Pediatric Radiology

, Volume 43, Issue 9, pp 1204–1212 | Cite as

Scintigraphic features of duplex kidneys on DMSA renal cortical scans

  • Neha Kwatra
  • Eglal Shalaby-Rana
  • Massoud MajdEmail author
Pictorial Essay


The spectrum of manifestations of duplex kidneys on 99mTc-dimercaptosuccinic acid (DMSA) renal cortical scans and correlating findings on other imaging modalities are presented. Relevant embryology of the duplex systems and technical aspects of DMSA scintigraphy are reviewed.


Duplex DMSA Complete duplication Incomplete duplication Children 


  1. 1.
    Stokland E, Jodal U, Sixt R et al (2007) Uncomplicated duplex kidney and DMSA scintigraphy in children with urinary tract infection. Pediatr Radiol 37:826–828PubMedCrossRefGoogle Scholar
  2. 2.
    Fernbach SK, Feinstein KA, Spencer K et al (1997) Ureteral duplication and its complications. Radiographics 17:109–127PubMedGoogle Scholar
  3. 3.
    Siomou E, Papadopoulou F, Kollios KD et al (2006) Duplex collecting system diagnosed during the first 6 years of life after a first urinary tract infection: a study of 63 children. J Urol 175:678–681, discussion 681–682PubMedCrossRefGoogle Scholar
  4. 4.
    Keating MA (2007) Ureteral duplication anomalies: ectopic ureters and ureteroceles. In: Docimo SG, Canning DA, Khoury AE (eds) The Kelalis-King-Belman textbook of clinical pediatric urology, 5th edn. Informa Healthcare, London, pp 593–648Google Scholar
  5. 5.
    Glassberg KI, Braren V, Duckett JW et al (1984) Suggested terminology for duplex systems, ectopic ureters and ureteroceles. J Urol 132:1153–1154PubMedGoogle Scholar
  6. 6.
    Decter RM (1997) Renal duplication and fusion anomalies. Pediatr Clin North Am 44:1323–1341PubMedCrossRefGoogle Scholar
  7. 7.
    Chow JS (2010) Understanding duplication anomalies of the kidney. In: Hodler J, Zollikofer CL, Schulthess GK (eds) Diseases of the abdomen and pelvis 2010–2013. Springer, Dordrecht, pp 243–246CrossRefGoogle Scholar
  8. 8.
    Mackie GG, Stephens FD (1975) Duplex kidneys: a correlation of renal dysplasia with position of the ureteral orifice. J Urol 114:274–280PubMedGoogle Scholar
  9. 9.
    Gelfand MJ, Parisi MT, Treves ST (2010) Pediatric radiopharmaceutical administered doses: 2010 North American consensus guidelines. J Nucl Med 52:318–322CrossRefGoogle Scholar
  10. 10.
    Stabin MG (1995) Internal dosimetry in pediatric nuclear medicine. In: Treves ST (ed) Pediatric nuclear medicine, 2nd edn. Springer, New York, pp 556–581CrossRefGoogle Scholar
  11. 11.
    Stabin M (2007) Internal dosimetry. In: Treves ST (ed) Pediatric nuclear medicine/PET, 3rd edn. Springer, New York, pp 513–520CrossRefGoogle Scholar
  12. 12.
    Fahey FH, Treves ST, Adelstein SJ (2011) Minimizing and communicating radiation risk in pediatric nuclear medicine. J Nucl Med 52:1240–1251PubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  1. 1.Division of Diagnostic Imaging and Radiology, Children’s National Medical CenterThe George Washington University Medical CenterWashingtonUSA

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