scholarly journals Ureterocolic fistula detected by mercaptoacetyltriglycine (MAG-3) diuretic renography including single photon emission CT and low-dose CT (SPECT–CT)

2019 ◽  
Vol 12 (9) ◽  
pp. e230559
Author(s):  
Jos Draaisma ◽  
Marcel Janssen ◽  
Niels Graafland ◽  
Martijn Stommel

We describe the case of a 60‐year‐old man with a ureterocolic fistula following laparoscopic sigmoid resection. The fistulous tract between the left ureter and sigmoid colon was detected by mercaptoacetyltriglycine diuretic renography including single photon emission CT with low-dose CT. Ureteroneocystostomy was successfully performed.

Diagnostics ◽  
2020 ◽  
Vol 10 (12) ◽  
pp. 1101
Author(s):  
Hrefna Sæunn Einarsdóttir ◽  
Ronan Martin Griffin Berg ◽  
Lise Borgwardt

99mTc-dimercaptosuccinic acid (DMSA) scintigraphy is currently the method of choice for assessing renal scarring in children, but it is not established whether conducting the scan as a single photon emission tomography combined with low-dose CT (SPECT/ldCT) scan provides additional diagnostic benefits when compared to conventional planar scintigraphy. In the present study, we evaluated the interrater reliability of DMSA SPECT/ldCT vs. planar DMSA scintigraphy for diagnosing renal scarring. Methods: Two nuclear medicine physicians blinded to patient data retrospectively analysed all paediatric 99mTc-DMSA scintigraphes that were conducted in our department for the assessment of post pyelonephritis renal scarring between 2011 and 2016. All scintigraphies included both a planar scan and SPECT/ldCT, and were performed on either a Phillips Precedence 16 slice CT or a Siemens Symbia 16 slice CT. The readers were blinded to each other’s readings and to patient data, and assessed all scans dichotomously for evidence of renal scarring. For each scan, the readers further noted if they were confident in their interpretation. Results: A total of 46 pairs of planar SPECT/ldCT DMSA scans were included. The readers were unconfident about their interpretation of 40% of the planar scans and 5% of the SPECT/ldCT scans. The interrater agreement rate was 72% for planar scans and 91% for SPECT/ldCT, and the corresponding Cohen’s kappa values were 0.38 and 0.79. Conclusion: DMSA SPECT/ldCT is associated with higher reader confidence and interrater reliability than conventional planar DMSA scintigraphy for the assessment of post pyelonephritis renal scarring in children.


2014 ◽  
Vol 44 (4) ◽  
pp. 232-251 ◽  
Author(s):  
Piotr J. Slomka ◽  
Daniel S. Berman ◽  
Guido Germano

1992 ◽  
Vol 29 (6) ◽  
pp. 463-468 ◽  
Author(s):  
Haruo Hanyu ◽  
Shinei Abe ◽  
Hisayuki Arai ◽  
Tetsuichi Asano ◽  
Toshihiko Iwamoto ◽  
...  

2012 ◽  
Vol 85 (1015) ◽  
pp. e307-e313 ◽  
Author(s):  
S W Harders ◽  
H H Madsen ◽  
K Hjorthaug ◽  
M Rehling ◽  
T R Rasmussen ◽  
...  

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