Study of 99mTc-DTPA renal dynamic imaging for renal function as IVP detection failed

JIANG Ning-yi; LIU Xiong-ying; HU Ying-ying; ZHANG Hong; LIU Sheng; LIANG Jiu-gen; LU Xian-ping; LIU Xing-guang; CHEN Shao-xiong

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Journal of China Clinic Medical Imaging ›› 2007, Vol. 18 ›› Issue (7) : 479-481.

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Study of 99mTc-DTPA renal dynamic imaging for renal function as IVP detection failed

JIANG Ning-yi1, LIU Xiong-ying2, HU Ying-ying1, ZHANG Hong1, LIU Sheng1,
LIANG Jiu-gen1, LU Xian-ping1, LIU Xing-guang1, CHEN Shao-xiong1

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Abstract

Objective: To investigate the clinical significance of 99mTc-DTPA renal dynamic imaging in evaluating renal function as intravenous pyelography(IVP) detection failed. Methods: Sixty-six abnormal kidneys in 64 patients which IVP detection failed were accepted for 99mTc-DTPA renal dynamic imaging. Results: 99mTc-DTPA renal dynamic imaging demonstrated that all the IVP detection failed kidneys had poor function and nonfunction, detailed as: grade 0 in 2 cases, grade I in 3 cases, grade II in 7 cases, grade III in 36 cases, grade IV in 18 cases. And the average GFR was 53.7ml/min, 35.8ml/min, 21.1ml/min, 12.8ml/min and 7.8ml/min respectively. Twenty cases which 99mTc-DTPA renal dynamic imaging showed normal function or function slightly damaged on the contralateral kidney, the affected kidney received nephrectomy, others accepted expectant treatments and mostly with good recovery. Conclusion: 99mTc-DTPA renal dynamic imaging is an ideal method to assess preoperative renal function especially the single renal function in IVP detection failed patients. It is a simple, noninvasive, with high-sensitivity and repeatability.

Key words

technetium tc 99m pentetate / kidney diseases / radionuclide imaging

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JIANG Ning-yi;LIU Xiong-ying;HU Ying-ying;ZHANG Hong;LIU Sheng;LIANG Jiu-gen;LU Xian-ping;LIU Xing-guang;CHEN Shao-xiong. Study of 99mTc-DTPA renal dynamic imaging for renal function as IVP detection failed[J]. Journal of China Clinic Medical Imaging. 2007, 18(7): 479-481