Phantom kidney at angionephroscintigraphy
https://doi.org/10.20862/0042-4676-2015-0-4-7-13
Abstract
Based on the analysis of the data available in the literature and own clinical observations, the authors consider the diagnostic value of the little known scintigraphic phantom kidney
phenomenon, a vascular pool that is detected at the angiographic stage of 99mТс-DTPA dynamic renal scintigraphy and that mimics a removed or absent kidney. The paper describes two cases of the phantom kidney. In one case, the phantom kidney
detected on the side of nephrectomy manifested a kidney cancer recurrence in the bed of the removed organ; in the other, the kidney-like vascular pool in the patient with left-sided pelvic dystopic kidney was due to the recording of the intestinal vasculature at the site of the expected kidney location. Adherence to a number of methodical conditions for conducting a study, as well as combined single-photon emission computed tomography/
computed tomography examination will be able to avoid interpretation errors and to ensure an adequate further diagnostic algorithm.
phenomenon, a vascular pool that is detected at the angiographic stage of 99mТс-DTPA dynamic renal scintigraphy and that mimics a removed or absent kidney. The paper describes two cases of the phantom kidney. In one case, the phantom kidney
detected on the side of nephrectomy manifested a kidney cancer recurrence in the bed of the removed organ; in the other, the kidney-like vascular pool in the patient with left-sided pelvic dystopic kidney was due to the recording of the intestinal vasculature at the site of the expected kidney location. Adherence to a number of methodical conditions for conducting a study, as well as combined single-photon emission computed tomography/
computed tomography examination will be able to avoid interpretation errors and to ensure an adequate further diagnostic algorithm.
About the Authors
S. P. Mironov
A.L. Myasnikov Institute of Clinical Cardiology, Russian Cardiology Research-and-Production Complex, Ministry of Health of the RF
Russian Federation
MD, PhD, DSc, Professor, Radiologist of Nuclear Medicine Division
Russian Federation
MD, PhD, DSc, Professor, Radiologist of Nuclear Medicine Division
V. B. Sergienko
A.L. Myasnikov Institute of Clinical Cardiology, Russian Cardiology Research-and-Production Complex, Ministry of Health of the RF
Russian Federation
MD, PhD, DSc, Professor, Head of Nuclear Medicine Department
Russian Federation
MD, PhD, DSc, Professor, Head of Nuclear Medicine Department
O. Yu. Narusov
A.L. Myasnikov Institute of Clinical Cardiology, Russian Cardiology Research-and-Production Complex, Ministry of Health of the RF
Russian Federation
MD, PhD, Senior Researcher of Department of Myocardial Disease and Heart Failure
Russian Federation
MD, PhD, Senior Researcher of Department of Myocardial Disease and Heart Failure
D. N. Shul’gin
A.L. Myasnikov Institute of Clinical Cardiology, Russian Cardiology Research-and-Production Complex, Ministry of Health of the RF
Russian Federation
MD, PhD, Radiologist of Nuclear Medicine Division
Russian Federation
MD, PhD, Radiologist of Nuclear Medicine Division
References
1. Altenbrunn J.H., Georgi P. Функциональная диагностика почек с помощью сцинтилляционной гамма-камеры. Радиология–диагностика. 1967; 8 (3): 326–31.
2. Potsybina V.V., Levchuk D.I. Seminar for medical residents and General practitioners: angiorenoscintigraphy – normal parameters, the problems of visualization and analysis. Radiologiya–praktika. 2006; 1: 48–55 (in Russian).
3. Rambler L.E., Winter P.F., Johnson P.M. Mesenteric vasculature masquerading as kidney at renal imaging. Radiology. 1976; 120 (2): 369–70.
4. Holmes E.R., Klingensmith W.C., Kirchner P.T., Wagner N.W. Phantom kidney in Technetium-99m DTPA studies of renal blood flow: case report. J. Nucl. Med. 1977; 18 (7): 702–5.
5. Mochizuki T., Charron M., Shan A.N., Tauxe W.N. Phantom kidney: a CT correlation. Ann. Nucl. Med. 1991; 5 (4): 163–5.
6. Lin D.S. Phantom kidney on perfusion renal imaging. Seminar Nucl. Med. 1984; 14 (1): 59–61.
7. Chu D.D.M., Belzberg A.S. Phantom kidney on renal scintigraphy. Clin. Nucl. Med. 1991; 16 (1): 62–3.
8. Merimsky E., Greenstein A., Baron J., Braf Z. Phantom kidney – a pitfall in radionuclide study of urinary tract. Urology. 1987; 30 (1): 85–7.
9. Bekis R., Bozkurt H., Celic A., Imren Y., Serim A., Degirmenci B. et al. Phantom image in Tc-99m DTPA renal transplatation imaging. Turk. J. Nucl. Med. 2007; 16: 11–3.
10. O’Reilly P.H., Testa H.J., Prescott M.C. Phantom kidneys. In: O’Reilly P.H., Shield R.A., Testa H.J. (еds). Nuclear medicine in urology and nephrology. London: Butterworths; 1986: 122–3.
11. Veliev E.V., Bogdanov A.B. Features of metastasis of kidney cancer, surgical treatment of recurrences and metastases. Prakticheskaya onkologiya. 2005; 6 (3): 167–71 (in Russian).
12. Criteria for risk of development of renal failure after nephrectomy in patients with renal carcinoma. In: Davydov M.I., Dolgushin B.I. (eds) Radionuclide evaluation of renal function and urodynamics in oncology. Moscow: Prakticheskaya meditsina; 2007: 177–203 (in Russian).
13. Frolova V.E., Maksimov A.Yu., Demidova A.A., Agarkova E.I. Prediction of chronic after nephrectomy in patients with kidney cancer. Sovremennye problemy nauki i obrazovaniya. 2011; 6: 2–9 (in Russian).
14. Ozard A.T., Haynie T.P., Gutierrez C.R. Recurrent renal cell carcinoma following nephrectomy mimicking a normal kidney on bone scan. Eur. J. Med. 1983; 8 (4): 148–9.
15. Wulfeck D.W., Sakow N.K., Senler S. Detection of recurrent renal cell carcinoma by three-phase bone scan. Clin. Nucl. Med. 1993; 18 (5): 441–3.
16. Meyers M.A.,Whalen J.P., Evans J.A., Viamonte M. Malposition and displacement of the bowel in renal agenesis and ectopia: new observations. Am. J. Roentgenol. 1973; 117 (2): 323–33.
17. Mascatelo V., Lebowitz R.L. Malposition of the colon in left renal agenesis and ectopia. Radiology. 1976; 120 (2): 371–6.
18. Curtis J.A., Sadhu R.M. Malposition of the colon in right renal agenesis, ectopia and anterior nephrectomy. Am. J. Roentgenol. 1977; 129 (5): 845–50.
Review
For citations:
Mironov S.P., Sergienko V.B., Narusov O.Yu., Shul’gin D.N. Phantom kidney at angionephroscintigraphy. Journal of radiology and nuclear medicine. 2015;(4):40-44. (In Russ.) https://doi.org/10.20862/0042-4676-2015-0-4-7-13
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