Abstract
This study evaluates single-photon renal tomoscintigraphy (SPECT) in the evaluation of renal masses and correlates this modality, where indicated, with computed tomography (CT), ultrasonography (US), angiography (ANGIO) and nuclear magnetic resonance imaging (NMR). Eight patients with renal cortical lesions detected on intravenous urography (IVP) were evaluated by SPECT and planar nuclear imaging using Tc-99m glucoheptonate (GH). Three of these patients were felt particularly likely to have renal tumors and were additionally evaluated with US, CT, ANGIO and NMR. The five patients with nodules on IVP that were not particularly suggestive of malignancy had functioning, benign, renal tissue accounting for their IVP lesions. Four of five were found by planar-GH nuclear imaging, five/five by SPECT-GH. In addition, SPECT-GH allowed better “confidence” in the normal renal tissue diagnosis in three/five cases. Of the three renal lesions that were highly suggestive of malignancy, two were hypernephromas and one was hypertrophied functioning cortical tissue. All three were correctly identified prospectively on SPECT-GH; however, one hypernephroma was missed on planar-GH. NMR, CT, and ANGIO detected only one of two hypernephromas prospectively (US detected both); all four modalities incorrectly diagnosed the hypertrophied tissue suggestive of malignancy.
Similar content being viewed by others
References
Amis ES Jr, Hartman DS (1984) Renal ultrasonography 1984: a practical overview. Radiol Clin North Am 22:315–329
Charboneau JW, Hattery RR, Ernst EC III, James EM, Williamson B Jr, Hartman GW (1983) Spectrum of sonographic findings in 125 renal masses other than benign simple cyst. AJR 140:87–94
Daly MJ, Milutinovic J, Rudd TG, Phillips LA, Fialkow PJ (1978) The normal 99mTc-DMSA renal image. Radiology 128:701–704
Hricak H, Crooks L, Sheldon P, Kaufman L (1983a) Nuclear magnetic resonance imaging of the kidney. Radiology 146:425–532
Hricak H, Williams RD, Moon KL Jr, Moss AA, Alpers C, Crooks LE, Kaufman L (1983b) Nuclear magnetic resonance imaging of the kidney: renal masses. Radiology 147:765–772
Kam J, Sandler CM, Benson GS (1981) Angiography in diagnosis of renal tumors — current concepts. Urology 19:100–106
Kass DA, Hricak H, Davidson AJ (1983) Renal malignancies with normal excretory urograms. AJR 141:731–734
Ladwig SH, Jackson D, Older RA, Morgan CL (1981) Ultrasonic, angiographic, and pathologic correlation of noncystic-appearing renal masses. Urology 17:204–209
Leonard JC, Allen EW, Goin J, Smith CW (1979) renal cortical imaging and the detection of renal mass lesions. J Nucl Med 20:1018–1022
MacDonald AF, Keyes WI, Mallard JR, Steyn JH (1977) Diagnostic value of computerised isotopic section renal scanning. Eur Urol 3:289–291
Magilner AD, Ostrum BJ (1978) Computed tomography in the diagnosis of renal masses. Radiology 126:715–718
Maklad NF, Chuang VP, Doust BD, Cho KJ, Curran JE (1977) Ultrasonic characterization of solid renal lesions: echographic, angiographic and pathologic correlation. Radiology 123:733–739
O'Reilly PH, Osborn DE, Testa HJ, Asbury DL, Best JJK, Barnard RJ (1981) Renal imaging: a comparison of radionuclide, ultrasound, and computed tomograhic scanning in investigation of renal space-occupying lesions. Br Med J 282:943–945
Pillari G, Lee WJ, Kumari S, Chen M, Abrams HJ, Buchbinder M, Sutton AP (1981) CT and angiographic correlates: surgical image of renal mass lesions. Urology 17:296–299
Pollack HM, Edell S, Morales JO (1974) Radionuclide imaging in renal pseudotumors. Radiology 111:639–644
Teates CD, Croft BY, Brenbridge AG, Bray ST, Williamson RJ (1983) Emission tomography of the kidney. South Med J 76:1499–1502
Weyman PJ, McClennan BL, Stanley RJ, Levitt RG, Sagel SS (1980) Comparison of computed tomography and angiography in the evaluation of renal cell carcinoma. Radiology 137:417–424
Williams ED, Parker C (1982) Kidney pseudotumour diagnosed by emission computed tomography. Br Med J 285:1379–1380
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Schultz, D.A., Shapiro, B., Amendola, M. et al. Tomographic renal cortical scintigraphy: Correlation with intravenous urography, computed tomography, ultrasonography, angiography, and nuclear magnetic resonance imaging. Eur J Nucl Med 11, 217–220 (1985). https://doi.org/10.1007/BF00279072
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00279072