Abstract
A “radioactive renogram” using o-iodohippurate sodium (Hippuran)-I131 was performed in 57 patients who had either hypertension or various renal diseases. In longstanding essential hypertension, the initial uptake and secretory phases are often reduced below normal. In five hypertensive patients who were shown to have unilateral renal disease, the renogram showed significantly abnormal tracings on the affected side. In three patients suffering from ureteral obstruction, the excretory phase was significantly prolonged.
On the basis of comparative albumin and iodohippurate renograms, the initial uptake can no longer be considered as a vascular phase, as previously believed.
The iodohippurate-I131 renogram is a useful adjunct in the investigation of hypertension and renal disease, providing information about each kidney not so readily obtained by other means. Nevertheless, the test does not supplant any other investigative procedure and should not be depended upon as a screening procedure.
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- DAVIES D. F., SHOCK N. W. The variability of measurement of insulin and diodrast tests of kidney function. J Clin Invest. 1950 May;29(5):491–495. doi: 10.1172/JCI102285. [DOI] [PMC free article] [PubMed] [Google Scholar]
- FROHLICH E. D., FEDOR F. J., LEAHY W. V., FREIS E. D. Evaluation of I131-labelled diodrast renograms with suggestions on improving the technic. Med Ann Dist Columbia. 1959 Jun;28(6):324–329. [PubMed] [Google Scholar]
- Goldring W., Chasis H., Ranges H. A., Smith H. W. RELATIONS OF EFFECTIVE RENAL BLOOD FLOW AND GLOMERULAR FILTRATION TO TUBULAR EXCRETORY MASS IN NORMAL MAN. J Clin Invest. 1940 Sep;19(5):739–750. doi: 10.1172/JCI101179. [DOI] [PMC free article] [PubMed] [Google Scholar]
- HOFFMAN W. W., GRAYHACK J. T. The limitations of the intravenous pyelogram as a test of renal function. Surg Gynecol Obstet. 1960 Apr;110:503–509. [PubMed] [Google Scholar]
- MCAFEE J. G., WAGNER H. N., Jr Visualization of renal parenchyma by scintiscanning with Hg203 neohydrin. Radiology. 1960 Nov;75:820–821. doi: 10.1148/75.5.820. [DOI] [PubMed] [Google Scholar]
- NORDYKE R. A., TUBIS M., BLAHD W. H. Use of radioiodinated hippuran for individual kidney function tests. J Lab Clin Med. 1960 Sep;56:438–445. [PubMed] [Google Scholar]
- PORPORIS A. A., ELLIOTT G. V., FISCHER G. L., MUELLER C. B. The mechanism of urokon excretion. Am J Roentgenol Radium Ther Nucl Med. 1954 Dec;72(6):995–1003. [PubMed] [Google Scholar]
- POUTASSE E. F. Diagnosis and treatment of occlusive renal artery disease and hypertension. JAMA. 1961 Dec 16;178:1078–1083. doi: 10.1001/jama.1961.03040500020004. [DOI] [PubMed] [Google Scholar]
- SERRATTO M., GRAYHACK J. T., EARLE D. P. A clinical evaluation of the iodopyracet (diodrast) renogram. AMA Arch Intern Med. 1959 Jun;103(6):851–858. doi: 10.1001/archinte.1959.00270060003002. [DOI] [PubMed] [Google Scholar]
- Smith H. W., Goldring W., Chasis H. THE MEASUREMENT OF THE TUBULAR EXCRETORY MASS, EFFECTIVE BLOOD FLOW AND FILTRATION RATE IN THE NORMAL HUMAN KIDNEY. J Clin Invest. 1938 May;17(3):263–278. doi: 10.1172/JCI100950. [DOI] [PMC free article] [PubMed] [Google Scholar]
- TAPLIN G. V., MEREDITH O. M., Jr, WINTER C. C., JOHNSON D. Rose bengal and iodopyracet as radiodiagnostic agents in liver and kidney diseases. Ann N Y Acad Sci. 1959 Jul 2;78:872–893. doi: 10.1111/j.1749-6632.1959.tb56071.x. [DOI] [PubMed] [Google Scholar]
- TAUXE W. N. The radioisotope renogram in renal artery disease. Proc Staff Meet Mayo Clin. 1961 Dec 20;36:684–689. [PubMed] [Google Scholar]
- TUBIS M., POSNICK E., NORDYKE R. A. Preparation and use of I 131 labeled sodium iodohippurate in kidney function tests. Proc Soc Exp Biol Med. 1960 Mar;103:497–498. doi: 10.3181/00379727-103-25571. [DOI] [PubMed] [Google Scholar]
- WAX S. H., McDONALD D. F. Analysis of the I-131 sodium o-iodohippurate renogram. JAMA. 1962 Jan 13;179:140–142. doi: 10.1001/jama.1962.03050020000006b. [DOI] [PubMed] [Google Scholar]
- WINTER C. C. A clinical study of a new renal function test: the radioactive diodrast renogram. J Urol. 1956 Aug;76(2):182–196. doi: 10.1016/S0022-5347(17)66680-1. [DOI] [PubMed] [Google Scholar]
- WINTER C. C. Diagnosis of "renal" hypertension and prediction of surgical outcome. Application of supplementary renal tests to confirm a positive screening survey. JAMA. 1961 Dec 16;178:1108–1110. doi: 10.1001/jama.1961.73040500019013a. [DOI] [PubMed] [Google Scholar]
- WINTER C. C., TAPLIN G. V. A clinical comparison and analysis of radioactive diodarast, hypaque, miokon and urokon renograms as tests of kidney function. J Urol. 1958 Mar;79(3):573–579. doi: 10.1016/S0022-5347(17)66310-9. [DOI] [PubMed] [Google Scholar]







