretation, and conclusion. Conclusion: The report presents a standardized approach to diuresis renography that, if adopted, will improve reproducibility between centers, discourage unacceptable practice and stimulate further discussion between nuclear medicine and urology health care professionals who treat patients with dilated and obstructed upper urinary tracts.

Key Words: diuresis renography • technetium-99m-MAG3 • furosemide







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Copyright © 1996 by the Society of Nuclear Medicine.