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SNM Guidelines Paediatrics

Links are provided here to some Society of Nuclear Medicine (SNM) Practice Management Procedure Guidelines.

The procedure guidelines help to identify those elements of the procedure that are most important in obtaining a high-quality examination, while simultaneously controlling costs.

They are categorized in clinical applications. Please follow the links below to the desired applications.

The purpose of this guideline is to assist nuclear medicine practitioners in recommending, performing, interpreting, and reporting the results of diuretic renography in children. Diuretic renography is a safe and valuable method for the evaluation of renal function and differentiation between obstructive and nonobstructive causes of renal or ureteral dilation. The preferred radiotracer, 99mTc-mercaptoacetyltriglycine (99mTc-MAG3), is cleared mainly by tubular secretion. But 99mTc-diethylene triamine pentaacetic acid ( 99mTc-DTPA), a glomerular agent, is also used.

The purpose of this guideline is to assist nuclear medicine practitioners in recommending, performing, interpreting, and reporting the results of renal cortical scintigraphy in children. Renal cortical scintigraphy is used for the detection of the cortical defects of acute pyelonephritis and scarring related to chronic pyelonephritis. 99mTc-DMSA and 99mTc-glucoheptonate (GH) are used for this application.

There are several uses of sedation in nuclear medicine. Firstly, some procedures, such as SPECT or high-resolution pinhole imaging, require that the child remain absolutely still for extended periods of time. The second use of sedation is to allow performance of a procedure that requires the cooperation of an older child who refuses to cooperate. Thirdly, patient sedation can enhance patient care by minimizing discomfort. These recommendations provide suggestions on how to use sedation to maximize the quality of imaging procedures while minimizing the risks.

The purpose of this guideline is to assist nuclear medicine practitioners in recommending, performing, interpreting, and reporting the results of radionuclide cystography (RNC) in children. RNC is a method to evaluate for vesicoureteral reflux, which results in significantly less gonadal radiation when compared with conventional radiographic technique (VCUG). 99mTc-pertechnetate is usually used as the instillate.