Correlation between the findings in the first post-transplantation Renogram and the allograft renal function twelve months after surgery

Guzman Prudencio, G. ; Alvarez Ruiz, S. ; Del Barco Diez Canseco, L. M. ; Calderon Calvente, M. ; Nieto Morcillo, L. ; De la Cueva Barrao, L. (Universidad de Zaragoza) ; Falgas Lacueva, M. ; Sangros Sahun, M. ; Navarro Beltran, P. ; Abos Olivares, D. (Universidad de Zaragoza)

Resumen: EP-061
Aim/Introduction: To study the correlation between findings in the first renogram post-trasplantation, and the evolution of the renal function of the graft twelve months after surgery.
Materials and Methods: 20-minute duration renogram with [99mTc]Tc-MAG3, performed in the first 72 hours post-kidney transplantation, of patients attended at the Nuclear Medicine Service between January-December of 2018 are reviewed, extracting: a) the concentration angle (CA) that measures the inclination of the ascent section of the concentration phase with respect to the vertical axis (cutoff thershold <40° vs =40°); b) the time, in minutes (Tmax), at which the maximum concentration occurs (<10 vs =10min); and c) the percentage of cortical retention (CR) at the end of the study (<80% vs =80%). These 3 parameters are correlated with renal function at 12 months post-transplantation, through the need or not of dialysis.
Results: A total of 62 renograms were obtained, excluding 7 due to death as a result of intercurrent diseases and 2 due to vascular complications and graft loss, before the first year after surgery. 53 patients, 15 female and 38 male, aged between 20-80 years, were included in the analysis. Functional failure (dialysis) of the graft one year after the transplantation ocurred in 15% (8/53). In patients with CA =40° the probability of failure was 28% (5/18) and in CA <40° 8.6% (3/35), with relative risk (RR) of 3.2. 7/34 (20, 6%) patients incluided in the group with Tmax =10 min were on dialysis one-year after, unlike just 1/19 (5, 3%) if Tmax<10min (RR 3, 8). Among the 37 patients with CR =80%, 8/37 (22%) were dialyzed one year after, while none of the 16 in the group of patients with CR <80% (0% probability if CR <80%). The matching of parameteres CA =40°, Tmax =10 min and CR =80% together do not improve the prediction of dialysis one year after (27%, 5/18). Conclusion: 1. Renogram parameters 72 hours post-transplantation, such as concentration phase angle =40°, time at maximun concentration =10min and percentage of cortical retention =80%, allow recognize a group of patients with greater probability of needing dialysis in the first year after surgery, but they do not are capable of indentify in which specific patients it will occur. 2. The parameter that best predicts the viability of the graft is cortical retention <80%.

Idioma: Inglés

Año: 2020

Publicado en: EUROPEAN JOURNAL OF NUCLEAR MEDICINE AND MOLECULAR IMAGING 47, SUPPL 1 (2020), S538-S539
ISSN: 1619-7070

Originalmente disponible en: Texto completo de la revista

Factor impacto JCR: 9.236 (2020)

Categ. JCR: RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING rank: 5 / 134 = 0.037 (2020) - Q1 - T1

Factor impacto SCIMAGO: 2.313 - Radiology, Nuclear Medicine and Imaging (Q1) - Medicine (miscellaneous) (Q1)

Tipo y forma: Article (PostPrint)

Área (Departamento): Área Radiol. y Medicina Física (Dpto. Microb.Ped.Radio.Sal.Pú.)