Gambhir Aashish, Elangovan Indirani, Simon Shelley, Jain Avani
Department of Nuclear Medicine, Apollo Hospitals, Chennai, Tamil Nadu, India.
Indian J Nucl Med. 2018 Apr-Jun;33(2):161-164. doi: 10.4103/ijnm.IJNM_155_17.
Tc diethylenetriaminepentaacetic acid (DTPA) renogram is a commonly performed evaluation postrenal transplant to assess graft function and for early detection of suspected immediate and late transplant-associated complications. Although several modalities can be utilized to detect perinephric collection in posttransplant period, the utility of Tc DTPA single-photon emission-computed tomography (SPECT-CT) is not recognized. Herein, we discuss the incremental role of seldom considered SPECT-CT in early detection, leading to timely appropriate management and graft salvage in a case of posttransplant deteriorating renal allograft as a result of subcapsular hematoma.
锝标记二乙三胺五乙酸（DTPA）肾图是肾移植术后常用的评估方法，用于评估移植肾功能，并早期发现可疑的即刻和晚期移植相关并发症。虽然有几种方法可用于检测移植术后的肾周积液，但锝标记DTPA单光子发射计算机断层扫描（SPECT-CT）的作用尚未得到认可。在此，我们讨论了很少被考虑的SPECT-CT在早期检测中的增量作用，该作用在一例因包膜下血肿导致移植肾功能恶化的肾移植病例中，促成了及时恰当的处理和移植肾挽救。
