The value of renal scintigraphy during controlled diuresis in children with hydronephrosis
Dynamic renal scintigraphy (DRS) during controlled diuresis is the method of choice to diagnose the functional relevance of urinary tract obstruction in children with sonographically demonstrated hydronephrosis. However, there are no commonly accepted scintigraphic criteria for surgical intervention...
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| Veröffentlicht in: | European journal of nuclear medicine 1999, Vol.26 (1), p.18-21 |
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| container_title | European journal of nuclear medicine |
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| creator | STEINER, D STEISS, J.-O KLETT, R MILLER, J BAUER, R WEIDNER, W RASCHER, W |
| description | Dynamic renal scintigraphy (DRS) during controlled diuresis is the method of choice to diagnose the functional relevance of urinary tract obstruction in children with sonographically demonstrated hydronephrosis. However, there are no commonly accepted scintigraphic criteria for surgical intervention. On the basis of our findings, we propose four stages of washout (WO) of tracer following diuresis: in stage I, WO>50%, neither further diagnosis nor intervention is necessary; in stage II, 50%>/=WO>/=12%, repetition of DRS is advised within 3-4 months; and in stage III, 12%>WO>/=5%, DRS should be repeated within 1-2 months. Only in stage IV, WO |
| doi_str_mv | 10.1007/s002590050354 |
| format | Article |
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However, there are no commonly accepted scintigraphic criteria for surgical intervention. On the basis of our findings, we propose four stages of washout (WO) of tracer following diuresis: in stage I, WO>50%, neither further diagnosis nor intervention is necessary; in stage II, 50%>/=WO>/=12%, repetition of DRS is advised within 3-4 months; and in stage III, 12%>WO>/=5%, DRS should be repeated within 1-2 months. Only in stage IV, WO<5%, should surgery be done immediately. 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However, there are no commonly accepted scintigraphic criteria for surgical intervention. On the basis of our findings, we propose four stages of washout (WO) of tracer following diuresis: in stage I, WO>50%, neither further diagnosis nor intervention is necessary; in stage II, 50%>/=WO>/=12%, repetition of DRS is advised within 3-4 months; and in stage III, 12%>WO>/=5%, DRS should be repeated within 1-2 months. Only in stage IV, WO<5%, should surgery be done immediately. This procedure reduces surgical interventions by 50% without increasing the risk of residual renal damage.</abstract><cop>Berlin</cop><pub>Springer</pub><pmid>9933657</pmid><doi>10.1007/s002590050354</doi><tpages>4</tpages></addata></record> |
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| subjects | Biological and medical sciences Diuresis Diuretics Female Furosemide Humans Hydronephrosis - diagnostic imaging Infant Investigative techniques, diagnostic techniques (general aspects) Male Medical sciences Radioisotope Renography Radionuclide investigations Radiopharmaceuticals Technetium Tc 99m Mertiatide Urinary system |
| title | The value of renal scintigraphy during controlled diuresis in children with hydronephrosis |
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