1. Comparative scintigraphic study of renal function with 99mTc-Mercaptoacetyl-triglycine and 99mTc-Ethylenedicysteine.
- Author
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Beiki, D., Eftekhari, M., Fallahi, B., Gheisari, F., Hozhabrosadati, M., Fard-Esfahani, A., Takavar, A., Gholamrezanezhad, A., Saghari, M., and Ansari, Gilani K.
- Subjects
RADIOACTIVE tracers ,KIDNEYS ,PATIENTS ,RADIOPHARMACEUTICALS ,PHARMACOLOGY - Abstract
Objectives:
99m Tc-MAG3 is a standard radiotracer for renal dynamic functional study. Despite its properties for clinical uses, it has numerous technical limitations.99m Tc-EC is also a tubular radiotracer for renal imaging, which has not been used worldwide. In this study, the use of99m Tc-EC and99m Tc-MAG3 for renal functional study were compared. Methods: Thirty five patients (20 male, 15 female; mean age of 34.63 ± 10.69 years) were entered in the study. About 10 mCi of99m Tc-EC and99m Tc-MAG3 were administered in different days within 7 days intervals, and serial images were obtained for 30 minutes. Serum creatinine and visual scintigraphic findings of all patients, were within normal limits.. Results: In this study, the renal uptake of99m Te-EC was. significantly higher than99m Tc-MAG3 (6.20% vs. 4.39% of the injected dose), while the hepatic activity of99m Tc-EC was significantly lower (307 vs 439 mean pixel count, p<0.0001). Also the absolute values for some other quantitative parameters such as right and left kidney transit times and ERPF were different for each radiotracer. In spite of these differences most quantitative parameters (except for right kidney transit time, liver uptake and Tmax of both kidneys) showed good correlations for both agents. Conclusion: The calculated ERPF with99m Tc-EC as compared to99m Tc-MAG3 is in closer proximity to the true values, Also the use of99m Tc-EC compared to99m Tc-MAG3 in clinic due to simplicity of preparation, higher stability, higher renal uptake, and lower hepatobiliary activity is better. Therefore the use of99m Tc-EC as an appropriate substitute or ever preferred radiopharmaceutical for99m Tc- MAG3 radiopharmaceutical for renal function studies is recommended. [ABSTRACT FROM AUTHOR]- Published
- 2008