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Research ArticlePractical Protocol

Renal Cortical Imaging

Mary Beth Farrell
Journal of Nuclear Medicine Technology September 2024, 52 (3) 205-207; DOI: https://doi.org/10.2967/jnmt.124.268301
Mary Beth Farrell
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    TABLE 1.

    Radiopharmaceutical Identity, Dose, and Route of Administration

    IdentityDoseRoute of administration
    99mTc-dimercaptosuccinic acid111 MBq (3 mCi); range, 111–222 MBq (3–6 mCi)Intravenous
    Pediatric dose: 99mTc-dimercaptosuccinic acid1.85 MBq/kg (0.05 mCi/kg); minimum administered activity, 18.5 MBq (0.5 mCi); maximum administered activity, 111 MBq (3.0 mCi)Intravenous
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    TABLE 2.

    Acquisition Parameters: Planar

    CategoryParameterStandard, preferred, or optional
    Camera typeLarge field of viewStandard
    Energy peak140 keVStandard
    Energy window20%Standard
    CollimatorLow energy, high resolutionStandard
    Low energy, ultrahigh resolutionStandard
    PinholeOptional
    Patient positionSupineStandard
    Camera positionPosteriorStandard
    Injection-to-imaging time2–4 h after injectionStandard
    24-h delayOptional
    Acquisition typeStaticStandard
    ViewsPosteriorStandard
    Anterior (transplant kidney or horseshoe kidney)Standard
    Additional viewsRight posterior oblique, left posterior obliqueStandard
    Right lateral, left lateral, anteriorOptional
    Matrix128 × 128 or greaterStandard
    Number of views3–6Optional
    Time per viewStatic: 500,000–1,000,000 counts or 5–10 minStandard
    Pinhole: 100,000–150,000 countsOptional
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    TABLE 3.

    Acquisition Parameters: SPECT or SPECT/CT

    CategoryParameterStandard, preferred, or optional
    Camera typeLarge-field-of-view multidetectorOptional
    Energy peak140 keVOptional
    Energy window20%Optional
    CollimatorLow energy, high resolutionOptional
    Patient positionSupineOptional
    Camera positionTo ensure field of view includes kidneysOptional
    Injection-to-imaging time2–4 h after injectionOptional
    Acquisition typeStep and shoot or continuousOptional
    Orbit180°Optional
    Orbit typeCircular or noncircularOptional
    Matrix128 × 128Optional
    Number of projections120Optional
    Time per projection25–30 sOptional
    CT acquisitionPer manufacturer’s recommendations for attenuation correction or diagnostic imagingOptional
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Journal of Nuclear Medicine Technology: 52 (3)
Journal of Nuclear Medicine Technology
Vol. 52, Issue 3
September 1, 2024
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Renal Cortical Imaging
Mary Beth Farrell
Journal of Nuclear Medicine Technology Sep 2024, 52 (3) 205-207; DOI: 10.2967/jnmt.124.268301

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Renal Cortical Imaging
Mary Beth Farrell
Journal of Nuclear Medicine Technology Sep 2024, 52 (3) 205-207; DOI: 10.2967/jnmt.124.268301
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  • Article
    • RATIONALE
    • CLINICAL INDICATIONS
    • CONTRAINDICATIONS
    • PATIENT PREPARATION/EDUCATION
    • RADIOPHARMACEUTICAL IDENTITY, DOSE, AND ROUTE OF ADMINISTRATION
    • ACQUISITION PARAMETERS: PLANAR
    • ACQUISITION PARAMETERS: SPECT OR SPECT/CT
    • PROTOCOL/ACQUISITION INSTRUCTIONS
    • IMAGE PROCESSING
    • Footnotes
    • REFERENCES
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