By Maria Carmen Garganese, Giovanni Francesco Livio D'Errico
This fantastically illustrated publication combines the systematic technique of a textbook with the simplicity of session of an atlas on the way to offer a entire consultant to the functions and advantages of scintigraphic reports in youngsters. all the medical situations during which traditional nuclear drugs recommendations often play a job in kids are coated, with clarification of imaging prognosis, the relevance of scientific background, challenge fixing, and pitfalls. the pictures themselves are the foremost concentration of the ebook, and in each one surroundings the further worth provided by way of scintigraphy is punctiliously pointed out. The booklet additionally describes administration of the pediatric sufferer and addresses normal issues, together with reception, interplay with mom and dad, radiopharmaceutical management, picture acquisition, radiation publicity, and the connection of nuclear drugs and radiology. because the baby isn't really a tender grownup, it really is inadequate just to adapt nuclear medication approaches played in adults to the age and dimension of the kid. traditional Nuclear medication in Pediatrics should be a wealthy resource of data for all who practice those tactics within the pediatric setting.
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Additional resources for Conventional Nuclear Medicine in Pediatrics: A Clinical Case-Based Atlas
Persistent dilatation of the renal pelvis is a possible occurrence even in the absence of obstruction, especially when very large hypotonic pelvis and calyces were observed before surgery. MAG3 scan should be repeated at 6–12 months follow-up, or earlier if dilatation persists. In this latter case, definition of persistent obstruction from large hypotonic pelvis with dilated calyces can be particularly challenging for the nuclear medicine specialist. 4 Dynamic Renal Scintigraphy Dynamic renal scintigraphy allows to assessing renal function and drainage, evaluating both renal excretion and differential renal function (DRF).
MAG3 scan was asked in order to confirm surgical indication (Fig. 12). b c a e f d Fig. 12 MAG3 dynamic renal scan: dynamic images (a) show a horseshoe kidney; in left kidney, radiotracer uptake is reduced and intraparenchymal distribution is nonhomogeneous, with an area devoid of tracer corresponding to dilated renal pelvis and collecting system; drainage is poor; right kidney shows good and homogeneous radiotracer uptake and normal drainage; renograms (b) show moderate hypofunction and impaired drainage of left kidney (“plateau pattern”) and normal function and drainage of right kidney (left DRF: 37 %; right DRF: 63 %); flow T/A curves (b) show synchronous but asymmetrical perfusion (mildly reduced in left kidney).
Villani et al. show any VUR. At the age of 10 years, worsening of the right hydronephrosis was detected with grade 3 hydronephrosis and APD of 22 mm. MAG3 scan was asked in order to assess renal split function and urinary drainage (Fig. 10). b c a Fig. 10 MAG3 dynamic renal scan (anterior view): left kidney is located in its own proper site and shows good and homogeneous uptake of radiotracer and normal drainage; right kidney is ectopic pelvic, with round shape and good radiotracer uptake; intraparenchymal distribution is nonhomogeneous, with an area devoid of tracer corresponding to dilated renal pelvis, and drainage is poor (dynamic images, a); renograms (b) show normal function and drainage of left kidney and normal function but poor drainage of right kidney (“plateau pattern”); flow T/A curves (b) show synchronous and symmetrical perfusion.