Friday, July 5, 2013

Dynamic renal scintigraphy

What is dynamic scintigraphy?

Dynamic renal scintigraphy is a diagnostic procedure for the pictorial representation of the morphology and function of the kidney using radiopharmaceuticals that are excreted by the kidneys.
Radiopharmaceutical: Tc-99m DTPA, T1 / 2 6 hours.
The goal of search is to evaluate the morphology and function of the kidney-elimination ability of the canal system. It is used in unilateral or bilateral drainage faults or enlargement of renal duct system in terms hidrokalkuloze, stenosis Ureteropelvic neck or urethra, or hidronefoze hidrouretera.



Preparation of the patient prior to the examination

Before the tests should drink about 1 liter of liquid
The patient need not be fasting
Warn your doctor or medical engineers the possibility of pregnancy, or breast-feeding
It is recommended that jewelry and metal ornaments left at home or removed prior to recording
After scanning the patient should drink more fluids and urinate more often
Dynamic renal scintigraphy in renovascular hypertension

A week before the test omitted from an ACE inhibitor and A2 receptors (except for the express contraindications), consult a competent liječnkom which are drugs
Two days earlier and omit beta blockers, calcium channel blockers, diuretics and anti-rheumatic drugs
What to bring to your search?

It is necessary to make a referral to the previous one, on the basis of which the search is indicated (diagnostic and specialists who are starting. Recommends search).

Search procedure

Radiopharmaceutical: Tc-99m DTPA, T 6 ½ hours.
The patient is injected into the cubital vein radiopharmaceutical, while lying on her back on the bed and immediately after the start of injection, dynamic studies lasting 20-30 minutes.
It takes the rest of the time in bed. The camera is below the patient.
Sometimes it is necessary to make one additional recording after giving diuretics also injected intravenously (diuretic dynamic renal scintigraphy).

Treatment of dynamic renal scintigraphy with captopril

Before you search the patient receives pill captopril (25 mg)
After that should be enough to drink and urinate
After 1h receive intravenous radiopharmaceutical (Tc-99m DTPA) while lying on her back on the bed and under the gamma camera
Immediately after the injection begins recording for 20 minutes and during that time should stand still
If the search finds this normal finding, then the search ends. If the result of abnormal, then the patient has to come to another record (basal study - without captopril). The aim of the search is the detection and monitoring of renovascular hypertension.

What can be expected after the shooting?

After the search has no impediments to normal activities.
It is recommended that 24 hours after the examination to avoid close contact with others, especially children and pregnant women. 

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