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Radionuclide Investigations of the Urinary Tract in the Era of Multimodality Imaging^*

Ariane Boubaker^,1, John O. Prior^,1, Jean-Yves Meuwly² and Angelika Bischof-Delaloye¹

¹ Department of Nuclear Medicine, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland; and ² Department of Radiodiagnostic and Interventional Radiology, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland

Correspondence: For correspondence or reprints contact: Angelika Bischof-Delaloye, MD, Department of Nuclear Medicine, CHUV University Hospital, CH-1011 Lausanne, Switzerland. E-mail: angelika.bischofdelaloye{at}chuv.ch

This article presents the role of nuclear medicine procedures in investigating renal and parenchymal disease, as well as upper urinary tract abnormalities. More specifically, the use of scintigraphy is described in the exploration of urinary tract dilatation and UTIs, vesicoureteric reflux, renovascular hypertension, and renal transplants. With a low radiation burden and the absence of sedation, these nuclear medicine procedures are easy to perform and can provide clinicians with valuable data on renal perfusion and the function of individual kidneys, as well as on urinary tract dynamics. However, knowledge of limitations and technical pitfalls is essential in understanding the role of scintigraphy among contemporary imaging methods and the unique information it supplies in nephrourology.

Key Words: pyelonephritis • renal transplant • renography • renovascular hypertension • urinary tract dilatation

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