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CASE REPORT
Year : 2017  |  Volume : 11  |  Issue : 3  |  Page : 171-173

Utility of hilson's perfusion index in the evaluation of suspected acute tubular necrosis


1 Department of Nuclear Medicine, SVIMS, Tirupathi, Andhra Pradesh, India
2 Department of Nephrology, SVIMS, Tirupathi, Andhra Pradesh, India

Correspondence Address:
Dr. K Mehabunnisa Shaik
Department of Nuclear Medicine, SVIMS, Tirupathi - 517 507, Andhra Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijot.ijot_36_17

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Dynamic renal scintigraphy scores above other methods for evaluating grafts as it can demonstrate perfusion, function, and drainage pattern. A difficult scenario in evaluating delayed graft function is excluding rejection. Perfusion indices help in the diagnosis of delayed graft function and ruling out rejection. We report a case of renal transplant recipient presenting with delayed graft function. Renal scintigraphy was performed 2-day posttransplantation. Time-activity curves were obtained for 1st min images to evaluate the perfusion of graft and iliac artery. Normal perfusion index is considered as below 150. The results were suggestive of maintained perfusion, more in favor of acute tubular necrosis. Hilson's perfusion index with appropriate modifications interpretation can rule out rejection.


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