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Table 1. Nuclear medicine studies in UTI investigation in pediatrics.

IMAGE STUDY

INDICATIONS

99mTc DMSASCINTIGRAPHY

Acute pyelonephritis
Renal scars regardless of the cause
Renovascular disease
Differential function
The poorly functioning kidney
Complex duplex kidney
Solitary or ectopickidney
In children undergoing MAGS scintigraphy and IRC for UTI, the high sensitivity suggests that abnormal study precludes the need for a 99mTcDMSA scan.

RADIONUCLIDE SCINTIGRAPHY

Initial diagnosis of VUR in patients with UTI
Follow-up of known reflux
Postoperative assessment
Evaluation of sibling reflux

DYNAMIC RENOGRAPHY (MAG3 SCINTIGRAPHY)
/DIURET1C RENOGRAPHY

As a part of IRC
Dilatation of any part of the collecting system. ? Obstruction

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