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DETERMINATION OF GLOMERULAR FILTRATION RATE IN DOGS USING CONTRAST-ENHANCED COMPUTED TOMOGRAPHY
The purpose of this project was to establish a procedure and reference values for glomerular filtration rate (GFR) using contrast‐enhanced computed tomography (CT) in eight healthy dogs. A single section of the kidney was scanned sequentially after bolus injection (3 ml/s) of iohexol (300 mg/kg). Ti...
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Published in: | Veterinary radiology & ultrasound 2006-03, Vol.47 (2), p.127-135 |
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description | The purpose of this project was to establish a procedure and reference values for glomerular filtration rate (GFR) using contrast‐enhanced computed tomography (CT) in eight healthy dogs. A single section of the kidney was scanned sequentially after bolus injection (3 ml/s) of iohexol (300 mg/kg). Time–attenuation curves were constructed and the GFR per volume of kidney was calculated using Patlak graphical analysis software. The GFR was then converted from contrast clearance per unit volume (ml/min/ml) to contrast clearance per body weight (ml/min/kg). Individual kidney and global GFR were calculated using both CT and nuclear scintigraphy. Global GFR for each dog was also determined by plasma iohexol clearance. Contrast‐enhanced CT underestimated the global GFR compared with the other two methods. The average global GFR was 2.57±0.33 ml/min/kg using functional CT and 4.06±0.37 ml/min/kg using plasma iohexol clearance. There was significant (P |
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A single section of the kidney was scanned sequentially after bolus injection (3 ml/s) of iohexol (300 mg/kg). Time–attenuation curves were constructed and the GFR per volume of kidney was calculated using Patlak graphical analysis software. The GFR was then converted from contrast clearance per unit volume (ml/min/ml) to contrast clearance per body weight (ml/min/kg). Individual kidney and global GFR were calculated using both CT and nuclear scintigraphy. Global GFR for each dog was also determined by plasma iohexol clearance. Contrast‐enhanced CT underestimated the global GFR compared with the other two methods. The average global GFR was 2.57±0.33 ml/min/kg using functional CT and 4.06±0.37 ml/min/kg using plasma iohexol clearance. There was significant (P<0.05) interobserver variability of CT GFR of the right kidney and total GFR. There was decreased interobserver variability for the left kidney. There was no difference in the intraobserver variability for CT‐determined individual kidney and global GFR. There was no difference between the motion corrected and nonmotion corrected values for individual and global CT GFR. Nuclear scintigraphy produced a slightly higher coefficient of variation than contrast‐enhanced CT, 2.9% and 1.0%, respectively. It is hypothesized that altered renal blood flow, hematocrit of the small vessels, and nephrotoxicity play a role in the underestimation of GFR by contrast‐enhanced CT.</description><identifier>ISSN: 1058-8183</identifier><identifier>EISSN: 1740-8261</identifier><identifier>DOI: 10.1111/j.1740-8261.2006.00118.x</identifier><identifier>PMID: 16553143</identifier><language>eng</language><publisher>Malden, USA: Malden, USA : Blackwell Publishing Inc</publisher><subject>Animals ; computed tomography ; computer software ; Contrast Media ; diagnostic techniques ; Dogs ; GFR ; glomerular filtration rate ; Glomerular Filtration Rate - veterinary ; Iohexol ; Kidney - diagnostic imaging ; Male ; normal values ; Observer Variation ; patlak ; Patlak graphical analysis software ; Predictive Value of Tests ; Radioisotope Renography - veterinary ; Reference Values ; renal function ; Tomography, X-Ray Computed - veterinary</subject><ispartof>Veterinary radiology & ultrasound, 2006-03, Vol.47 (2), p.127-135</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4618-c5f5e4ae09bf58571e2c18bd82d3d218ff58b4544dbb621f0e86d9fcfa93707b3</citedby><cites>FETCH-LOGICAL-c4618-c5f5e4ae09bf58571e2c18bd82d3d218ff58b4544dbb621f0e86d9fcfa93707b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16553143$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>O'Dell-Anderson, Kristen J</creatorcontrib><creatorcontrib>Twardock, Robert</creatorcontrib><creatorcontrib>Grimm, Jennifer B</creatorcontrib><creatorcontrib>Grimm, Kurt A</creatorcontrib><creatorcontrib>Constable, Peter D</creatorcontrib><title>DETERMINATION OF GLOMERULAR FILTRATION RATE IN DOGS USING CONTRAST-ENHANCED COMPUTED TOMOGRAPHY</title><title>Veterinary radiology & ultrasound</title><addtitle>Vet Radiol Ultrasound</addtitle><description>The purpose of this project was to establish a procedure and reference values for glomerular filtration rate (GFR) using contrast‐enhanced computed tomography (CT) in eight healthy dogs. A single section of the kidney was scanned sequentially after bolus injection (3 ml/s) of iohexol (300 mg/kg). Time–attenuation curves were constructed and the GFR per volume of kidney was calculated using Patlak graphical analysis software. The GFR was then converted from contrast clearance per unit volume (ml/min/ml) to contrast clearance per body weight (ml/min/kg). Individual kidney and global GFR were calculated using both CT and nuclear scintigraphy. Global GFR for each dog was also determined by plasma iohexol clearance. Contrast‐enhanced CT underestimated the global GFR compared with the other two methods. The average global GFR was 2.57±0.33 ml/min/kg using functional CT and 4.06±0.37 ml/min/kg using plasma iohexol clearance. There was significant (P<0.05) interobserver variability of CT GFR of the right kidney and total GFR. There was decreased interobserver variability for the left kidney. There was no difference in the intraobserver variability for CT‐determined individual kidney and global GFR. There was no difference between the motion corrected and nonmotion corrected values for individual and global CT GFR. Nuclear scintigraphy produced a slightly higher coefficient of variation than contrast‐enhanced CT, 2.9% and 1.0%, respectively. It is hypothesized that altered renal blood flow, hematocrit of the small vessels, and nephrotoxicity play a role in the underestimation of GFR by contrast‐enhanced CT.</description><subject>Animals</subject><subject>computed tomography</subject><subject>computer software</subject><subject>Contrast Media</subject><subject>diagnostic techniques</subject><subject>Dogs</subject><subject>GFR</subject><subject>glomerular filtration rate</subject><subject>Glomerular Filtration Rate - veterinary</subject><subject>Iohexol</subject><subject>Kidney - diagnostic imaging</subject><subject>Male</subject><subject>normal values</subject><subject>Observer Variation</subject><subject>patlak</subject><subject>Patlak graphical analysis software</subject><subject>Predictive Value of Tests</subject><subject>Radioisotope Renography - veterinary</subject><subject>Reference Values</subject><subject>renal function</subject><subject>Tomography, X-Ray Computed - veterinary</subject><issn>1058-8183</issn><issn>1740-8261</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><recordid>eNqNkUlv2zAQhYWiRbO0f6HVqTepXESJuhQQZFkWoCXQkqSngRaykGvHiRijzr8vFRnptbzMYN43j-CjYZgY2Vif71sbew6yOHGxTRBybYQw5vbpnXH5JrzXPWLc4pjTC-NKqS1ChHnE-2hcYJcxih16acAqqqMyS_KgTorcLNZmnBZZVDZpUJrrJK3LRdAlMpPcXBVxZTZVksdmWORarWoryjdBHkYrPclumlo3dZEVcRncbH5-Mj7IdqfE53O9Npp1VIcbKy3iJAxSq3dczK2eSSacViC_k4wzDwvSY94NnAx0IJhLPe0c5jhD17kESyS4O_iyl61PPeR19Nr4tvg-Toeno1DPsB9VL3a79kEcjgqw7_v6_VyDfAH76aDUJCQ8TuO-nV4AI5jDhS3MGcKcIczhwmu4cNKrX853HLu9GP4tntPUwI8F-DPuxMt_G8Nt2by22sBaDEb1LE5vBu30G1yPegzu8hjSW8buq1UImea_LrxsD9D-mkYFTUUQpmj-ekIY_Qt8zJiX</recordid><startdate>200603</startdate><enddate>200603</enddate><creator>O'Dell-Anderson, Kristen J</creator><creator>Twardock, Robert</creator><creator>Grimm, Jennifer B</creator><creator>Grimm, Kurt A</creator><creator>Constable, Peter D</creator><general>Malden, USA : Blackwell Publishing Inc</general><general>Blackwell Publishing Inc</general><scope>FBQ</scope><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QO</scope><scope>8FD</scope><scope>FR3</scope><scope>P64</scope></search><sort><creationdate>200603</creationdate><title>DETERMINATION OF GLOMERULAR FILTRATION RATE IN DOGS USING CONTRAST-ENHANCED COMPUTED TOMOGRAPHY</title><author>O'Dell-Anderson, Kristen J ; Twardock, Robert ; Grimm, Jennifer B ; Grimm, Kurt A ; Constable, Peter D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4618-c5f5e4ae09bf58571e2c18bd82d3d218ff58b4544dbb621f0e86d9fcfa93707b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Animals</topic><topic>computed tomography</topic><topic>computer software</topic><topic>Contrast Media</topic><topic>diagnostic techniques</topic><topic>Dogs</topic><topic>GFR</topic><topic>glomerular filtration rate</topic><topic>Glomerular Filtration Rate - veterinary</topic><topic>Iohexol</topic><topic>Kidney - diagnostic imaging</topic><topic>Male</topic><topic>normal values</topic><topic>Observer Variation</topic><topic>patlak</topic><topic>Patlak graphical analysis software</topic><topic>Predictive Value of Tests</topic><topic>Radioisotope Renography - veterinary</topic><topic>Reference Values</topic><topic>renal function</topic><topic>Tomography, X-Ray Computed - veterinary</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>O'Dell-Anderson, Kristen J</creatorcontrib><creatorcontrib>Twardock, Robert</creatorcontrib><creatorcontrib>Grimm, Jennifer B</creatorcontrib><creatorcontrib>Grimm, Kurt A</creatorcontrib><creatorcontrib>Constable, Peter D</creatorcontrib><collection>AGRIS</collection><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><jtitle>Veterinary radiology & ultrasound</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>O'Dell-Anderson, Kristen J</au><au>Twardock, Robert</au><au>Grimm, Jennifer B</au><au>Grimm, Kurt A</au><au>Constable, Peter D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>DETERMINATION OF GLOMERULAR FILTRATION RATE IN DOGS USING CONTRAST-ENHANCED COMPUTED TOMOGRAPHY</atitle><jtitle>Veterinary radiology & ultrasound</jtitle><addtitle>Vet Radiol Ultrasound</addtitle><date>2006-03</date><risdate>2006</risdate><volume>47</volume><issue>2</issue><spage>127</spage><epage>135</epage><pages>127-135</pages><issn>1058-8183</issn><eissn>1740-8261</eissn><abstract>The purpose of this project was to establish a procedure and reference values for glomerular filtration rate (GFR) using contrast‐enhanced computed tomography (CT) in eight healthy dogs. A single section of the kidney was scanned sequentially after bolus injection (3 ml/s) of iohexol (300 mg/kg). Time–attenuation curves were constructed and the GFR per volume of kidney was calculated using Patlak graphical analysis software. The GFR was then converted from contrast clearance per unit volume (ml/min/ml) to contrast clearance per body weight (ml/min/kg). Individual kidney and global GFR were calculated using both CT and nuclear scintigraphy. Global GFR for each dog was also determined by plasma iohexol clearance. Contrast‐enhanced CT underestimated the global GFR compared with the other two methods. The average global GFR was 2.57±0.33 ml/min/kg using functional CT and 4.06±0.37 ml/min/kg using plasma iohexol clearance. There was significant (P<0.05) interobserver variability of CT GFR of the right kidney and total GFR. There was decreased interobserver variability for the left kidney. There was no difference in the intraobserver variability for CT‐determined individual kidney and global GFR. There was no difference between the motion corrected and nonmotion corrected values for individual and global CT GFR. Nuclear scintigraphy produced a slightly higher coefficient of variation than contrast‐enhanced CT, 2.9% and 1.0%, respectively. It is hypothesized that altered renal blood flow, hematocrit of the small vessels, and nephrotoxicity play a role in the underestimation of GFR by contrast‐enhanced CT.</abstract><cop>Malden, USA</cop><pub>Malden, USA : Blackwell Publishing Inc</pub><pmid>16553143</pmid><doi>10.1111/j.1740-8261.2006.00118.x</doi><tpages>9</tpages></addata></record> |
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subjects | Animals computed tomography computer software Contrast Media diagnostic techniques Dogs GFR glomerular filtration rate Glomerular Filtration Rate - veterinary Iohexol Kidney - diagnostic imaging Male normal values Observer Variation patlak Patlak graphical analysis software Predictive Value of Tests Radioisotope Renography - veterinary Reference Values renal function Tomography, X-Ray Computed - veterinary |
title | DETERMINATION OF GLOMERULAR FILTRATION RATE IN DOGS USING CONTRAST-ENHANCED COMPUTED TOMOGRAPHY |
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