Document Detail

Case report: the need for caution when using the spleen to assess renal blood flow in renography.
MedLine Citation:
PMID:  8785630     Owner:  NLM     Status:  MEDLINE    
Visual assessment of renal blood flow from renography is usually achieved by comparing the count rate from the kidney with that of the spleen during the first pass of the radiopharmaceutical agent. This is not justifiable if splenic blood flow is abnormal. In nine subjects without evidence of renal or other significant disease, the mean ratio of the slopes of the first pass curves over the left kidney and the spleen was 1.7 (SD 0.32). However, an additional patient, a 67-year-old female with type-II cryoglobulinaemia, illustrated the need for caution when using this approach. Her splenic blood flow was significantly elevated, resulting in a kidney/spleen slope ratio of only 0.66, even though her renal function was thought to be normal.
C M Field; D M Glass; A M Peters
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The British journal of radiology     Volume:  69     ISSN:  0007-1285     ISO Abbreviation:  Br J Radiol     Publication Date:  1996 Jan 
Date Detail:
Created Date:  1996-09-25     Completed Date:  1996-09-25     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0373125     Medline TA:  Br J Radiol     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  82-3     Citation Subset:  AIM; IM    
Department of Radiology, Hammersmith Hospital, London, UK.
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MeSH Terms
Cryoglobulinemia / radionuclide imaging*
Kidney / radionuclide imaging
Radioisotope Renography / methods
Renal Circulation*
Spleen / radionuclide imaging*
Technetium Tc 99m Pentetate / diagnostic use
Reg. No./Substance:
65454-61-7/Technetium Tc 99m Pentetate

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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