Role of Radioisotope Scanning (DMSA and DTPA) in  the Diagnosis and Management of Pediatric Urology  Cases

Dr. Anand P Zingade; Dr. Manish Kumar; Dr. Rohit S. Shool; Dr. Ajit G. Jadhav

Volume : III, Issue : V, May - 2013

Role of Radioisotope Scanning (DMSA and DTPA) in the Diagnosis and Management of Pediatric Urology Cases

Dr. Anand P Zingade, Dr. Manish Kumar, Dr. Rohit S. Shool, Dr. Ajit G. Jadhav

Abstract :

DTPA scan is used for Glomerular filtration rate (GFR) Estimation / Pelvi ureteric junction PUJ Block / Hydronephrosis / Non functioning kidney on Intravenous pyelography (IVU) and Dimercaptosuccinic acid (DMSA) for diagnosis of Pyelonephritis, Scars, Vesicoureteric reflux (VUR). Objectives: To study the role of Radio nucleotide DTPA and DMSA scanning in diagnosis and management of pediatric urology cases. Materials and Method: 40 pediatric cases of urology were randomly selected for the study. Cases underwent DMSA and DTPA scanning and after the diagnosis the line of management was decided. Results: Out of 40 cases 17 had Hydronephrosis, 5 had renal agenesis, 4 had vesicoureteric reflux and urinary tract infection, 3 had Pelviureteric junction obstruction, 2 had renal hypoplasia and 1 cases each had renal cyst and failure to thrive each. Conclusion: In pediatric urology, for functional assessment DTPA scan is important and for morphological assessment DMSA scan has a role.