Rotasi I Radiologi

Ginjal dan Paru

Dr.dr.Aisyah Elliyanti SpKN,MKes
 Ginjal

• Glomerula Filtration Rate

• Renogram
• Parenkim ginjal
Radiopharmaceutical : Tc-99m DTPA
Radiopharmaceutical : Tc-99m DTPA
• Excreted by glomerular filtration
GFR
GFR
• Excreted by glomerular filtration
• No
• Notubular reabsorption
tubular reabsorption
• Not
• Notmetabolized
metabolized
• Split
• Splitfunction
function
 Normal renogram

Three phases in renogram :

1. The initial :
• sharp rise which was attributed to the
renal blood flow
2. Accumulation (secretion)
• A slower rise
• Time to peak : 2 – 4.5 min
• Difference of the time to peak of both
kidney is not more than 1 min.
• The time to peak is affected by the urine
flow rate
3. Excretion
• A decline due to renal excretion of the
compound,
• depends on the outflow tract.
• Time to half max: 4.75 – 11.5 min.
• The time to half peak is longer in patients
with impaired renal function
 Pulmonary scintigraphy

Perfusion scintigraphy Ventilation/inhalition scintigraphy

– Tc-99m MAA Radioactive gases
 Xenon-133
(macroagregatealbumine)  Xenon-127
– Tc-99m microsphere  Krypton-81m
– Tc-99m human serum albumin Radioaerosol
 Tc-99m phytate
 Tc-99m DTPA
 Tc-99m sulfurcolloid
 Technegas
 75 yrs old woman with 6 days of dyspnea
The chest radiograph is normal

The xenon ventilation scan is normal,

while the perfusion scan reveals multiple
defects in both lungs comprising large
portions (complete in many) of multiple
segments.
Terima Kasih