A Simple and Accurate Grading System for Orthoiodohippurate Renal Scans in the Assessment of Post-Transplant Renal Function

Autor: Andrew C. Novick, Raymundo T. Go, Safwat Zaki, Patrice K. Rehm, Bretan Pn, Stevan B. Streem
Rok vydání: 1990
Předmět:
Zdroj: Journal of Urology. 143:1099-1102
ISSN: 1527-3792
0022-5347
DOI: 10.1016/s0022-5347(17)40197-2
Popis: Orthoiodohippurate renal scanning has proved to be a reliable, noninvasive method for the evaluation and followup of renal allograft function. However, a standardized system for grading renal function with this test is not available. We propose a simple grading system to distinguish the different functional phases of hippurate scanning in renal transplant recipients. This grading system was studied in 138 patients who were evaluated 1 week after renal transplantation. There was a significant correlation between the isotope renographic functional grade and clinical correlates of allograft function such as the serum creatinine level (p = 0.0001), blood urea nitrogen level (p = 0.0001), urine output (p = 0.005) and need for hemodialysis (p = 0.007). We recommend this grading system as a simple and accurate method to interpret orthoiodohippurate renal scans in the evaluation and followup of renal allograft recipients.
Databáze: OpenAIRE