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Additional info for Diagnostic Radiology: Radionuclides in Urology — Urological Ultrasonography — Percutaneous Puncture Nephrostomy
Radiohippuran uptake in renal transplant is clearly seen but the whole right aspect of the scintiphoto shows diffuse radiation indicative of urinary extravasation. Bladder can faintly be seen in lowermost portion of picture Renal Transplantation 37 al. (1972), feel that a bolus injection of such radiopharmaceuticals are of the greatest value in establishing the patency of the new reanastomosed vascular pathway. ROSENTHALL et al. (1974) also pointed to the importance of sequential radionuc1ide studies in the diagnosis of acute tubular necrosis and rejection and stated that isolated studies can be misleading, since it is the change in function that is crucial to an early and accurate diagnosis.
They pointed out that studies using Hippuran labeled with 131iodine have shown that the kidney with even mild chronic pyelonephritis does not excrete small volumes as weIl as does the normal kidney, although the handling of a large volume may be similar. They demonstrated this by performing sequential ca me ra studies under conditions of water diuresis and comparing them to those done with Pitressininduced antidiuresis. These studies indicated that under conditions of water diuresis the radionuc1ide is excreted equally from the two kidneys, but under the condition of antidiuresis, there is hold-up on the diseased side.
L 12 - 8-70 ~ 50 # 3 POST OP. P. I ,, , , ' / " / / / / ,. / AREA Ir 9 CHANNE L S EACH AREA 1-2 2-3 3-4 4 -5 10 15 25 MINUTES Fig. 17. Regional renal histograms on patie nt whose angiogram is seen in Fig. , based upon animal experimentation ofstudies done in 1961. Utilization was made of 203Hg Neohydrin camera studies as a method for determining functioning renal mass and roentgenographic determination of renal area as a method for determining physical renal mass. In 20 patients operated upon for suspected unilateral renal hypertension, a disparity between these two parameters seemed to correlate weH with the surgical outcome.