title: Nuclear medicine in acute and chronic renal failure.
abstract: The diagnostic value of renal scintiscans in patients with acute or chronic renal failure has not been emphasized other than for the estimation of renal size. 131I OIH, 67gallium, 99mTcDTPA, glucoheptonate and DMSA all may be valuable in a variety of specific settings. Acute renal failure due to acute tubular necrosis, hepatorenal syndrome, acute interstitial nephritis, cortical necrosis, renal artery embolism, or acute pyelonephritis may be recognized. Data useful in the diagnosis and management of the patient with obstructive or reflux nephropathy may be obtained. Radionuclide studies in patients with chronic renal failure may help make apparent such causes as renal artery stenosis, chronic pyelonephritis or lymphomatous kidney infiltration. Future correlation of scanning results with renal pathology promises to further expand nuclear medicine's utility in the noninvasive diagnosis of renal disease.
mesh_terms: D058186:Acute Kidney Injury / Q000000981:diagnostic imaging*; D000328:Adult; D000368:Aged; D004617:Embolism / Q000000981:diagnostic imaging; D005260:Female; D005710:Gallium Radioisotopes; D006801:Humans; D007457:Iodine Radioisotopes; D007465:Iodohippuric Acid; D007676:Kidney Failure, Chronic / Q000000981:diagnostic imaging*; D007680:Kidney Neoplasms / Q000000981:diagnostic imaging; D008297:Male; D008875:Middle Aged; D009395:Nephritis, Interstitial / Q000000981:diagnostic imaging; D015609:Organotechnetium Compounds; D004369:Pentetic Acid; D011704:Pyelonephritis / Q000000981:diagnostic imaging; D011877:Radionuclide Imaging; D012078:Renal Artery Obstruction / Q000000981:diagnostic imaging; D004113:Succimer; D013400:Sugar Acids; D013667:Technetium; D019783:Technetium Tc 99m Dimercaptosuccinic Acid; D016284:Technetium Tc 99m Pentetate
chemical_list: D005710:Gallium Radioisotopes; D007457:Iodine Radioisotopes; D015609:Organotechnetium Compounds; D013400:Sugar Acids; D007465:Iodohippuric Acid; D019783:Technetium Tc 99m Dimercaptosuccinic Acid; D013667:Technetium; D004369:Pentetic Acid; D004113:Succimer; C100014:technetium Tc 99m gluceptate; D016284:Technetium Tc 99m Pentetate