Diuretic Renal Scintigraphy Protocol Considerations

J Nucl Med Technol. 2022 May 24:jnmt.121.263654. doi: 10.2967/jnmt.121.263654. Online ahead of print.

Abstract

Diuretic renal scintigraphy plays a critical diagnostic role by providing a physiologic means for differentiating between obstructive and nonobstructive hydronephrosis as well as assessing the function of the affected kidney. The exam accuracy is highly dependent upon and benefits from close attention to the protocol. This article reviews kidney anatomy and physiology, patient preparation, available radiopharmaceuticals, diuretic administration, acquisition, processing, quantification, and interpretation criteria.

Keywords: Diuretic; Genitourinary; Lasix; Quality Assurance; Renal; patient preparation; quantification; renal scintigraphy.