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Research ArticleBrief Communication

Renal Cortical Scarring: 68Ga-PSMA-11 PET Versus 99mTc-DMSA Scanning in a Case of Pyelonephritis

Ismet Sarikaya, Ahmed Alqallaf, Ali Sarikaya, Ali Baqer and Nafisa Kazem
Journal of Nuclear Medicine Technology March 2022, 50 (1) 49-53; DOI: https://doi.org/10.2967/jnmt.121.262415
Ismet Sarikaya
1Department of Nuclear Medicine, Mubarak Al-Kabeer Hospital, Kuwait University, Kuwait City, Kuwait;
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Ahmed Alqallaf
2Department of Nephrology, Mubarak Al-Kabeer Hospital, Kuwait University, Kuwait City, Kuwait;
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Ali Sarikaya
3Department of Nuclear Medicine, Trakya University, Edirne, Turkey;
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Ali Baqer
4Department of Nuclear Medicine, Mubarak Al-Kabeer Hospital, Kuwait University, Kuwait City, Kuwait; and
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Nafisa Kazem
5Department of Nuclear Medicine, Mubarak Al-Kabeer Hospital, Kuwait University, Kuwait City, Kuwait
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    FIGURE 1.

    99mTc-DMSA planar (posterior and left posterior oblique), 99mTc-DMSA SPECT (maximum-intensity projection in posterior view and selected coronal slice), and 68Ga-PSMA-11 (non-AC maximum-intensity projection in posterior view and non-AC selected coronal slice) images demonstrating cortical defects or scars and reduced uptake in upper and lower poles of left kidney. Non-AC PET can be seen to have higher resolution than non-AC SPECT. LPO = left posterior oblique; MIP = maximum-intensity projection.

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    FIGURE 2.

    68Ga-PSMA-11 PET/CT (selected transaxial CT [top], PET [middle], and AC PET/CT [bottom]) images demonstrating reduced uptake in lower pole of left kidney and small cortical defect.

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    FIGURE 3.

    99mTc-DMSA SPECT (selected coronal slice) and 68Ga-PSMA-11 PET (AC and non-AC selected coronal slices) images of another patient with history of chronic recurrent pyelonephritis demonstrating mildly reduced uptake and cortical thinning in upper pole of right kidney with no parenchymal defects. Normal distribution of 68Ga-PSMA-11 is seen, with only mild activity in liver and spleen.

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Journal of Nuclear Medicine Technology: 50 (1)
Journal of Nuclear Medicine Technology
Vol. 50, Issue 1
March 1, 2022
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Renal Cortical Scarring: 68Ga-PSMA-11 PET Versus 99mTc-DMSA Scanning in a Case of Pyelonephritis
Ismet Sarikaya, Ahmed Alqallaf, Ali Sarikaya, Ali Baqer, Nafisa Kazem
Journal of Nuclear Medicine Technology Mar 2022, 50 (1) 49-53; DOI: 10.2967/jnmt.121.262415

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Renal Cortical Scarring: 68Ga-PSMA-11 PET Versus 99mTc-DMSA Scanning in a Case of Pyelonephritis
Ismet Sarikaya, Ahmed Alqallaf, Ali Sarikaya, Ali Baqer, Nafisa Kazem
Journal of Nuclear Medicine Technology Mar 2022, 50 (1) 49-53; DOI: 10.2967/jnmt.121.262415
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Keywords

  • DMSA scan
  • 68Ga-PSMA-11
  • PET
  • pyelonephritis
  • renal scar
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