Evidence map›Paper›PMID 37237327›Full record

ReviewBMC nephrology2023

The diagnostic value of DMSA scan in differentiating functional pseudo-tumors from malignancies in scarred kidneys: case series and literature review.

Enas Hussein Mohammed, Ahmad Kaddourah, Noor Al Khori, Mehdi Djekidel

Open access · goldAbstract readCase ReportsReview
In one paragraph

Review in BMC nephrology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.5field-weighted citation impact, top 33% of its field
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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Enas Hussein MohammedDepartment of Pediatrics, Division of Nephrology and Hypertension, Sidra Medicine, Doha, Qatar. emohammed.neph@gmail.com.ORCID 0000-0003-4142-7142
Ahmad KaddourahDepartment of Pediatrics, Division of Nephrology and Hypertension, Sidra Medicine, Doha, Qatar.
Noor Al KhoriDepartment of Radiology, Division of Body Imaging, Sidra Medicine, Doha, Qatar.
Mehdi DjekidelDepartment of Radiology, Division of Nuclear Medicine, Northwell, New York, USA.
Qatar Airways (Qatar) · QAWeill Cornell Medical College in Qatar · QA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe terms "renal regenerating nodule" and "nodular compensatory hypertrophy" are used in the literature to describe functioning pseudo-tumors (FPT) in the setting of an extensively scarred kidney. FPTs are usually discovered incidentally during routine renal imaging. Differentiating these FPTs from renal neoplasms is critical but can be challenging in the setting of chronic kidney disease (CKD) given the limitations related to using contrast-based imaging. CASE SUMMARIES: We report a pediatric case series of 5 CKD patients, with history of urinary tract infections, in which tumor-like lesions evolved in scarred kidneys and were incidentally discovered on routine renal imaging. These were diagnosed as FPT by utilizing dimercaptosuccinic acid (DMSA) imaging and showed stable size and appearance upon follow-up with ultrasound and MRI.

conclusionFPTs can be picked up on routine imaging of pediatric patients with CKD. Although larger cohort studies are needed to confirm these conclusions, our case series supports the evidence that DMSA scan showing uptake at the site of the mass can be a useful tool to suggest the diagnosis of FPTs in children with kidney scarring, and that SPECT DMSA scan adds more precision in picking up and accurately localizing FPTs compared to planar DMSA.

Indexed as

Kidney NeoplasmsPyelonephritisRenal Insufficiency, ChronicUrinary Tract InfectionsChildCicatrixHumansInfantKidneyTechnetium Tc 99m Dimercaptosuccinic AcidTechnetium Tc 99m Dimercaptosuccinic Acidcase series6Chronic kidney disease3Dimercaptosuccinic acid scanDMSA4Renal pseudo-tumor2Renal regenerating nodule1Single photon emission computed tomographySPECT5,

Identifiers

PMID37237327
PMCPMC10224301
OpenAlexW4378470936

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Registered trials

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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.