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DMSA Kidney Scan
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What is a DMSA kidney scan?

A DMSA kidney scan is a nuclear medicine test of the kidneys. It can be used to detect any damaged areas of the kidneys, for example as a result of repeated urinary tract infections. It is also able to see whether both kidneys are working equally well.

Is it safe for me to have the scan?

For this scan it is necessary to inject a small amount of radioactive tracer, called a radiopharmaceutical, in order to take the pictures. The small risk from this (less than a CT scan) is outweighed by the information that will be gained by taking the scan. A doctor will have checked the request to make sure this is the appropriate test for you. 
If you have any concerns or would like further information, please contact the department where you are having your DMSA scan. If you don’t understand why you need to have this scan please speak to the doctor who referred you.

For female patients

If you know that you are pregnant, or there is any chance that you may be pregnant, then please contact the department where you will be having your DMSA scan. Do this as soon as possible as the scan can be postponed if it is not urgent. 
Also contact the department if you are breast-feeding, as they may give you special instructions. 
Preparation for your scan 
There are no special preparations for a DMSA kidney scan. You can eat, drink and take any medicines as normal.

Your injection

A small amount of radioactive tracer will be injected into a vein in your arm. You may have had a blood test in the past; this is much the same. The ‘pinprick’ of the needle may hurt a bit but that is all.
It takes a little time for enough of the tracer to get into your kidneys, so you will be asked to wait between 2 and 4 hours before the scan is taken. During this time you can leave the department and eat and drink normally.

Your scan

You may be asked to go to the toilet to empty your bladder. You will not have to get undressed, but you will be asked to remove any metal objects like braces, jewellery and belts before you lie on the bed of the scanner. 
The pictures are taken by a special machine called a gamma camera. This is not a tunnel, but the camera detector will come very close to you. There are sensors in the camera which stop it moving if they touch anything, so it cannot hurt you. 
You will not be left on your own – there will always be someone immediately available. The scan usually takes about 30 minutes.

After your scan

It is very unlikely that you will feel any side-effects after the scan, but if you think that you have please let the nuclear medicine department know. 
You may continue all your normal activities unless you have been advised otherwise. 
After your scan there will be some radioactivity left in your body but this will not present a significant risk to other people around you. However, for the rest of the day, we suggest that you try to keep any time that you spend within arm’s length of pregnant women, babies and small children as short as possible; but there is no need to stop giving children essential love and care. 
The radioactivity in your body will soon disappear.

Travelling abroad

It is perfectly safe for you to travel abroad after your scan, but many airports and sea ports are now equipped with very sensitive radiation detectors. So it is possible that the very small amount of radioactivity left in your body could set off a detector as you pass through security. Therefore, if you intend to travel abroad within a week following your scan, it could be helpful to take with you something to explain that you have recently had a nuclear medicine scan. This could be your appointment letter or some other official confirmation from the department where you had your scan.

Your results

Your DMSA scan will be looked at by a specialist doctor, who will issue a report. The report will be sent to the doctor who requested your scan rather than to your GP. This is because the doctor who requested your scan will have all the results from other tests and will be able to tell you how the result of your DMSA scan affects your care.

Information about you

As part of your care, information will be shared between clinical staff, some of whom you may not meet. It may also be used to help train other staff. Information collected may also be used later on to help the department improve their quality of care, plan services or to research into new developments. 
The pictures from your scan may be used to teach other healthcare workers, but your name and all other identification will be removed first. It won’t be possible to identify you from the scan pictures. 
All information will be treated as confidential and is not given to anyone who does not need it. If you have any concerns, please discuss these with the department.

More information

All the staff would like to make your visit as pleasant as possible. If you have any concerns please talk to a member of the nuclear medicine staff.

 

A printable version of this leaflet can be found here

 

 

© 2013 BNMS unless otherwise stated.
The BNMS is a registered as a company in England and Wales with number 08082786.  The BNMS is a charity governed by the rules of the Charity Commission for England and Wales - Registered Number 1150234.  Registered Office: The Royal College of Physicians, 11 St. Andrew's Place, Regent's Park, London NW1 4LE.
The British Nuclear Medicine Society is not able to give specific clinical advice to members of the public. If you are concerned about your scan or therapy please seek the opinion of a nuclear medicine clinician where you were seen or the clinician who referred you to the department or your GP.
Enquiries related to issues such as internships and work experience opportunities, should be directed to the relevant professional body e.g., for radiologists, this will be the Royal College of Radiologists.