Role of Nuclear Medicine in Evaluation of Pediatric Kidney Disease: Obstructive Uropathy

Diuretic renography is commonly used for evaluation of congenital pelviureteric junction obstruction. Knowledge of renal maturity and pathophysiology of obstructive uropathy helps in selection of proper radiopharmaceutical, diuretic protocol and generating meaningful reports from renography. Various...

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Main Author: R. L. Vijayaraghavan
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-04-01
Series:Indian Journal of Kidney Diseases
Subjects:
Online Access:https://journals.lww.com/10.4103/ijkd.ijkd_23_23
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author R. L. Vijayaraghavan
author_facet R. L. Vijayaraghavan
author_sort R. L. Vijayaraghavan
collection DOAJ
description Diuretic renography is commonly used for evaluation of congenital pelviureteric junction obstruction. Knowledge of renal maturity and pathophysiology of obstructive uropathy helps in selection of proper radiopharmaceutical, diuretic protocol and generating meaningful reports from renography. Various physical, physiological, and technical factors affect the procedure and interpretation of renography. Standardization of procedure and protocols is essential and can be accessed from joint consensus procedure guidelines published in 2018 by European Association of Nuclear Medicine (EANM) and The Society of Nuclear Medicine and Molecular Imaging (SNMMI). Renal maturity, pathophysiology of pelviureteric obstruction, choice of radiopharmaceuticals, protocol, interpretation, and pitfalls of diuretic renography are discussed in this article.
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publisher Wolters Kluwer Medknow Publications
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series Indian Journal of Kidney Diseases
spelling doaj-art-8f72049e7506408c8f74adde6e4f293c2025-08-20T03:45:45ZengWolters Kluwer Medknow PublicationsIndian Journal of Kidney Diseases2950-07612023-04-0122394510.4103/ijkd.ijkd_23_23Role of Nuclear Medicine in Evaluation of Pediatric Kidney Disease: Obstructive UropathyR. L. VijayaraghavanDiuretic renography is commonly used for evaluation of congenital pelviureteric junction obstruction. Knowledge of renal maturity and pathophysiology of obstructive uropathy helps in selection of proper radiopharmaceutical, diuretic protocol and generating meaningful reports from renography. Various physical, physiological, and technical factors affect the procedure and interpretation of renography. Standardization of procedure and protocols is essential and can be accessed from joint consensus procedure guidelines published in 2018 by European Association of Nuclear Medicine (EANM) and The Society of Nuclear Medicine and Molecular Imaging (SNMMI). Renal maturity, pathophysiology of pelviureteric obstruction, choice of radiopharmaceuticals, protocol, interpretation, and pitfalls of diuretic renography are discussed in this article.https://journals.lww.com/10.4103/ijkd.ijkd_23_23diuretic renographynormalized residual activityparenchymal transit timepelviureteric junction obstruction
spellingShingle R. L. Vijayaraghavan
Role of Nuclear Medicine in Evaluation of Pediatric Kidney Disease: Obstructive Uropathy
Indian Journal of Kidney Diseases
diuretic renography
normalized residual activity
parenchymal transit time
pelviureteric junction obstruction
title Role of Nuclear Medicine in Evaluation of Pediatric Kidney Disease: Obstructive Uropathy
title_full Role of Nuclear Medicine in Evaluation of Pediatric Kidney Disease: Obstructive Uropathy
title_fullStr Role of Nuclear Medicine in Evaluation of Pediatric Kidney Disease: Obstructive Uropathy
title_full_unstemmed Role of Nuclear Medicine in Evaluation of Pediatric Kidney Disease: Obstructive Uropathy
title_short Role of Nuclear Medicine in Evaluation of Pediatric Kidney Disease: Obstructive Uropathy
title_sort role of nuclear medicine in evaluation of pediatric kidney disease obstructive uropathy
topic diuretic renography
normalized residual activity
parenchymal transit time
pelviureteric junction obstruction
url https://journals.lww.com/10.4103/ijkd.ijkd_23_23
work_keys_str_mv AT rlvijayaraghavan roleofnuclearmedicineinevaluationofpediatrickidneydiseaseobstructiveuropathy