Following renal allograft transplantation, renal scans are frequently performed to evaluate anatomical and functional causes for allograft dysfunction. In our retrospective study of 20 patients, renal scans were found to be more expensive compared to renal biopsies $68,688 vs $7,421, and, in only one patient was aggressive anti-rejection therapy instituted based solely on the renal scan results. The 95% confidence interval for the proportion of correct diagnosis by renal scan was 0.16 to 0.62. (Int J Artif Organs 1989; 12:289-93)
DubovskyEV, LogicJR, DiethelmAG, BalchCM, TauxeWN. Comprehensive evaluation of renal function in the transplanted kidney. NuclJ. Med 1975;16:1116–20.
2.
FreedmanGS, SchiffM, ZaegerP, JonesD, HausmanM.The temporal and pathological significance of perfusion failure following renal transplantation. Radiology1975;114:649–54.
3.
RosenthallL, MangelR, LisbonaR, LacourciereY.Diagnostic applications of radiopertechnetate and radiohip-purate imaging in post-renal transplant complications. Radiology1974;111:347–58.
4.
StaabEV, WhittierF, PattonDD, GinnEH, AckermanJR.Early evaluation of cadaver renal allotransplant by means of radionuclide imaging. Radiology1973;106:147–51.
5.
KermanRH, FloydM, ConnerW, . Combined immunologic and radionuclide techniques to monitor renal allograft rejection. Transplant Proc1979;11:1129–31.
6.
zum WinkelK, HarbstH, CasKB, NewigerT.Applications of radionuclides in renal transplantation. Seminars in Nucl Med1974;4:169–86.
7.
DelmonicoFL, McKusickKA, CosimiAB, RussellPS. Differentiation between renal allograft rejection and acute tubular necrosis by renal scan. Am RoentgenolJ.1977;128:625–8.
8.
DubovskyEV, DiethelmAG, TauxeWN.Differentiation of cell-mediated and humoral rejection by orthoiodo-hippurate kinetics. Arch Intern Med1977;137:738–42.
9.
HayesM, MooreCC, TaplinGV.Radionuclide procedures in predicting early renal transplant rejection. Radiology1972;103:627–31.
10.
MandelSR, MatternWD, StaabE, JohnsonGJr. Use of radionuclide imaging in the early diagnosis and treatment of renal allograft rejection. Ann Surg1975;181:594–603.
11.
ShanahanWSM, KlingensmithWC, WeilR.Tc-DTPA renal studies for acute tubular necrosis: specificity and dissociation between perfusion and clearance. AJR1981;136:249–53.
12.
MihatschMJ, ThielG, SpichtinHP, . Morphological findings in kidney transplants after treatment with cyclo-sporine. Transplant Proc1983;15:2821.
13.
HeptinstallRH.Pathology of the kidney. Little, Brown and Company, 1983;1074–93, 1484–99.
14.
KimEE, PjuraG, LowryP, . Cyclosporin-A nephrotoxicity and acute cellular rejection in renal transplant recipients: correlation between radionuclide and histologic findings. Radiology1986;159:443–6.
