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Research ArticlePRACTICAL PROTOCOL TIP

Diuretic Renal Scintigraphy

Mary Beth Farrell, Kevin P. Banks and Justin G. Peacock
Journal of Nuclear Medicine Technology December 2022, 50 (4) 319-321; DOI: https://doi.org/10.2967/jnmt.122.264804
Mary Beth Farrell
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Kevin P. Banks
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Justin G. Peacock
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    FIGURE 1.

    Whole kidney region of interest with perirenal background region. Yellow = left kidney background; red = left kidney; green = right kidney; blue = right kidney background.

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    TABLE 1.

    Radiopharmaceutical Identity, Dose, and Route of Administration

    IdentityDoseRoute of administration
    99mTc-MAG3 (recommended) or…74 MBq (2 mCi); range: 37–185 MBq (1–5 mCi)Intravenous
    99mTc-diethylenetriamine pentaacetic acid185 MBq (5 mCi); range: 185–370 MBq (5–10 mCi)Intravenous
    Pediatric dose: 99mTc-MAG3Without flow study: 3.7 MBq/kg (0.10 mCi/kg); with flow study: 5.55 MBq/kg (0.15 mCi/kg); minimum administered activity: 37 MBq (1.0 mCi); maximum administered activity: 148 MBq (4 mCi)Intravenous
    Furosemide (based on creatinine level; mg/dL)Intravenous
     1.020 mg
     >1.540 mg
     2.060 mg
     3.080 mg
    Pediatric dose: furosemide1 mg/kg to maximum of 40 mgIntravenous
    • MAG3 = mercaptoacetyltriglycine.

    • 99mTc-MAG3 is preferred tracer in patients with known impaired renal function.

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    TABLE 2.

    Acquisition Parameters: Dynamic/Static/Planar

    ParameterCharacteristicsStandard/optional/preferred
    Camera typeLarge-field-of-view γ-cameraStandard
    Energy peak140 keVStandard
    Energy window20%Standard
    CollimatorLow-energy, all-purpose, or low-energy, high resolutionStandard
    Patient positionSupineStandard
    Camera positionPosteriorStandard
    Injection-to-imaging timeImmediately on injectionStandard
    Acquisition typeDynamicStandard
    StaticStandard
    ViewsPosteriorStandard
    Additional viewsPrevoid and postvoid supine kidneys and bladderStandard
    Postvoid erect imageOptional
    Matrix128 × 128Standard
    Number of views2–3Standard
    Time per viewDynamic: 2–4 s/frame for 60–120 s and then 1–2 min/frame for 30 minStandard
    Additional view time per projectionStatic: 500,000 to 1 million countsStandard
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Journal of Nuclear Medicine Technology: 50 (4)
Journal of Nuclear Medicine Technology
Vol. 50, Issue 4
December 1, 2022
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Diuretic Renal Scintigraphy
Mary Beth Farrell, Kevin P. Banks, Justin G. Peacock
Journal of Nuclear Medicine Technology Dec 2022, 50 (4) 319-321; DOI: 10.2967/jnmt.122.264804
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Diuretic Renal Scintigraphy
Mary Beth Farrell, Kevin P. Banks, Justin G. Peacock
Journal of Nuclear Medicine Technology Dec 2022, 50 (4) 319-321; DOI: 10.2967/jnmt.122.264804

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