Document Detail

Detection of obstructive uropathy by bone scintigraphy.
MedLine Citation:
PMID:  3183746     Owner:  NLM     Status:  MEDLINE    
We prospectively evaluated routine bone scintigraphs to determine the prevalence of radiotracer retention in the renal collecting system, and to test the reliability of this finding as an indicator of obstructive uropathy. Post-diuretic renal washout was also measured, to evaluate the use of this procedure after bone scintigraphy. Stasis occurring only in the supine position was excluded by obtaining upright images. The findings on bone scintigraphy were compared with the results of renal sonography. Patients showing persistent pelvicaliceal concentration in the upright position after bone scintigraphy were found to have evidence of obstructive uropathy by sonography or other studies. Furosemide administration was followed by washout of the bone tracer from all kidneys with proven partial ureteral obstruction. Persistent renal pelvicaliceal concentration, in upright images after bone scintigraphy, appears to be a reliable indicator of obstructive uropathy. However, measurement of post-diuretic renal washout, after bone scintigraphy, does not reliably detect obstructive uropathy, and may be misleading if interpreted in the same way as the standard diuretic renogram.
H T Haden; P G Katz; K F Konerding
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of nuclear medicine : official publication, Society of Nuclear Medicine     Volume:  29     ISSN:  0161-5505     ISO Abbreviation:  J. Nucl. Med.     Publication Date:  1988 Nov 
Date Detail:
Created Date:  1988-12-20     Completed Date:  1988-12-20     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0217410     Medline TA:  J Nucl Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1781-5     Citation Subset:  IM    
Nuclear Medicine Service, Hunter Holmes McGuire Veterans Administration Medical Center, Richmond, Virginia 23249.
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MeSH Terms
Aged, 80 and over
Bone and Bones / radionuclide imaging*
Furosemide / diagnostic use
Hydronephrosis / radionuclide imaging
Middle Aged
Technetium Tc 99m Medronate / diagnostic use*
Ureteral Obstruction / radionuclide imaging*
Reg. No./Substance:
54-31-9/Furosemide; 63347-66-0/Technetium Tc 99m Medronate

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

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