Widely accepted pyelonephritis scans are adequate but imperfect.(Clinical Rounds)

Family Practice News | March 1, 2007| | Copyright

LAS VEGAS -- Although renal cortical scintigraphy remains the accepted standard for diagnosing pyelonephritis--with a sensitivity of 92% and a specificity of 100%--it's far from perfect, Dr. Melvin O. Senac Jr. said at a meeting sponsored by the American Academy of Pediatrics" California Chapters 1, 2, 3, and 4 and the AAP.

First, it's difficult to tell scars from pyelonephritis on renal cortical scintigraphy using dimercaptosuccinic acid (DMSA). It's also expensive, around $700 per scan.

Finally, because renal damage is already done, the scan may not ...

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