RT Journal Article SR Electronic T1 Utility of Posterior Oblique Views in 99mTc-DMSA Renal Scintigraphy in Children JF Journal of Nuclear Medicine Technology JO J. Nucl. Med. Technol. FD Society of Nuclear Medicine SP 72 OP 73 VO 31 IS 2 A1 Mannes, Françoise A1 Bultynck, Edwige A1 Van Roijen, Nicole A1 Der Mauten, Linda Van A1 Piepsz, Amy A1 Ham, Hamphrey R. YR 2003 UL http://tech.snmjournals.org/content/31/2/72.abstract AB Objective:Procedure guidelines suggest that optimal 99mTc-dimercaptosuccinic acid (DMSA) planar scintigraphy of the kidney should include right and left posterior oblique views in addition to the posterior projection. However, in a small number of restless children, it is sometimes difficult to get 3 good-quality images. The aim of this study was to evaluate the prevalence of cases in which posterior oblique views were useful for interpreting 99mTc-DMSA renal scintigraphy. Methods:Three nuclear medicine specialists were asked to interpret 40 99mTc-DMSA renal scans twice, first on the basis of the posterior projection only and then by using the posterior and the right and left posterior oblique views. Results:The oblique posterior views were considered useful by observers 1 and 2 for 4 kidneys and by observer 3 for 5 kidneys and were considered somewhat useful for up to 7 kidneys. The addition of oblique posterior views changed the interpretation on 5 occasions for observer 1, on 9 occasions for the observer 3, and on no occasion for observer 2. On average, therefore, changes in interpretation occurred for fewer than 6% of the kidneys. Moreover, no relationship was observed between the opinion of the clinicians that oblique views were useful and changes in the scintigraphic interpretations. Conclusion:Oblique views were found useful in only a few cases and, even in these cases, did not significantly modify the interpretations. Therefore, when restless children are being imaged, the focus should be on obtaining a good posterior projection, even at the price of not having oblique posterior views.