The SNMMI and EANM practice guideline for renal scintigraphy in adults

Blaufox, M. Donald; Palma, Diego De; Taylor, Andrew; Szabó, Zsolt; Prigent, Alain; Šámal, Martin; Li, Yang; Santos, Andrea; Testanera, Giorgio; Tülchinsky, Mark

doi:10.1007/s00259-018-4129-6

Cited by 45 publications

(27 citation statements)

References 33 publications

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“…99m Tc-Dimercaptosuccinic acid is a cortical imaging agent which is slowly excreted into the urine and thus provides inadequate information about drainage of the urinary system. There are a number of well-documented protocols for renal nuclear medicine imaging for both the adult and paediatric population 16 17. The addition of Single Photon Emission Computed Tomography (SPECT) to planar imaging is not generally applied in radionuclide renography but has the potential of providing further imaging information, particularly with respect to anatomical localisation.…”

Section: Discussionmentioning

confidence: 99%

Novel approach to locating a hypoplastic kidney in a unique variant of uterine didelphys syndrome presenting with continuous incontinence

2019

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Mullerian abnormalities such as uterine didelphys have an association with renal abnormalities. Ureteric ectopia must be considered as a differential diagnosis of incontinence. We describe the case of a 21-year-old woman who presented with low volume continuous incontinence with a history of right renal agenesis and uterus didelphys. A right kidney was not identified on CT intravenous pyelogram but excretory phase images suggested the presence of a right ureter. Diethylenetriaminepentaacetic acid renogram confirmed an area of perfusion consistent with a poorly functioning right kidney remnant. Cystoscopic investigation demonstrated an orthotopic left ureteric orifice, and an ectopic right ureteric orifice was identified in the posterior fornix of the right vagina. A laparoscopic right nephrectomy was performed, with a new application of indocyanine green aiding in identification of the right hypoplastic kidney with fluorescence imaging. The patient recovered well postoperatively and experienced complete resolution of incontinence, with preserved normal renal function.

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Section: Discussionmentioning

confidence: 99%

Novel approach to locating a hypoplastic kidney in a unique variant of uterine didelphys syndrome presenting with continuous incontinence

2019

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“…Radiotracer doses and image acquisition timing and elaboration were done in accordance with both the Society of Nuclear Medicine and the Molecular Imaging and the European Association of Nuclear Medicine guidelines. 11 Patients undergoing angiotensin converting enzyme (ACE) inhibitor therapy were asked to suspend the therapy three days before the examination for short half life ACE inhibitor therapy (i.e., captopril) instead, and seven days before the examination for long half life ACE inhibitor therapy (i.e., enalapril).…”

Section: Renal Function Study Protocolmentioning

confidence: 99%

“…Next, total GFR, split GFR, and time to radiotracer uptake peak ("time to peak", which is inversely proportional to kidney microperfusion) were calculated in accordance with the above mentioned guidelines. 11…”

Section: Renal Function Study Protocolmentioning

confidence: 99%

Early Renal Function Alterations in Renal Branches vs. Renal Fenestrations – A Dynamic Scintigraphy Based Prospective Study

Orrico

Cosma

Ricci

et al. 2020

European Journal of Vascular and Endovascular Surgery

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This single centre prospective study involved 67 patients treated by fenestrated and branched endovascular aneurysm repair (F/BEVAR) technology, who were divided into two groups depending on the renal bridging configurations (fenestration vs. branch). The renal outcomes were studies with standard laboratory parameters (serum creatinine levels and estimated glomerular filtration rate calculation with the Chronic Kidney Disease Epidemiology Collaboration equation) and with 99m Tc dynamic renal scintigraphy to determine whether the configurations have different effects on the renal function. It was found that branches were associated with a more significant decrease in the glomerular filtration rate already evident on three month renal scintigraphy and stable at one year.Objective: The objective of this prospective single centre study was to assess whether branches and fenestrations have different outcomes on renal function in the early phase. Methods: From March 2018 to June 2019, 67 patients who underwent elective fenestrated and branched endovascular aneurysm repair (F/BEVAR) procedures were enrolled in this study. The patients were divided into two groups according to the renal bridging component configuration (fenestration vs. branch). All of them underwent dynamic renal scintigraphy with 99m Tc diethylenetriaminepentaacetic acid (DTPA), two weeks pre-operatively, and three months and one year post-operatively. The primary end points were periprocedural technical success, 30 day major adverse events, differences in glomerular filtration rate (GFR) between the branch and fenestration configurations, and variations between the pre-operative and the postoperative dynamic renal scintigraphy. Results: Overall, 135 kidneys were analysed: 63 in the 32 patients treated with fenestrations, and 72 in the 35 patients treated with branches; the mean GFR on baseline scintigraphy was 58.4 AE 30.9 mL/min in the fenestration group, and 65.1 AE 29.2 mL/min in the branch group. Only kidneys associated with a patent fenestration/branch were included in the split GFR final analysis. The mean total GFR at three month scintigraphy decreased by 6.0 AE 2.9 mL/min in the fenestration group and by 23.4 AE 6.4 mL/min in the branch group. The split GFR decreased by 3.5 AE 0.6 mL/min in the fenestration group, and by 15.4 AE 5.4 mL/ min in the branch group. The GFR decrease remained stable at one year. Conclusion:In this study, the use of branches for renal arteries during F/BEVAR resulted in a greater decrease in the GFR than in those patients who were treated with fenestrations alone. The scintigraphic alterations were evident at an early phase.

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“…In the absence of broad guidelines [3], our team proposed the following procedure/practice for renal scintigraphy by PICC/CVC. After intravenous hydration with 300-500 mL of fluid (dextrose; 5% glucose or 0.9% sodium chloride) 30 min, the patency of the catheter in the PICC/CVC system is checked by 10 mL saline solution in a 10-mL syringe.…”

Section: And Hui Liumentioning

confidence: 99%

“…Whether the GFR measured by renal scintigraphy under non-steady state conditions for critically ill patients with AKI can be used as a predictive parameter for clinical events Guang-wen Zhu 1* , Zhou Gao 2 , Abdoul Rachid 3…”

mentioning

confidence: 99%

Whether the GFR measured by renal scintigraphy under non-steady state conditions for critically ill patients with AKI can be used as a predictive parameter for clinical events

et al. 2020

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The SNMMI and EANM practice guideline for renal scintigraphy in adults

Cited by 45 publications

References 33 publications

Novel approach to locating a hypoplastic kidney in a unique variant of uterine didelphys syndrome presenting with continuous incontinence

Novel approach to locating a hypoplastic kidney in a unique variant of uterine didelphys syndrome presenting with continuous incontinence

Early Renal Function Alterations in Renal Branches vs. Renal Fenestrations – A Dynamic Scintigraphy Based Prospective Study

Whether the GFR measured by renal scintigraphy under non-steady state conditions for critically ill patients with AKI can be used as a predictive parameter for clinical events

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