A comparative study of evaluating renal scars by99mTc-DMSA planar and SPECT renal scans, intravenous urography, and ultrasonography

Tzu Chen Yen*, Wei Perng Chen, Shu Lian Chang, Yan Cherng Huang, Chung Pin Hsieh, Shih Hwa Yeh, Ching Yuang Lin

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

27 Scopus citations

Abstract

The purpose of this prospective study is to compare 3 types of99mTc-DMS A renal scan [(a) planar, (b) x-ray type film static SPECT presentation (SPECT-1) and (c) dynamic three-view display of SPECT slices (SPECT-2)], intravenous urography, and ultrasonography in the diagnosis of renal scars. All these studies were performed in 130 pediatric patients, with urinary tract infection (42 patients), vesicoureteral reflux (37), and unilateral or bilateral small kidney(s) (51). The number of renal scars detected was highest with the99mTc-DMS A renal SPECT-1 scan and next came the99mTc-DMSA renal SPECT-2 studies. There is a significant difference (p < 0.05) between the ability of planar and SPECT-1 to recognize renal defects. However, SPECT-2 may provide the best stereotactic localization and image quality of all the methods.

Original languageEnglish
Pages (from-to)147-152
Number of pages6
JournalAnnals of Nuclear Medicine
Volume8
Issue number2
DOIs
StatePublished - 06 1994
Externally publishedYes

Keywords

  • IVU (Intravenous urography)
  • SPECT
  • Tc-99m DMSA
  • renal scar
  • ultrasonography

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