Renal Transplant Scintigraphy
PDF
Cite
Share
Request
Review
P: 189-198
December 2019

Renal Transplant Scintigraphy

Nucl Med Semin 2019;5(3):189-198
1. Ege Üniversitesi Tıp Fakültesi, Nükleer Tıp Anabilim Dalı, İzmir, Türkiye
No information available.
No information available
Publish Date: 05.12.2019
PDF
Cite
Share
Request

ABSTRACT

Renal transplantation, which is the best treatment for end-stage renal failure, increases the life expectancy and provides a better quality of life when compared to dialysis. Scintigraphy is a non-invasive, frequently repeated, and easily applicable study for evaluating vascular complications, urinary leakage, and obstructions as well as graft function after transplantation and during follow-up. It is also a guide for the evaluation of medical complications such as acute tubular necrosis and acute rejection. Basal transplant kidney scintigraphy performed within 2-3 days after transplantation also has prognostic value. Although its application is not very different from normal dynamic renal scans, it has some differences in terms of both quantitative and qualitative evaluations of kidney perfusion compared to other renal scans.

References

1Erbas B. Peri- and Postsurgical Evaluations of Renal Transplant. Semin Nucl Med 2017;47:647-659.
2Aktaş A. Transplanted kidney function evaluation. Semin Nucl Med 2014;44:129-145.
3Port FK, Wolfe RA, Mauger EA, Berling DP, Jiang K. Comparison of survival probabilities for dialysis patients vs cadaveric renal transplant recipients. JAMA 1993;270:1339-1343.
4Oktay B, Vuruşkan H. Böbrek transplantasyonunda cerrahi teknik. Turkiye Klinikleri J Surg Med Sci 2006;2:45-47.
5Yarlagadda SG, Coca SG, Garg AX, et al. Marked variation in the definition and diagnosis of delayed graft function: a systematic review. Nephrol Dial Transplant 2008;23:2995-3003.
6Ojo AO, Wolfe RA, Held PJ, Port FK, Schmouder RL. Delayed graft function: risk factors and implications for renal allograft survival. Transplantation 1997;63:968-974.
7Frokiaer J, Thomsen HS. Renal transplant evaluation. In: Nuclear medicine in clinical diagnosis and treatment. 3rd ed. Ell PJ, Gambhir SS, eds. London: Churchill Livingstone; 2004. 1645-1656.
8Yazici B. Practical Method for Calculation of Graft Index in Renal Transplant Scintigraphy: A Technical Note. Clin Nucl Med 2019;44:32-37.
9Hilson AJ, Maisey MN, Brown CB, Ogg CS, Bewick MS. Dynamic renal transplant imaging with Tc-99 m DTPA (Sn) supplemented by a transplant perfusion index in the management of renal transplants. J Nucl Med 1978;19:994-1000.
10Preston DF, Luke RG. Radionuclide evaluation of renal transplants. J Nucl Med 1979;20:1095-1097.
11Groothedde RT, Koppejan LJ, Heidendal GK, Hasman A. The differential ratio. A method for describing blood flow in renal transplants. Nucl Med Commun 1990;11:771-776.
12Kirchner PT, Goldman MH, Leapman SB, Kiepfer RF. Clinical application of the kidney to aortic blood flow index (K/Aratio). Contrib Nephrol 1978;11:120-126.
13Jackson SA, Ehrlich L,Martin RH. The renal washout parameter as an indicator of transplant rejection. Eur J Nucl Med 1986;12:86-90.
14Aktas A, Haberal M. Classification of Tc-99m DTPA renograms based on the relationship between uptake and perfusion pattern. Transplant Proc 2005;37:4259-4265.
15Yazici B, Oral A, Gokalp C, Akgun A, Toz H, Hoscoskun C. A new quantitative index for baseline renal transplant scintigraphy with Tc-99m-DTPA in evaluation of delayed graft function and prediction of 1-year graft function. Clin Nucl Med 2016;41:182-188.
16Yazici B, Bulut IK, Oral A, et al. Early predictive value of baseline renal transplant scintigraphy in pediatric patients. Nucl Med Commun 2018;39:901-907.
17Benjamens S, Berger SP, Glaudemans AWJM, et al. Renal scintigraphy for post-transplant monitoring after kidney transplantation. Transplant Rev (Orlando) 2018;32:102-109.
18El-Maghraby TA, de Fijter JW, van Eck-Smit BL, Zwinderman AH, El-Haddad SI, Pauwels EK. Renographic indices for evaluation of changes in graft function. Eur J Nucl Med 1998;25:1575-1586.
19El-Maghraby TA, Boom H, Camps JA, et al. Delayed graft function is characterized by reduced functional mass measured by Tc-99m MAG3 renography. Transplantation 2002;74:203-208.
20Chaiwatanarat T, Laorpatanaskul S, Poshyachinda M, et al. Deconvolution analysis of renal blood flow: evaluation of postrenal transplant complications. J Nucl Med 1994;35:1792-1796.
21Russell CD, Japanwalla M, Khan S, Scott JW, Dubovsky EV. Techniques for measuring renal transit time. Eur J Nucl Med 1995;22:1372-1378.
22Koizumi K, Uchiyama G, Araki T, Tanabe N, Yamada Y, Ueno A. Tc-99m DTPA scintigraphic findings in patients with postoperative complications of renal transplantation. Rinsho Hoshasen 1989;34:1423-1432.
23Yazici B, Oral A, Yilmaz M, Akgün A, Toz H. Two different causes of decreased activity on ipsilateral iliac artery in renal transplant scintigraphy. Clin Nucl Med 2018;43:540-541.
24Dirlik A, Ozbek SS, Toz H, Hoscoskun C, Ozcan Z. Localization of accessory renal artery infarction using Tc-99m DMSA scintigraphy. Clin Nucl Med 2004;29:649-651.
25Yazici B, Gunay E, Akgün A, Sen S, Ozbek SS. Scintigraphic and sonographic findings of subcapsular cortical necrosis in a transplanted kidney. Clin Nucl Med 2018;43:542-545.
26Gupta SK, Lewis G, Rogers KM, et al. Quantitative (99m)Tc DTPA renal transplant scintigraphic parameters: assessment of interobserver agreement and correlation with graft pathologies. Am J Nucl Med Mol Imaging 2014;4:213-214.
27Yazici B, Yazici A, Oral A, Akgün A, Toz H. Comparison of renal transplant scintigraphy with renal resistance index for prediction of early graft dysfunction and evaluation of acute tubular necrosis and acute rejection. Clin Nucl Med 2013;38:931-935.
28Taylor AT. Radionuclides in nephrourology, Part 2: Pitfalls and diagnostic applications. J Nucl Med 2014;55:786-798.
29Dubovsky EV, Russell CD, Bischof-Delaloye A, et al. Report of the radionuclides in nephrourology committee for evaluation of transplanted kidney (review of techniques). Semin Nucl Med 1999;29:175-188.
30Akgun A, Yazici B, Onay S. Renal transplant sintigrafisinde mesane konfigürasyonunun onemi: iki olgu. Turk J Nucl Med 2005;14:123-125.
31Akgun A, Yazici B, Keskinoglu A, Argon M, Ozcan Z. Two Pitfalls in Interpretation of Dynamic Renal Transplantation Scintigraphy. Turk J Nucl Med 2008;17:29-31.
32Yazici B, Oral A, Akgün A. Contribution of SPECT/CT to evaluate urinary leakage suspicion in renal transplant patients. Clin Nucl Med 2018;43:e378-e380.
33İhtiyar E. Böbrek transplantasyonunda cerrahi komplikasyonlar. Türkiye Klinikleri J Surg Med Sci 2006;2:57-63.
34Majima T, Hattori R, Funahashi Y, et al. (99m)Tc-mercaptoacetyl triglycine renography to monitor renal transplant function among kidneys from donors after cardiac death. Transplant Proc 2012;44:49-53.
35Russell CD, Yang H, Gaston RS, Hudson SL, Diethelm AG, Dubovsky EV. Prediction of renal transplant survival from early postoperative radioisotope studies. J Nucl Med 2000;41:1332-1336.
36Guignard R, Mourad G, Mariano-Goulart D. Utility of postsurgical renal scintigraphy to predict one-year outcome of renal transplants in patients with delayed graft function. Nucl Med Commun 2011;32:314-319.
37Stevens H, de Klerk JM, Mertens IJ, van Rijk PP, Hené RJ. Quantitative baseline renography 48 hours after renal transplantation predicts long-term graft survival. Eur J Nucl Med 2001;28:1677-1681.
38Ngai S, Demetriades T. Prediction of longterm renal transplant allograft function from day 3 post-transplant Tc-99m MAG3 scintigraphy. Clin Nucl Med 2008;33:102-105.
39Gupta SK, Lewis G, Rogers K, Attia J. Quantitative Tc-99m DTPA renal transplant scintigraphy predicts graft survival in the very early postoperative period. Nucl Med Commun 2012;33:1292-1299.
40Yazici B, Oral A, Gökalp C, et al. Evaluation of renal transplant scintigraphy and resistance index performed within 2 days after transplantation in predicting long-term graft function. Clin Nucl Med 2015;40:548-552.
Article is only available in PDF format. Show PDF
2024 ©️ Galenos Publishing House