Literature DB >> 30713384

Gall Bladder Activity on Technetium99m-Ethylenedicysteine Renogram Masquerading as Ectopic Kidney.

Sailaja Aka1, J Sai Moulika1, Vs Krishna Mohan1, R Ramya Priya1, Ranadheer Manthri1, T C Kalawat1.   

Abstract

99mTc-EC (Technetium-99m-ethylenedicysteine) is a renal tubular imaging agent introduced as an alternative to 99mTc-MAG3 (Technetium-99m-mercaptoacetyltriglycine) (1). This radiopharmaceutical can be easily labeled at room temperature and has high radiochemical purity and long stability for at least 8 h. Within 1 h 70% of 99mTc-EC is excreted in the urine (2). 99mTc-EC provides the same Scintigraphic information as 99mTc-MAG3. The Hepato biliary excretion of 99mTc-EC is very low and usually does not affect image interpretation on routine imaging, the possibility of visualization of the gall bladder should be kept in mind while reporting the 99mTc-EC renogram (1). We present a case of 99mTc-EC renogram, a suspected case of hypoplastic/ectopic right kidney, to look for ectopic kidney. In this case, there was unexpected visualization of gallbladder in delayed images. We herewith present this case, so that physician should be careful while reporting 99mTc-EC renogram, as there may be chances for gall bladder to be masquerading as Ectopic kidney.

Entities:  

Keywords:  Diuretic renogram; ectopic kidney; gallbladder; technetium-99 m-ethylenedicysteine

Year:  2019        PMID: 30713384      PMCID: PMC6352639          DOI: 10.4103/ijnm.IJNM_100_18

Source DB:  PubMed          Journal:  Indian J Nucl Med        ISSN: 0974-0244


  5 in total

Review 1.  Altered biodistribution of radiopharmaceuticals: role of radiochemical/pharmaceutical purity, physiological, and pharmacologic factors.

Authors:  Shankar Vallabhajosula; Ronan P Killeen; Joseph R Osborne
Journal:  Semin Nucl Med       Date:  2010-07       Impact factor: 4.446

2.  Vicarious visualization of gall bladder on Tc-99m ethylene dicysteine renal dynamic study.

Authors:  Geetanjali Arora; Nishikant A Damle; Madhavi Tripathi; Chandrasekhar Bal; Praveen Kumar
Journal:  Indian J Nucl Med       Date:  2012-10

3.  Technetium-99m ethylene dicysteine: a new renal tubular function agent.

Authors:  L Kabasakal
Journal:  Eur J Nucl Med       Date:  2000-03

4.  Technetium-99m-L,L-ethylenedicysteine: a renal imaging agent. I. Labeling and evaluation in animals.

Authors:  A M Verbruggen; D L Nosco; C G Van Nerom; G M Bormans; P J Adriaens; M J De Roo
Journal:  J Nucl Med       Date:  1992-04       Impact factor: 10.057

5.  Vicarious liver visualization in solitary functioning kidney with technetium-99m ethylenedicysteine renal scintigraphy.

Authors:  Tarun Kumar Jain; Rohit Kumar Phulsunga; Nitin Gupta; Ashwani Sood; Anish Bhattacharya; Bhagwant Rai Mittal
Journal:  Indian J Nucl Med       Date:  2015 Jul-Sep
  5 in total

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