Functional renal imaging: new trends in radiology and nuclear medicine.

Abstract:

:The objective of this work is to compare the characteristics of various techniques for functional renal imaging, with a focus on nuclear medicine and magnetic resonance imaging. Even with low spatial resolution and rather poor signal-to-noise ratio, classical nuclear medicine has the advantage of linearity and good sensitivity. It remains the gold standard technique for renal relative functional assessment. Technetium-99m ((99m)Tc)-labeled diethylenetriamine penta-acetate remains the reference glomerular tracer. Tubular tracers have been improved: (123)I- or (131)I-hippuran, (99m)Tc-MAG3 and, recently, (99m)Tc-nitrilotriacetic acid. However, advancement in molecular imaging has not produced a groundbreaking tracer. Renal magnetic resonance imaging with classical gadolinated tracers probably has potential in this domain but has a lack of linearity and, therefore, its value still needs evaluation. Moreover, the advent of nephrogenic systemic fibrosis has delayed its expansion. Other developments, such as diffusion or blood oxygen level-dependent imaging, may have a role in the future. The other modalities have a limited role in clinical practice for functional renal imaging.

journal_name

Semin Nucl Med

authors

Durand E,Chaumet-Riffaud P,Grenier N

doi

10.1053/j.semnuclmed.2010.08.003

subject

Has Abstract

pub_date

2011-01-01 00:00:00

pages

61-72

issue

1

eissn

0001-2998

issn

1558-4623

pii

S0001-2998(10)00076-0

journal_volume

41

pub_type

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