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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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