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Renal Cortical Scintigraphy and Diuresis Renography in Infants and Children*

Monica A. Rossleigh

Department of Nuclear Medicine, The Prince of Wales and Sydney Children’s Hospitals, Sydney, Australia



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FIGURE 1. 99mTc dimercaptosuccinic acid study renal cortical scintigraphy performed on 5-mo-old boy with antenatal diagnosis of right hydronephrosis. Investigations performed postnatally revealed presence of right duplex kidney on ultrasound examination and high-grade vesicoureteric reflux into lower pole moeity of right duplex kidney on contrast cystogram. Boy had no history of urinary tract infection but had strong family history of vesicoureteric reflux. DMSA study demonstrates presence of extensive scarring in lower pole moiety of right duplex kidney.

 


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FIGURE 2. Diuresis renography with 99mTc mercaptoacetyltriglycine (MAG3) performed on 2-mo-old girl who had antenatal diagnosis of right hydronephrosis. Postnatal serial ultrasound examinations revealed increasing dilatation of right pelvicalyceal system. No reflux was demonstrated on cystogram. MAG3 study was F+0 examination, with furosemide given at same time as radiopharmaceutical. Diuresis renography confirms presence of significant right ureteropelvic junction obstruction. Drainage from left kidney was normal.

 





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