Evidence map›Paper›PMID 20708778›Full record

Trial reportUrology2010

A 7% decrease in the differential renal uptake of MAG3 implies a loss in renal function.

Andrew Taylor, Amita Manatunga, Raghuveer Halkar, Muta M Issa, Neeta V Shenvi

Abstract readClinical Trial
In one paragraph

Trial report in Urology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Review
  6. Clinical and radiographic outcomes following salvage intervention for ureteropelvic junction obstruction.International braz j urol : official journal of the Brazilian Society of Urology
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Andrew TaylorDepartment of Radiology, Emory University School of Medicine, Atlanta, GA, USA. ataylor@emory.edu
Amita Manatunga
Raghuveer Halkar
Muta M Issa
Neeta V Shenvi

Funding

Decision Support Systems for MAG3 RenographyR01EB008838 · NIBIB · EMORY UNIVERSITY · PI TAYLOR, ANDREW THOMPSON · 2008 to 2011
$1.6M
NIBIB NIH HHS R01 EB008838NIBIB NIH HHS R01-EB008838
6 · The paper itself

Abstract

objectivesTo address the fact that a decrease in the relative renal uptake of 99mTc-mercaptoacetyltriglycine (MAG3) on serial MAG3 scans may indicate a loss of function and require a change in management by providing guidance as to what constitutes a meaningful change in serial relative function measurements as well determining the normal variation of other common MAG3 renogram parameters.

methodsA prospective study was conducted in 24 male urology patients with stable renal function. The mean age was 66.5 ± 7.9 (SD) years; the mean serum creatinine was 1.38 ± 0.57 (SD) mg/dL, and the MAG3 renal scans were performed a mean of 11 ± 8 days apart. Each MAG3 scan included a measurement of relative function as well as the time to maximum counts and 20 minutes to maximum count ratios for both cortical and whole kidney regions of interest.

resultsThe Pearson and intraclass correlations for the baseline and repeat measurements of relative renal function were both 0.98. Bland-Altman plots showed no bias between the baseline and repeat relative uptake measurements. The mean difference between 2 repeated measurements of the relative MAG3 uptake was 0.04 ± 2.88% (SD) for the left kidney and 0.08 ± 3.07% (SD) for the right kidney. Comparable results were obtained for the other renogram parameters.

conclusionsMeasurements of relative renal uptake of MAG3 and common renogram parameters are highly reproducible; a decrease in relative uptake ≥7% (ie, 50%-43%) implies a loss in renal function.

Indexed as

AgedCreatinineHumansKidneyKidney Function TestsMaleMiddle AgedProspective StudiesRadionuclide ImagingRadiopharmaceuticalsReproducibility of ResultsTechnetium Tc 99m MertiatideUreteral ObstructionCreatinineRadiopharmaceuticalsTechnetium Tc 99m Mertiatide

Identifiers

PMID20708778
PMCPMC3130605

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.