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99mTc-MAG3 and 99mTc-DMSA in the detection and assessment of pyelonephritis
F Tamgac1, J L Moretti, J M Rocchisani
1Service de Médecine Nucléaire, Hôpital Avicenne, Bobigny, France.
Abstract:
In this report, we present the case of a patient suffering from recurrent acute pyelonephritis and who had a hypertrophic right kidney following left nephrectomy. 99mTc-dimercaptosuccinic acid (DMSA) scan is known to be of value in the diagnosis of pyelonephritis, based on the detection of parenchymal abnormalities. The kidney accumulation of 99mTc-mercaptoacetyl-glycylglycylglycine (MAG3) at 2-3 minutes also proves to supply useful information on cortical function. This case illustrates that 99mTc-MAG3 study may be an efficient complementary examination to 99mTc-DMSA scan in the detection and assessment of pyelonephritis.