Influence of CT-based depth correction of renal scintigraphy in evaluation of living kidney donors on side selection and postoperative renal function: is it necessary to know the relative renal function? 2018

Sarah Weinberger, and Carola Klarholz-Pevere, and Lutz Liefeldt, and Michael Baeder, and Nico Steckhan, and Frank Friedersdorff
Department of Urology, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Charitéplatz 1, 10117, Berlin, Germany.

OBJECTIVE To analyse the influence of CT-based depth correction in the assessment of split renal function in potential living kidney donors. METHODS In 116 consecutive living kidney donors preoperative split renal function was assessed using the CT-based depth correction. Influence on donor side selection and postoperative renal function of the living kidney donors were analyzed. Linear regression analysis was performed to identify predictors of postoperative renal function. RESULTS A left versus right kidney depth variation of more than 1 cm was found in 40/114 donors (35%). 11 patients (10%) had a difference of more than 5% in relative renal function after depth correction. Kidney depth variation and changes in relative renal function after depth correction would have had influence on side selection in 30 of 114 living kidney donors. CT depth correction did not improve the predictability of postoperative renal function of the living kidney donor. In general, it was not possible to predict the postoperative renal function from preoperative total and relative renal function. In multivariate linear regression analysis, age and BMI were identified as most important predictors for postoperative renal function of the living kidney donors. CONCLUSIONS Our results clearly indicate that concerning the postoperative renal function of living kidney donors, the relative renal function of the donated kidney seems to be less important than other factors. A multimodal assessment with consideration of all available results including kidney size, location of the kidney and split renal function remains necessary.

UI MeSH Term Description Entries
D007668 Kidney Body organ that filters blood for the secretion of URINE and that regulates ion concentrations. Kidneys
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D009392 Nephrectomy Excision of kidney. Heminephrectomy,Heminephrectomies,Nephrectomies
D011300 Preoperative Care Care given during the period prior to undergoing surgery when psychological and physical preparations are made according to the special needs of the individual patient. This period spans the time between admission to the hospital to the time the surgery begins. (From Dictionary of Health Services Management, 2d ed) Care, Preoperative,Preoperative Procedure,Preoperative Procedures,Procedure, Preoperative,Procedures, Preoperative
D011877 Radionuclide Imaging The production of an image obtained by cameras that detect the radioactive emissions of an injected radionuclide as it has distributed differentially throughout tissues in the body. The image obtained from a moving detector is called a scan, while the image obtained from a stationary camera device is called a scintiphotograph. Gamma Camera Imaging,Radioisotope Scanning,Scanning, Radioisotope,Scintigraphy,Scintiphotography,Imaging, Gamma Camera,Imaging, Radionuclide
D012044 Regression Analysis Procedures for finding the mathematical function which best describes the relationship between a dependent variable and one or more independent variables. In linear regression (see LINEAR MODELS) the relationship is constrained to be a straight line and LEAST-SQUARES ANALYSIS is used to determine the best fit. In logistic regression (see LOGISTIC MODELS) the dependent variable is qualitative rather than continuously variable and LIKELIHOOD FUNCTIONS are used to find the best relationship. In multiple regression, the dependent variable is considered to depend on more than a single independent variable. Regression Diagnostics,Statistical Regression,Analysis, Regression,Analyses, Regression,Diagnostics, Regression,Regression Analyses,Regression, Statistical,Regressions, Statistical,Statistical Regressions
D005260 Female Females
D005919 Glomerular Filtration Rate The volume of water filtered out of plasma through glomerular capillary walls into Bowman's capsules per unit of time. It is considered to be equivalent to INULIN clearance. Filtration Rate, Glomerular,Filtration Rates, Glomerular,Glomerular Filtration Rates,Rate, Glomerular Filtration,Rates, Glomerular Filtration
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man

Related Publications

Sarah Weinberger, and Carola Klarholz-Pevere, and Lutz Liefeldt, and Michael Baeder, and Nico Steckhan, and Frank Friedersdorff
April 2018, Nephrologie & therapeutique,
Sarah Weinberger, and Carola Klarholz-Pevere, and Lutz Liefeldt, and Michael Baeder, and Nico Steckhan, and Frank Friedersdorff
September 1990, Journal of nuclear medicine : official publication, Society of Nuclear Medicine,
Sarah Weinberger, and Carola Klarholz-Pevere, and Lutz Liefeldt, and Michael Baeder, and Nico Steckhan, and Frank Friedersdorff
January 2001, Transplantation,
Sarah Weinberger, and Carola Klarholz-Pevere, and Lutz Liefeldt, and Michael Baeder, and Nico Steckhan, and Frank Friedersdorff
January 2008, Nihon Jinzo Gakkai shi,
Sarah Weinberger, and Carola Klarholz-Pevere, and Lutz Liefeldt, and Michael Baeder, and Nico Steckhan, and Frank Friedersdorff
August 1995, American journal of kidney diseases : the official journal of the National Kidney Foundation,
Sarah Weinberger, and Carola Klarholz-Pevere, and Lutz Liefeldt, and Michael Baeder, and Nico Steckhan, and Frank Friedersdorff
December 2013, Transplant international : official journal of the European Society for Organ Transplantation,
Sarah Weinberger, and Carola Klarholz-Pevere, and Lutz Liefeldt, and Michael Baeder, and Nico Steckhan, and Frank Friedersdorff
April 2024, World journal of urology,
Sarah Weinberger, and Carola Klarholz-Pevere, and Lutz Liefeldt, and Michael Baeder, and Nico Steckhan, and Frank Friedersdorff
September 1972, Revista clinica espanola,
Sarah Weinberger, and Carola Klarholz-Pevere, and Lutz Liefeldt, and Michael Baeder, and Nico Steckhan, and Frank Friedersdorff
May 2009, Transplantation proceedings,
Sarah Weinberger, and Carola Klarholz-Pevere, and Lutz Liefeldt, and Michael Baeder, and Nico Steckhan, and Frank Friedersdorff
June 2017, Journal of renal care,
Copied contents to your clipboard!