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Correspondence
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Volume 344:1868 June 14, 2001 Number 24
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Captopril-Augmented Renal Scanning

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To the Editor: I enjoyed the captopril-augmented renal scan in Images in Clinical Medicine (Feb. 8 issue).1 The proposed approach, however, can result in unnecessary scanning. Unaugmented renal scanning has a false negative rate of 20 to 25 percent and has limited efficacy as a screening test.2 Therefore, normal findings on basal scanning always require confirmatory captopril-augmented scanning. On the other hand, a single normal captopril-augmented scan can offer more reassurance, does not require a second test, and obviates the need for additional administration of a radiotracer. For patients in whom renovascular hypertension is suspected, my colleagues and I first . . . [Full Text of this Article]

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