Diagnostic accuracy of Tc-99m DMSA scintigraphy and renal ultrasonography for detecting renal scarring and relative function in patients with spinal dysraphism

Paul W. Veenboer*, Monique G G Hobbelink, J.L.H. Ruud Bosch, Pieter Dik, Floris W A Van Asbeck, Frederik J A Beek, Laetitia M.O. de Kort

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

1 Citation (Scopus)

Abstract

Aims To study additional benefits of performing Tc-99m dimercaptosuccinic acid (Tc-99m-DMSA) scintigraphy as part of the follow-up of adults with spinal dysraphism (SD), compared with ultrasonography, with regard to finding renal scarring and difference in split renal function. Methods Between January 2011 and April 2013 every patient visiting our specialized outpatient clinic for adults with SD was invited to undergo both renal ultrasonography and Tc-99m-DMSA scintigraphy. Outcomes of both modalities were compared, with focus on renal scarring. The relation between renal scarring and hypertension was also assessed. Results In total, 122 patients (with 242 renal units) underwent both renal scintigraphy and ultrasonography. More scars were seen on DMSA scintigraphy than on ultrasonography: 45.9% vs. 10.3% of renal units; P

Original languageEnglish
Pages (from-to)513-518
Number of pages6
JournalNeurourology and Urodynamics
Volume34
Issue number6
DOIs
Publication statusPublished - Aug 2015

Keywords

  • DMSA
  • neurogenic bladder
  • scintigraphy
  • sensitivity and specificity
  • spina bifida
  • ultrasonography
  • ultrasound

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