Skip to main content
Log in

Is the relative99mTc-DMSA clearance a useful marker of proximal tubular dysfunction?

  • Published:
European Journal of Nuclear Medicine Aims and scope Submit manuscript

Abstract

The clearance of125I-sodium iothalamate,131I-sodium hippurate,99mTc-DMSA, and β2-microglobulin were determined in 20 patients with proven or suspected proximal tubular dysfunction and in 18 control patients with various renal diseases. A clear distinction in the relative99mTc-DMSA clearance was observed between patients with proximal tubulopathy (14%–35%) and control patients (>14%). A similar difference between the two groups was found in the relative β2-microglobulin clearance. Nine patients with proximal tubulopathy showed an elevated filtration fraction versus only two control patients. The renal handling of99mTc-DMSA seems to be an indicator of proximal tubular function.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Arnold RW, Subramanian G, McAfee JG, Blair RJ, Thomas FD (1975) Comparison of99mTc-complexes for renal imaging. J Nucl Med 16:357–367

    Google Scholar 

  • Cafruny EJ (1977) Renal tubular handling of drugs. Am J Med 62:490–496

    Google Scholar 

  • Chervu LR, Blaufox MD (1982a) Renal radiopharmaceuticals —an update. Semin Nucl Med 12:224–245

    Google Scholar 

  • Daly MJ, Milufinovic J, Rudd TG, Phillips LA, Fialkow PJ (1979) The hormal99mTc-DMSA renal image. Radiology 128:201–204

    Google Scholar 

  • De Maeyer P, Simons M, Oosterlink W, De Sy WA (1982) A clinical study of99mTechnetium dimercaptosuccinic acid uptake in obstructed kidneys: comparison with the creatinie clearance. J Urol 128:8–9

    Google Scholar 

  • Donker AJM, Hem GK van der, Sluiter WJ, Beekhui H (1977) A radioisotope method for simultaneous determination of the glomerular filtration rate and the effective renal plasma flow. Neth J Med 20:97–103

    Google Scholar 

  • Evrin PE, Peterson PA, Wide L, Berggard I (1971) Radioimmunoassay of β2-microglobulin in human biological fluids. Scand J Clin Lab Invest 28:439–443

    Google Scholar 

  • Irish JM III, Grantham JJ (1981) Renal handling of organic anions and cations. In: Brenner BM and Rector FC (eds) The kidney, vol 1. Saunders Co, Philadelphia, pp 619–649

    Google Scholar 

  • Lin TH, Khentigan A, Winchell HS (1974) A99mTc-chelate substitute for organoradiomercurial renal agents. J Nucl Med 15:34–35

    Google Scholar 

  • Luijk WHJ van, Ensing GJ, Piers DA (1983) Low renal uptake of99mTc-DMSA in patints with proximal tubular dysfunction. Eur J Nucl Med 8:404–405

    Google Scholar 

  • Smith HW (1951) Measurement of the filtration rate. In: Smith HW (ed) The kidney structure and function in health and disease. New York, Oxford University Press, pp 39–62

    Google Scholar 

  • Wibell, L, Evrin PE, Berggård I (1973) Serum β2-microglobulin in renal disease. Nephron 10:320–331

    Google Scholar 

  • Willis KW, Martinez DA, Hedely-Whyte ET, Davis NA, Judy PF, Treves S (1977) Renal localization of Tc-99m (Sn) glucoheptonate and Tc-99m dimercaptosuccinate in the rat by frozen section autoradiography. Radiat Res 69:475–488

    Google Scholar 

  • Yee CA, Lee HB, Blaufox MD (1981) Tc-99m DMSA renal uptake: influence of biochemical and physiological factors. J Nucl Med 22:1054–1058

    Google Scholar 

  • Zimmer AM, Pavel DG (1977) Rapid miniaturized chromatographic control procedure for99mTc-radiopharmaceuticals. J Nucl Med 10:1230–1233

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

van Luijk, W.H.J., Ensing, G.J., Meijer, S. et al. Is the relative99mTc-DMSA clearance a useful marker of proximal tubular dysfunction?. Eur J Nucl Med 9, 439–442 (1984). https://doi.org/10.1007/BF00563165

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00563165

Keywords

Navigation