Tc-99m MAG3

Changed by Henry Knipe, 28 Apr 2015

Updates to Article Attributes

Body was changed:

Tc-99m MAG3 (mercaptoacetyltriglycine) is one of thetechnetium radiopharmaceuticals used in renal imaging.

Characteristics

  • photon energy: 140 KeV
  • physical half life: 6 hours
  • biological half life: 4 hours
  • normal distribution: kidneys (100%)
  • pharmacokinetics:
    • uptake by tubular secretion (97%)
    • first pass filtration 60%
  • excretion: renal via both both glomeruli infiltration and and tubular excretion; hence, in paediatric patients and patients with poor renal function this test is considered superior to DTPA scan.
  • target organ: bladder
  • miscellaneous facts:
    • good quality images with renal insufficiency
  • by giving Captoprilcaptopril, MAG3 plasma clearance decreases in hypertensive patients with renal artery stenosis but increases in patients without RASrenal artery stenosis

Uses, doses and timings

  • renal study
    • adult dose: 8 mCi IV
    • paediatric dose: 1000.10 mCi/kg (minimum: 1 mCi; max: 50.4 mCi)5
    • 60 sec flow study; then q5min for 25 min
  • -<p><strong>Tc-99m MAG3 (mercaptoacetyltriglycine)</strong> is one of the <a href="/articles/technetium-agents">technetium radiopharmaceuticals</a> used in renal imaging.</p><h4>Characteristics</h4><ul>
  • +<p><strong>Tc-99m MAG3 (mercaptoacetyltriglycine)</strong> is one of the <a href="/articles/technetium-agents">technetium radiopharmaceuticals</a> used in renal imaging.</p><h4>Characteristics</h4><ul>
  • -<li>excretion: renal via both glomeruli infiltration and tubular excretion; hence, in paediatric patients and patients with poor renal function this test is considered superior to <a href="/articles/gd-dtpa-labeled-albumin">DTPA </a>scan.</li>
  • +<li>excretion: renal via both glomeruli infiltration and tubular excretion; hence, in paediatric patients and patients with poor renal function this test is considered superior to <a href="/articles/gd-dtpa-labeled-albumin">DTPA </a>scan</li>
  • -<li>miscellaneous facts:<ul><li>good quality images with renal insufficiency</li></ul>
  • +<li>miscellaneous facts<ul>
  • +<li>good quality images with renal insufficiency</li>
  • +<li>by giving captopril, MAG3 plasma clearance decreases in hypertensive patients with <a href="/articles/renal-artery-stenosis">renal artery stenosis</a> but increases in patients without renal artery stenosis</li>
  • +</ul>
  • -<li>by giving Captopril, MAG3 plasma clearance decreases in hypertensive patients with renal artery stenosis but increases in patients without RAS</li>
  • -<li>paediatric dose: 100 mCi/kg (minimum: 1 mCi; max: 5 mCi)</li>
  • +<li>paediatric dose: 0.10 mCi/kg (minimum: 0.4 mCi) <sup>5</sup>
  • +</li>

References changed:

  • 5. Treves ST, Parisi MT, Gelfand MJ. Pediatric radiopharmaceutical doses: new guidelines. Radiology. 2011;261 (2): 347-9. <a href="http://dx.doi.org/10.1148/radiol.11110449">doi:10.1148/radiol.11110449</a> - <a href="http://www.ncbi.nlm.nih.gov/pubmed/22012901">Pubmed citation</a><span class="auto"></span>

Sections changed:

  • Imaging Technology

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