Pitfalls and Limitations of Radionuclide Renal Imaging in Pediatrics

The article presents common pitfalls encountered in pediatric radionuclide renography, illustrated with clinical cases. It is important to recognize normal variants. A good acquisition technique is essential. Correlation with other imaging techniques, with the clinical background and symptoms, is critical. A clear clinical question is essential: based on the question and knowing the strengths and weaknesses of each test, the test which can best answer the question can be selected. Awareness of the pitfalls of radionuclide renography helps avoid errors of interpretation and allows the selection of the most helpful test for clinical management.