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Technetium Tc 99m dimercaptosuccinic acid (also known as technetium Tc 99m succimer or Tc-99m DMSA) is a diagnostic radiopharmaceutical used as an imaging agent for renal cortical scintigraphy. It is primarily indicated as an aid in the scintigraphic evaluation of renal parenchymal disorders in both adult and pediatric patients, including term neonates. Following intravenous administration, the tracer binds to plasma proteins (such as alpha-1-microglobulin) and is filtered by the glomeruli, after which it is accumulated in the proximal renal tubular cells of the renal cortex via megalin/cubilin-mediated endocytosis. This allows for high-resolution static imaging of the renal parenchyma to assess renal structure, morphology, split renal function, and to detect cortical scarring or pyelonephritis.
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