Added value of dynamic SPECT/CT after kidney transplantation using a 3D-ring CZT-based camera: a case report
Anita A Harteveld1, Alina van de Burgt2, Dennis A Hesselink3
1Department of Radiology and Nuclear Medicine, Erasmus MC, Rotterdam, The Netherlands. a.harteveld@erasmusmc.nl.
EJNMMI Research
|February 17, 2026
Summary
Dynamic SPECT/CT imaging offers improved accuracy for kidney transplant patients. This advanced technique provides better visualization of renal function compared to traditional methods.
Area of Science:
- Nuclear Medicine
- Medical Imaging
- Nephrology
Background:
- Traditional 2D planar renal scintigraphy has limitations in anatomical and quantitative accuracy due to overlapping structures.
- Advancements in SPECT/CT technology, specifically 3D-ring CZT cameras, enable faster, high-resolution dynamic 3D imaging without patient rotation.
- This technology holds promise for enhancing the evaluation of kidney transplant recipients.
Purpose of the Study:
- To evaluate the diagnostic utility of dynamic SPECT/CT in a kidney transplant patient with impaired urinary excretion.
Main Methods:
- A case presentation of a 44-year-old male kidney transplant recipient.
- Dynamic SPECT/CT renal scintigraphy was performed.
- The study focused on assessing renal function and urinary excretion.
Main Results:
- Dynamic SPECT/CT imaging was successfully performed in the patient.
- The imaging provided insights into the cause of impaired urinary excretion post-transplantation.
Conclusions:
- Dynamic SPECT/CT, utilizing a 3D-ring CZT camera, offers significant added diagnostic value in renal scintigraphy.
- This advanced imaging modality enhances the assessment of kidney transplant patients.
Related Concept Videos
Imaging Studies III: Computed Tomography
425
DefinitionComputed Tomography (CT) of the genitourinary (GU) tract is a non-invasive imaging modality that utilizes X-rays and computer processing to generate detailed cross-sectional images of the urinary system, encompassing the kidneys, ureters, bladder, and adjacent structures such as the adrenal glands.PurposeCT scans of the GU tract serve several diagnostic and therapeutic purposes, including:Diagnosis of Urinary Tract Diseases: Detects kidney stones, tumors, cysts, and congenital...
425
Imaging Studies for Cardiovascular System V: CT
400
Cardiac computed tomography (CT) scanning is an advanced cardiac imaging technique that utilizes CT technology, with or without intravenous (IV) contrast, to produce accurate cross-sectional virtual slices of specific areas of the heart, coronary circulation, and major blood vessels such as the aorta, pulmonary veins, and arteries. The computer processes these slices to generate three-dimensional images. Multidetector CT (MDCT) is a rapid form of CT scanning that captures multiple slices...
400
Imaging Studies I: Kidney, Ureter, and Bladder Studies
396
Kidney, Ureter, and Bladder (KUB) StudiesKidney, Ureter, and Bladder (KUB) studies are standard diagnostic imaging procedures used to assess the anatomy of the urinary system. They are commonly utilized for patients experiencing abdominal pain or urinary symptoms. By using a simple X-ray of the abdomen, KUB studies can reveal structural and pathological abnormalities within the kidneys, ureters, and bladder. These studies are particularly valuable in diagnosing kidney stones, urinary...
396
Kidney Transplant II: Surgical Procedure
487
Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
487


