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The Journal of Nuclear Medicine Vol. 38 No. 11 1811-1812
© 1997 by Society of Nuclear Medicine
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Ifosfamide-Induced Alteration of Technetium-99m-DMSA Renal Parenchymal Imaging

Stuart C. Morrison and James K. O'Donnell

Divisions of Pediatric Radiology and Nuclear Medicine, Department of Radiology, University Hospitals of Cleveland, Cleveland, Ohio

Correspondence: For correspondence or reprints contact: James K. O'Donnell, MD, Division of Nuclear Medicine, Department of Radioloogy, University Hospitals of Cleaveland, 11100 Euclid Ave., cleveland, OH.

ABSTRACT

Renal cortical imaging with 99mTc-dimercaptosuccinic acid (DMSA) has become the imaging test of choice for the diagnosis of acute pyelonephritis. An unusual uptake pattern was observed in a child receiving chemotherapy for a bladder rhabdomyosarcoma. Chemotherapy from ifosfamide produces a specific pattern of injury to the renal tubule that alters uptake of DMSA.

Key Words: technetium-99m-DMSA • ifosfamide • renal tubular injury







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