By P. H. O'Reilly, Randolph A. Shields, Humberto J. Testa

ISBN-10: 0407003223

ISBN-13: 9780407003224

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Sample text

10). 2, p. 10). g. horseshoe kidney, pelvic kidney, renal transplant, trauma) the anterior projection will be more appropriate. The technique of injection is vital to obtain a rapid first circulation of the tracer. An intermittent infusion needle (butterfly cannula) is inserted into a suitable antecubital vein and taped into position. Two syringes are prepared, one containing 10 ml normal saline and the other 400 MBq (lOmCi) of the radiopharmaceutical (200 MBq (5mCi) if DMS A is used). Flow is established by injecting a few millilitres of the saline, after which this injection is stopped momentarily.

5 K44 (14) This is the relationship given in the routine protocol in Chapter 7. A similar approach may be made to the estimation of glomerular filtration rate. Fisher and Veall (1975) used a single sample at 3 hours following the injection of 51 CrEDTA and correlated the apparent volume of distribution with GFR measurement by the single exponential plasma disappearance method. The method was found to be accurate, although not valid for clearance below 30 ml/min. 2)1/2 - 67 ml/min (15) where V3 litres is the apparent volume of the distribution of the 3-hour sample.

Saline is instilled through a urethral catheter into the bladder at low pressure by a drip infusion, under continuous monitoring on a display oscilloscope. 2b Radionuclide cystogram from same patient showing bilateral vesico-ureteric reflux intervals. The saline instillation continues until the patient complains of severe urgency to void or the bladder is judged to be full. The catheter is then clamped and the patient instructed to strain as if to void. Several pictures are taken during straining.

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Nuclear Medicine in Urology and Nephrology by P. H. O'Reilly, Randolph A. Shields, Humberto J. Testa

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