Technetium-99m DTPA renal flow studies in Goldblatt hypertension

J Nucl Med. 1985 Aug;26(8):917-24.

Abstract

Computer-assisted dynamic renal studies were performed on a group of 14 mongrel dogs before and after the induction of unilateral renal artery stenosis. Ninety-second technetium-99m diethylenetriaminepentaacetic acid ( [99mTc]DTPA), 15-min [99mTc]DTPA, and 30-min iodine-131 orthoiodohippurate ( [131I]hippuran) time-activity curves were analyzed and correlated with reduction of renal blood flow as measured by electromagnetic flow probe and PAH clearance techniques. Parameters of the 90-sec [99mTc]DTPA curves found to be significantly different for the same kidney before and after stenosis were: upslope, curve width at 75% maximum, maximum activity value, and differential (stenotic/contralateral) maximum activity ratio. For blood flow reductions greater than 33%, the [99mTc]DTPA studies were judged diagnostic of unilateral renal artery stenosis in all cases, whereas the [131I]hippuran time-activity curves were indicative of stenosis in only six of ten studies. Thus, in this model we find the computer-assisted 90-sec [99mTc]DTPA renal flow study to be superior to conventional [131I]hippuran renography in the diagnosis of moderate-to-severe unilateral renal artery stenosis.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Animals
  • Computers
  • Dogs
  • Evaluation Studies as Topic
  • Female
  • Hypertension, Renovascular / diagnostic imaging*
  • Hypertension, Renovascular / physiopathology
  • Iodine Radioisotopes
  • Iodohippuric Acid
  • Kidney / diagnostic imaging*
  • Pentetic Acid*
  • Radionuclide Imaging
  • Renal Artery Obstruction / diagnostic imaging
  • Renal Circulation*
  • Technetium Tc 99m Pentetate
  • Technetium*
  • Time Factors

Substances

  • Iodine Radioisotopes
  • Iodohippuric Acid
  • Technetium
  • Pentetic Acid
  • Technetium Tc 99m Pentetate