Volume 30 Issue 5
Oct.  2006
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Factors affecting the effects of diuresis renography

  • Diuresis renography is one of the classic methods for diagnosing upper urinary tract obstruction in both children and adults. However, in clinical practice, the results of diuresis renography were often influenced by many factors including diuretics, timing of diuretics injection, the slatus of renal function and hydration, the volume and compliance of collecting system, bladder fullness and so on. It is important to consider all the factors affecting diuresis renography during performing and interpreting diuresis renography.
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  • [1] Wong DC,Rossleigh MA,Farnsworth RH.F+0 diuresis renography in infants and children.J Nucl Med,1999,40(11):1805-1811.
    [2] Brown SC,Upsdell SM,O'Reilly PH.The importance of renal function in the interpretation of diuresis renography.Br J Urol,1992,69(2):121-125.
    [3] O'Reilly PH.Consensus Committee of the Society of Radionuclides in Nephrourology.Standardization of the renogram technique for investigating the dilated upper urinary tract and assessing the results of surgery.BJU Int,2003,91(3):239-243.
    [4] Donoso G,Kuyvenhoven JD,Ham H,et al.99mTc-MAG3 diuretic renography in children:a comparison between F+0 and F+20.Nucl Med Commun,2003,24(11):1189-1193.
    [5] Boubaker A,Prior J,Antonescu C,et al.F+0 renography in neonates and infants younger than 6 months:an accurate method to diagnose severe obstructive uropathy.J Nucl Med,2001,42(12):1780-1788.
    [6] Turkolmez S,Atasever T,Turkolmez K,et al.Comparison of three different diuretic renal scintigraphy protocols in patients with dilated upper urinary tracts.Clin Nucl Med,2004,29(3):154-160.
    [7] Vlajkovic M,Ilic S,Rajic M,et al.Diuresis renal scintigraphy "F-0" in diagnosing of upper urinary tract obstruction in children:the clinical significance.Nucl Med Rev Cent East Eur,2005,8(1):21-27.
    [8] Conway JJ."Well-tempered" diuresis renography:its historical development,physiological and technical pitfalls and standardized technique protocol.Semin Nucl Med,1992,22(2):74-84.
    [9] Dubovsky EV,Russell CD.Advances in radionuclide evaluation of urinary tract obstruction.Abdom Imaging,1998,23(1):17-26.
    [10] Yung BC,Sostre S,Gearhart JP.Normalized clearance-to-uptake slope ratio:a method to minimize false-positive diuretic renograms.J Nucl Med,1993,34(5):762-768.
    [11] Jain S,Cosgriff PS,Turner DT,et al.Calculating the renal output efficiency as a method for clarifying equivocal renograms in adults with suspected upper urinary tract obstruction.BJU Int,2003,92(4):485-487.
    [12] Hunsche A,Press H,Taylor A.Increasing the dose of furosemide in patients with azotemia and suspected obstruction.Clin Nucl Med,2004,29(3):149-153.
    [13] Thrall JH,Ziessman HA.The requisites:nuclear medicine.2nd ed.St.Louis:Mosby.2001.343.
    [14] Adeyoju AA,Burke D,Atkinson C,et al.The choice of timing for diuresis renography:the F+0 method.BJU Int,2001,88(1):1-5.
    [15] Koff SA,Binkovitz L,Coley B,et al.Renal pelvis volume during diuresis in children with hydronephrosis:implications for diagnosing obstruction with diuretic renography.J Urol,2005,174(1):303-307.
    [16] Eskild-Jensen A,Gordon I,Piepsz A,et al.Interpretation of the renogram:problems and pitfalls in hydronephrosis in children.BJU Int,2004,94(6):887-892.
    [17] Karacalioglu O,Ilgan S,Arslan N,et al.Unilateral temporary funct-ional stasis in the upper urinary tract caused by "a filled bladder" on Tc-99m DTPA diuresis renography:a teaching case.Ann Nucl Med,2005,19(6):511-514.
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Factors affecting the effects of diuresis renography

    Corresponding author: ZHAO De-shan, deshanzh@hotmail.com
  • 1. Department of Nuclear Medicine, First Hospital, Shanxi Medical University, Taiyuan 030001, China;
  • 2. Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA

Abstract: Diuresis renography is one of the classic methods for diagnosing upper urinary tract obstruction in both children and adults. However, in clinical practice, the results of diuresis renography were often influenced by many factors including diuretics, timing of diuretics injection, the slatus of renal function and hydration, the volume and compliance of collecting system, bladder fullness and so on. It is important to consider all the factors affecting diuresis renography during performing and interpreting diuresis renography.

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