Comparing Dimercaptosuccinic Acid Scintigraphic and Voiding Cystourethrographic Findings Questions the Adequacy of VCUG as a Screening Modality in Acute Pyelonephritis

Comparing Dimercaptosuccinic Acid Scintigraphic and Voiding Cystourethrographic Findings Questions the Adequacy of VCUG as a Screening Modality in Acute Pyelonephritis
Date: 10/14/2008

TUMSPR News: Based on a report by the Public Relations of Bahrami Children’s Hospital, comparison of Dimercaptosuccinic Acid Scintigraphic and voiding cystourethrographic findings in patients with acute pyelonephritis in Bahrami Children’s Hospital, reveals that VCUG alone is insufficient as a screening modality to identify kidneys at risk of damage and DMSA scan may provide additional information on the matter.

Based on a report by the Public Relations of Bahrami Children’s Hospital, comparison of Dimercaptosuccinic Acid Scintigraphic and voiding cystourethrographic findings in patients with acute pyelonephritis in Bahrami Children’s Hospital, reveals that VCUG alone is insufficient as a screening modality to identify kidneys at risk of damage and DMSA scan may provide additional information on the matter.

Dr. Fahimi D., Dr. Khosroshahi N., Dr. Al Hossein S.M., Dr. Amin Nejad M. and Dr. Ansari M. evaluated 50 children (100 renal units) with acute pyelonephritis that had been admitted to Bahrami children’s hospital from 1995 through 1998.

The study showed DMSA cortical defect and vesicoureteral reflux in 42 (42%) and 26 (26%) of renal units respectively. 14 renal units (54%) with reflux and 28 out of 74 renal units (38%) without reflux had cortical defects. Permanent renal scarring was noted in 25 / 42 of renal units (62%) in the second scans. Authors believe that VCUG alone is insufficient as a screening modality to identify kidneys at risk of damage and DMSA scan may provide additional information on the matter.

Tehran University Medical Journal 2003; 61(6)

http://publicrelations.tums.ac.ir/english/news/detail.asp?newsID=9076