Introduction

Ureteropelvic junction obstruction (UPJO) is characterized by

an impaired flow of urine from the renal pelvis to the ureter owing to blockage.
Technetium 99m (99mTc) MAG3 is a method of choice for the detection of urinary
tract obstruction. The morphology of TC-99m MAG3 diuretic renogram drainage
curves can vary between patients. A new measurement is defined which is the
percent of maximal tracer that is still present at 20 minutes (P20). P20 can be
easily abstracted from a standard MAG-3 renogram. The purpose of this study is
to increase the sensitivity of MAG-3 renal scan for UPJO by examining the utility of
alternative measurement P20

MATERIAL AND METHODS:

From May to January 2021, 30 patients with unilateral or bilateral PUJO and
underwent for pyeloplasty. Pre and postoperative MAG-3 renal scans were also
available. After which the software generated 20min/peak ratio and diuretic T1/2
method were compared to see which method is sensitive for symptomatic PUJO.
The data were analyzed by a generalized method using statistical computer
software (SPSS version 20), applying paired t-test and analysis of variance for
multi-group comparisons. Pvalue <0.05 was considered statistically significant.
RESULT:

In this study, 30 patients were included who were diagnosed with PUJO. The study
includes 24 males (80%) and 6 females (20%). The mean age of he patients was 11.71
years with St. Deviation ±10.59. The result shows the tatistical significance study. The
finding of this study confesses the software generated 20min/peak ratio had more
reduction after the surgery. Even the diuretic T/12 also showed the clearance but it was
considered non-significant.

CONCLUSION:

It is concluded that the study finds a positive relationship between the pre and post-
operative pyeloplasty of software generated 20min/peak ratio of renal scans. The
study resulted in a significant p-value <0.05. This means he 20min/peak ratio is more
sensitive than diuretic T1/2
 0.7
 
0.6
 
0.5
  Pre_peak_L_K&
POST_PEAK_L_K
0.4
Pre_peak_R_K&Post_peakR_K
0.3
pre_diur_L_K&post_diuratL_K
0.2
 
pre_diurR_K&Post_diaureR_K
0.1

0
correlation
-0.1
 
-0.2

PAIRED SAMPLE CORRELATION

 paired sample test
50

40 Mean
Std. Deviation
30 Std. Error Mean
Lower
20
Upper
t
10
df
0 Sig. (2-tailed)
Pair 1 Pair 2 Pair 3 Pair 4
-10
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