Quantification of single-kidney glomerular filtration rate with electron-beam computed tomography

Lilach O. Lerman; Erik Leo Ritman M.D.; Laura I. Pelaez; Patrick F. Sheedy II; James D. Krier

doi:10.1117/12.383439

20 April 2000 Quantification of single-kidney glomerular filtration rate with electron-beam computed tomography

Lilach O. Lerman, Erik Leo Ritman M.D., Laura I. Pelaez, Patrick F. Sheedy II, James D. Krier

Proceedings Volume 3978, Medical Imaging 2000: Physiology and Function from Multidimensional Images; (2000) https://doi.org/10.1117/12.383439
Event: Medical Imaging 2000, 2000, San Diego, CA, United States

Abstract

The ability to accurately and noninvasively quantify single- kidney GFR could be invaluable for assessment of renal function. We developed a model that enables this measurement with EBCT. To examine the reliability of this method, EBCT renal flow and volume studies after contrast media administration were performed in pigs with unilateral renal artery stenosis (Group 1), controls (Group 2), and simultaneously with inulin clearance (Group 3). Renal flow curves, obtained from the bilateral renal cortex and medulla, depicted transit of the contrast through the vascular and tubular compartments, and were fitted using extended gamma- variate functions. Renal blood flow was calculated as the sum of products of cortical and medullary perfusions and volumes. Normalized GFR (mL/min/cc) was calculated using the rate (maximal slope) of proximal tubular contrast accumulation, and EBCT-GFR as normalized GFR* cortical volume. In Group 1, the decreased GFR of the stenotic kidney correlated well with its decreased volume and RBF, and with the degree of stenosis (r equals -0.99). In Group 3, EBCT-GFR correlated well with inulin clearance (slope 1.1, r equals 0.81). This novel approach can be very useful for quantification of concurrent regional hemodynamics and function in the intact kidneys, in a manner potentially applicable to humans.

Citation Download Citation

Lilach O. Lerman, Erik Leo Ritman M.D., Laura I. Pelaez, Patrick F. Sheedy II, and James D. Krier "Quantification of single-kidney glomerular filtration rate with electron-beam computed tomography", Proc. SPIE 3978, Medical Imaging 2000: Physiology and Function from Multidimensional Images, (20 April 2000); https://doi.org/10.1117/12.383439

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