<sup>203</sup>HG NEOHYDRIN RENAL SCANNING IN THE DIAGNOSIS OF RENAL TUBERCULOSIS

Moon, Hyo Joong

doi:1967.0.27.21

Tuberc Respir Dis > Issue 27; 1967 > Article

Original Article

Tuberculosis and Respiratory Diseases 1967;27:21-28.
DOI: https://doi.org/10.4046/trd.1967.27.1.21

²⁰³HG NEOHYDRIN RENAL SCANNING IN THE DIAGNOSIS OF RENAL TUBERCULOSIS

Hyo Joong Moon

Department of Uroiogy, Pusan National University College of Medicine, Pusan, Korea

Abstract

On the basis of study on 18 cases with renal tuberculosis diagnostic significance of the renal scanning using ²⁰³Hgneohydrin was reviewed in comparison with the finding of I.V.P. 1. Renal scanning on 5 kidneys with tuberculosis, belongs to medium-sized lesion according to Lattimer's classification, disclosed excellent uptake, almost normal pattern and average 15.7% reduction of parenchymal tissue. 2. Renal scanning on 5 kidneys with tuberculosis, belongs to large lesion according to Lattimer's classification, disclosed excellent or good uptake with irregular pattern, multiple less concentrated areas and average 34.3% reduction of parenchymal tissue. 3.Renal scanning on 6 kidneys with tuberculosis, non-visualized on I.V.P. disclosed absent uptak in the half cases and marked or considerable decrease in functioning parenchymal tissue with irregular pattern in the another half cases. 4. Renal scanning on 4 cases with tuberculosis of solitary kidney, showing hydronephrotic change on I.V.P. disclosed excellent uptake with normal pattern and the size was 70.5 cm² in average. 5. In 2 kidneys out of 10 kidneys with tuberculosis belongs to medium-sized and large session according to Lattimer's classification. renal scanning disclosed advanced destructive change of parenchymal tissue adjacent to affected calyx. 6. In 7 cases out of 11 cases with unilateral renal tuberculosis. visualized normally I.V.P. renal scanning on the opposite kidney disclosed normal pattern but is the remaining cases irregular pattern with normal uptake and size. Further study is necessitated to determine the presence of the change in the supposedly normal kidney. 7. As mentioned above the finding of renal scanning is not always consistent with I.V.P. It was considered batter than I.V.P. and renal scanning should be done simultaneously for diagnosis of renal tuberculosis, because the I.V.P. depicts the collecting system well in contrast to renal scanning which depicts the status of functional parenchymal tissue well.