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Renal Scar and Pyelonephritis
Jennifer Schroeder, MD; Christopher R. McAdams, MD; Paige Bennett, MD
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KEY FACTS

  • Imaging

    • Clinical Issues

      IMAGING

      • General Features

        • Nuclear Medicine Findings

          • Imaging Recommendations

            • Artifacts and Quality Control

              DIFFERENTIAL DIAGNOSIS

                PATHOLOGY

                • General Features

                  CLINICAL ISSUES

                  • Presentation

                    • Natural History & Prognosis

                      • Treatment

                        DIAGNOSTIC CHECKLIST

                        • Consider

                          • Image Interpretation Pearls

                            Selected References

                            1. Finkelstein JB et al: Accuracy of ultrasound in identifying renal scarring as compared to DMSA scan. Urology. 138:134-7, 2020
                            2. Mattoo TK et al: Interobserver variability for interpretation of DMSA scans in the RIVUR trial. J Pediatr Urol. 13(6):616.e1-616.e6, 2017
                            3. Keramida G et al: Pitfalls and limitations of radionuclide renal imaging in adults. Semin Nucl Med. 45(5):428-39, 2015
                            4. Saleh Farghaly HR et al: Technetium-99m dimercaptosuccinic acid scan in evaluation of renal cortical scarring: Is it mandatory to do single photon emission computerized tomography? Indian J Nucl Med. 30(1):26-30, 2015
                            5. American College of Radiology. ACR-SPR Practice Parameter for the Performance of Renal Scintigraphy. 2014
                            Related Anatomy
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                            Related Differential Diagnoses
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                            References
                            Tables

                            Tables

                            KEY FACTS

                            • Imaging

                              • Clinical Issues

                                IMAGING

                                • General Features

                                  • Nuclear Medicine Findings

                                    • Imaging Recommendations

                                      • Artifacts and Quality Control

                                        DIFFERENTIAL DIAGNOSIS

                                          PATHOLOGY

                                          • General Features

                                            CLINICAL ISSUES

                                            • Presentation

                                              • Natural History & Prognosis

                                                • Treatment

                                                  DIAGNOSTIC CHECKLIST

                                                  • Consider

                                                    • Image Interpretation Pearls

                                                      Selected References

                                                      1. Finkelstein JB et al: Accuracy of ultrasound in identifying renal scarring as compared to DMSA scan. Urology. 138:134-7, 2020
                                                      2. Mattoo TK et al: Interobserver variability for interpretation of DMSA scans in the RIVUR trial. J Pediatr Urol. 13(6):616.e1-616.e6, 2017
                                                      3. Keramida G et al: Pitfalls and limitations of radionuclide renal imaging in adults. Semin Nucl Med. 45(5):428-39, 2015
                                                      4. Saleh Farghaly HR et al: Technetium-99m dimercaptosuccinic acid scan in evaluation of renal cortical scarring: Is it mandatory to do single photon emission computerized tomography? Indian J Nucl Med. 30(1):26-30, 2015
                                                      5. American College of Radiology. ACR-SPR Practice Parameter for the Performance of Renal Scintigraphy. 2014