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THE QUARTERLY JOURNAL OF NUCLEAR MEDICINE AND MOLECULAR IMAGING
Rivista di Medicina Nucleare e Imaging Molecolare
A Journal on Nuclear Medicine and Molecular Imaging
Affiliated to the and to the International Research Group of Immunoscintigraphy
Indexed/Abstracted in: Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index (SciSearch), Scopus
Impact Factor 2,413
THE KIDNEYS AND HYPERTENSION
Guest Editor: Blaufox M. D.
The Quarterly Journal of Nuclear Medicine 2002 December;46(4):304-10
Urinary tract infection and other pediatric considerations
Rossleigh M. A.
Department of Nuclear Medicine The Prince of Wales and Sydney Children’s Hospital University of New South Wales, Sydney, Australia
Urinary tract infection in childhood can lead to chronic sequelae, particularly in the presence of vesico-ureteric reflux or obstruction. The renal complications of acute pyelonephritis or residual chronic renal cortical scarring are most accurately evaluated with scintigraphy using 99mTc dimercaptosuccinic acid. The diagnosis of renal obstruction can be problematic, particularly in infants and children. Diuresis renography is an established tool in diagnosing and assessing the severity of obstruction. However the methodology for performing diuresis renography is a very controversial area in paediatric nuclear medicine, due to the lack of a gold standard. The surgical management of neonatal hydronephrosis is similarly controversial.