Podcast
Questions and Answers
Which property of the glomerulus allows only small molecules to pass through?
Which property of the glomerulus allows only small molecules to pass through?
- Impermeability
- Selective filtration
- Semipermeable membrane (correct)
- Tubular secretion
What is the main purpose of using radiopharmaceuticals to evaluate renal function and anatomy?
What is the main purpose of using radiopharmaceuticals to evaluate renal function and anatomy?
- To assess renal perfusion and collecting system
- To quantify glomerular filtration rate (GFR)
- To image the renal cortex in high resolution
- All of the above (correct)
Which radiopharmaceutical binds to the sulfhydryl groups in the proximal renal tubules?
Which radiopharmaceutical binds to the sulfhydryl groups in the proximal renal tubules?
- 99mTc-DTPA
- 99mTc-glucoheptonate
- 99mTc-DMSA (correct)
- None of the above
What is a disadvantage of using 99mTc-DMSA for renal imaging?
What is a disadvantage of using 99mTc-DMSA for renal imaging?
Which radiopharmaceutical is cleared by both glomerular filtration and renal tubular secretion?
Which radiopharmaceutical is cleared by both glomerular filtration and renal tubular secretion?
What is the main advantage of using 99mTc-glucoheptonate for renal imaging?
What is the main advantage of using 99mTc-glucoheptonate for renal imaging?
Which radiopharmaceutical is the only one used for the evaluation of glomerular filtration function?
Which radiopharmaceutical is the only one used for the evaluation of glomerular filtration function?
Which radiopharmaceutical is best suited for high-resolution imaging of the renal cortex?
Which radiopharmaceutical is best suited for high-resolution imaging of the renal cortex?
Which radiopharmaceutical is not effectively used for imaging the ureters or bladder?
Which radiopharmaceutical is not effectively used for imaging the ureters or bladder?
Which radiopharmaceutical is used to assess both renal perfusion and the renal collecting system?
Which radiopharmaceutical is used to assess both renal perfusion and the renal collecting system?
Which of the following is NOT a primary mechanism of the excretory function of the kidneys?
Which of the following is NOT a primary mechanism of the excretory function of the kidneys?
What percentage of renal plasma flow is cleared by glomerular filtration?
What percentage of renal plasma flow is cleared by glomerular filtration?
What is the role of nuclear renal imaging, according to the passage?
What is the role of nuclear renal imaging, according to the passage?
What is the primary reason for the diminished use of nuclear techniques in the evaluation of renal anatomy?
What is the primary reason for the diminished use of nuclear techniques in the evaluation of renal anatomy?
Which of the following is NOT an indication for radionuclide scanning, according to the passage?
Which of the following is NOT an indication for radionuclide scanning, according to the passage?
What is the relationship between the two primary mechanisms of the excretory function of the kidneys, according to the passage?
What is the relationship between the two primary mechanisms of the excretory function of the kidneys, according to the passage?
What is the purpose of measuring the 20-minute maximal cortical ratio for 99mTc-MAG3?
What is the purpose of measuring the 20-minute maximal cortical ratio for 99mTc-MAG3?
What is the significance of the clearance of a particular substance per minute (mL/min) as the plasma passes through the kidneys?
What is the significance of the clearance of a particular substance per minute (mL/min) as the plasma passes through the kidneys?
What is the difference between the radionuclide methods of determining GFR and ERPF?
What is the difference between the radionuclide methods of determining GFR and ERPF?
What is the normal range for the 20-minute maximal cortical ratio for 99mTc-MAG3?
What is the normal range for the 20-minute maximal cortical ratio for 99mTc-MAG3?
What is the relationship between the clearance of insulin and the glomerular filtration rate (GFR)?
What is the relationship between the clearance of insulin and the glomerular filtration rate (GFR)?
What is the relationship between the clearance of para-aminohippurate (PAH) and the effective renal plasma flow (ERPF)?
What is the relationship between the clearance of para-aminohippurate (PAH) and the effective renal plasma flow (ERPF)?
What is the normal glomerular filtration rate (GFR) in mL/min?
What is the normal glomerular filtration rate (GFR) in mL/min?
Why does DTPA tend to slightly underestimate the GFR?
Why does DTPA tend to slightly underestimate the GFR?
Which radiopharmaceutical is predominantly cleared by the proximal tubules with minimal filtration?
Which radiopharmaceutical is predominantly cleared by the proximal tubules with minimal filtration?
Why is MAG3 considered to provide more satisfactory images than 99mTc-DTPA?
Why is MAG3 considered to provide more satisfactory images than 99mTc-DTPA?
Which phase of the kidney scan involves evaluation of renal blood flow and function of native kidneys from the posterior projection?
Which phase of the kidney scan involves evaluation of renal blood flow and function of native kidneys from the posterior projection?
In which patients is 99mTc-DTPA not considered an ideal agent for demonstrating intraparenchymal renal lesions?
In which patients is 99mTc-DTPA not considered an ideal agent for demonstrating intraparenchymal renal lesions?
What is the typical administered activity for adults for 99mTc-MAG3?
What is the typical administered activity for adults for 99mTc-MAG3?
'Imaging renal perfusion is usually begun as the bolus is visualized in the proximal abdominal aorta' refers to which phase of a kidney scan?
'Imaging renal perfusion is usually begun as the bolus is visualized in the proximal abdominal aorta' refers to which phase of a kidney scan?
'The spleen overlies the left kidney, giving a false impression of asymmetrically increased left renal perfusion' indicates what type of issue in imaging?
'The spleen overlies the left kidney, giving a false impression of asymmetrically increased left renal perfusion' indicates what type of issue in imaging?
Which radiopharmaceutical can be used to measure effective renal plasma flow (ERPF)?
Which radiopharmaceutical can be used to measure effective renal plasma flow (ERPF)?
What phase of the renogram curve represents the period during minutes 1 through 5 with the peak of the curve?
What phase of the renogram curve represents the period during minutes 1 through 5 with the peak of the curve?
Which phase of the renogram curve is characterized by the down slope of the curve and is produced by excretion of the radiopharmaceutical from the kidney and clearance from the collecting system?
Which phase of the renogram curve is characterized by the down slope of the curve and is produced by excretion of the radiopharmaceutical from the kidney and clearance from the collecting system?
What should be considered abnormal if the relative renal uptake ratio at 2 to 3 minutes is 40% or less in one kidney?
What should be considered abnormal if the relative renal uptake ratio at 2 to 3 minutes is 40% or less in one kidney?
Which term refers to the time for half of the peak activity to be cleared from the kidney?
Which term refers to the time for half of the peak activity to be cleared from the kidney?
What is the normal percentage expected for differential cortical retention at 15 minutes after injection in each kidney?
What is the normal percentage expected for differential cortical retention at 15 minutes after injection in each kidney?
What should be taken into account if cortical regions of interest are used and are not of equal size when measuring relative renal function between the two kidneys?
What should be taken into account if cortical regions of interest are used and are not of equal size when measuring relative renal function between the two kidneys?
Which part of the renogram curve is helpful in deriving semiquantitative indices and inspecting for alterations in the normal configuration?
Which part of the renogram curve is helpful in deriving semiquantitative indices and inspecting for alterations in the normal configuration?
What is a significant effect of dehydration on renograms?
What is a significant effect of dehydration on renograms?
What part of the renogram curve closely correlates with ERPF values?
What part of the renogram curve closely correlates with ERPF values?
What is indicated by an abnormal renogram curve that shows delayed peak activity, delayed parenchymal clearance, and/or an elevation of the excretion slope?
What is indicated by an abnormal renogram curve that shows delayed peak activity, delayed parenchymal clearance, and/or an elevation of the excretion slope?
What is the function of the renal perfusion phase in renal imaging studies?
What is the function of the renal perfusion phase in renal imaging studies?
Which radiopharmaceutical is commonly used in renal parenchymal function imaging?
Which radiopharmaceutical is commonly used in renal parenchymal function imaging?
At what time interval is the maximal parenchymal activity typically observed in imaging with 99mTc-MAG3?
At what time interval is the maximal parenchymal activity typically observed in imaging with 99mTc-MAG3?
What is the purpose of administering furosemide (Lasix) during renal imaging studies?
What is the purpose of administering furosemide (Lasix) during renal imaging studies?
What do renograms provide a graphic representation of?
What do renograms provide a graphic representation of?
When is the information displayed on a renogram curve obtained using agents like 99mTc-MAG3?
When is the information displayed on a renogram curve obtained using agents like 99mTc-MAG3?
How many phases are typically present in a normal computer-generated renogram curve using a tubular radiopharmaceutical?
How many phases are typically present in a normal computer-generated renogram curve using a tubular radiopharmaceutical?
Which region of interest might be used to assess the discreteness and adequacy of the injected bolus in a renogram?
Which region of interest might be used to assess the discreteness and adequacy of the injected bolus in a renogram?
At what point in time is maximal activity usually observed in both kidneys during normal renal blood flow imaging with technetium-99m diethylenetriamine pentaacetic acid (99mTc-DTPA)?
At what point in time is maximal activity usually observed in both kidneys during normal renal blood flow imaging with technetium-99m diethylenetriamine pentaacetic acid (99mTc-DTPA)?
What is the main advantage of omitting the renal perfusion phase in renal imaging studies?
What is the main advantage of omitting the renal perfusion phase in renal imaging studies?