Simultaneous pancreatic-renal transplant scintigraphy

Monitoring of Pancreatic Graft Perfusion by First Passage Radionuclide Angiography

“…In previous reports (3,6,8) Worcm-DTPA has been used as compound, but pertechnetate seems to be just as good and is cheaper. The best scintigrams are obtained on a large field of view gamma camera, but acceptable information may also be obtained in the ward using a mobile gamma camera and two bolus injections; one for each graft.…”

“…Accordingly, a normally functioning pancreatic transplant should have an isotope histogram with a well-defined peak similar to that of the iliac artery, whereas a loss of the peak and a decreased uptake could indicate dysfunction. In previous reports clinical indications have been used for pancreatic demonstration using~cm-DTPA on sequential scintigrams (3,6,8). Systematic monitoring by first passage curves may add important information to the clinical observation of pancreatic graft function.…”