Background in the 99mTc DTPA renogram: analysis of intravascular and extravascular components. 1987

A M Peters, and I Gordon, and K Evans, and A Todd-Pokropek
Department of Paediatric Radiology, Hospital for Sick Children, London, England.

Individual kidney glomerular filtration rate (IKGFR) was calculated from the upslope of the 99mTc-diethylenetriamine pentaacetic acid (DTPA) renogram in ten children with a normal solitary kidney (on the right in five and on the left in five). By using a method of renogram analysis that is independent of the intravascular (IV) component of background (BG) activity, the IV and extravascular (EV) components of background were separately quantified in various regions in proximity to the nephrectomy site. The size of the IV compartment was expressed as an absolute plasma volume (PV-BG), and that of the EV compartment was expressed as a "GFR equivalent," i.e., the undirectional rate of fluid transfer from the IV to EV spaces in ml per min (GFR-BG). The region areas from which these parameters were calculated were normalised to the area projected by the solitary kidney. In a region centred over the lower pole of the imagined absent kidney, PV-BG was 129 +/- 7 ml (SE) and GFR-BG was 28 +/- 1.8 ml per min. The corresponding values centred over the liver/spleen on the nephrectomised side were 353 +/- 24 ml and -2 +/- 2.9 ml per min, respectively. PV-BG, but not GFR-BG, was significantly higher over the liver (397 ml and -6.8 +/- 1.5 ml per min) compared with the spleen (287 ml, P less than .05; and 4.5 +/- 3.2 ml per min, P greater than .05). PV-BG and GFR-BG in a region placed over the centre of the nephrectomy site were intermediate between those superior and inferior: 231 +/- 17 ml and 15 +/- 2.7 ml per min, respectively. The IV signal rises while the EV falls during the second phase of the renogram. In the analysis of the renogram during this phase, therefore, background should be based on both supra- and subrenal regions of interest.

UI MeSH Term Description Entries
D007668 Kidney Body organ that filters blood for the secretion of URINE and that regulates ion concentrations. Kidneys
D009942 Organometallic Compounds A class of compounds of the type R-M, where a C atom is joined directly to any other element except H, C, N, O, F, Cl, Br, I, or At. (Grant & Hackh's Chemical Dictionary, 5th ed) Metallo-Organic Compound,Metallo-Organic Compounds,Metalloorganic Compound,Organometallic Compound,Metalloorganic Compounds,Compound, Metallo-Organic,Compound, Metalloorganic,Compound, Organometallic,Compounds, Metallo-Organic,Compounds, Metalloorganic,Compounds, Organometallic,Metallo Organic Compound,Metallo Organic Compounds
D011866 Radioisotope Renography Graphic tracing over a time period of radioactivity measured externally over the kidneys following intravenous injection of a radionuclide which is taken up and excreted by the kidneys. Renography,Radioisotope Renographies,Renographies,Renographies, Radioisotope,Renography, Radioisotope
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D004369 Pentetic Acid An iron chelating agent with properties like EDETIC ACID. DTPA has also been used as a chelator for other metals, such as plutonium. DTPA,Diethylenetriamine Pentaacetic Acid,Pentetates,Penthanil,Ca-DTPA,CaDTPA,CaNa-DTPA,Calcium Trisodium Pentetate,DETAPAC,Indium-DTPA,Mn-Dtpa,Pentacin,Pentacine,Pentaind,Pentetate Calcium Trisodium,Pentetate Zinc Trisodium,Sn-DTPA,Zinc-DTPA,Indium DTPA,Pentaacetic Acid, Diethylenetriamine,Pentetate, Calcium Trisodium,Zinc DTPA
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
D016284 Technetium Tc 99m Pentetate A technetium imaging agent used in renal scintigraphy, computed tomography, lung ventilation imaging, gastrointestinal scintigraphy, and many other procedures which employ radionuclide imaging agents. Tc 99m-DTPA,Tc-DTPA,Technetium-DTPA,Technetium (99m) Pentetate,Technetium Pentetic Acid,Technetium diethylenetriamine pentaacetic acid,99m-DTPA, Tc,Pentetic Acid, Technetium,Tc 99m DTPA,Technetium DTPA

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