Comparison of measurement of glomerular filtration rate by single sample, plasma disappearance slope/intercept and other methods. 1987

P G Tepe, and W N Tauxe, and A Bagchi, and P Rezende, and P R Krishnaiah

Various in vitro methods employing radioactive indicators have been presented for the determination of glomerular filtration rate (GFR) including slope/intercept (S/I) and single sample (SS) methods. The S/I technique utilizes the analysis of the slope of a certain segment of the plasma disappearance curve of a suitable radioactive indicator and its intercept on the y axis. The SS method is based on the theoretical volumes of distribution derived from a single plasma concentration at some specific time after intravenous injection of the indicator. Using GFRs estimated from the compartmental analysis of the entire plasma disappearance curve as a reference standard, we have compared the errors of GFR estimation calculated from 12 S/I methods, 3 SS methods and 2 techniques in which original formulae were derived. The errors of the SS method of Tauxe et al. gave the lowest standard error of estimate (Sy X x) of all the methods. The S/I methods gave lowest errors when sampling times were taken between 60 min and 240 min. Almost all the errors observed here were significantly less than those observed using scintillation camera techniques. The SS method seems to be the method of choice for estimation of GFR by single injection techniques. The use of the scintillation camera in conjunction with the SS technique would provide a useful right to left ratio so that individual kidney GFR could be calculated.

UI MeSH Term Description Entries
D007457 Iodine Radioisotopes Unstable isotopes of iodine that decay or disintegrate emitting radiation. I atoms with atomic weights 117-139, except I 127, are radioactive iodine isotopes. Radioisotopes, Iodine
D007677 Kidney Function Tests Laboratory tests used to evaluate how well the kidneys are working through examination of blood and urine. Function Test, Kidney,Function Tests, Kidney,Kidney Function Test,Test, Kidney Function,Tests, Kidney Function
D008433 Mathematics The deductive study of shape, quantity, and dependence. (From McGraw-Hill Dictionary of Scientific and Technical Terms, 6th ed) Mathematic
D008657 Metabolic Clearance Rate Volume of biological fluid completely cleared of drug metabolites as measured in unit time. Elimination occurs as a result of metabolic processes in the kidney, liver, saliva, sweat, intestine, heart, brain, or other site. Total Body Clearance Rate,Clearance Rate, Metabolic,Clearance Rates, Metabolic,Metabolic Clearance Rates,Rate, Metabolic Clearance,Rates, Metabolic Clearance
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D012015 Reference Standards A basis of value established for the measure of quantity, weight, extent or quality, e.g. weight standards, standard solutions, methods, techniques, and procedures used in diagnosis and therapy. Standard Preparations,Standards, Reference,Preparations, Standard,Standardization,Standards,Preparation, Standard,Reference Standard,Standard Preparation,Standard, Reference
D003973 Diatrizoate A commonly used x-ray contrast medium. As DIATRIZOATE MEGLUMINE and as Diatrizoate sodium, it is used for gastrointestinal studies, angiography, and urography. Amidotrezoate,Amidotrizoate,Benzoic acid, 3,5-bis(acetylamino)-2,4,6-triiodo-,Diatrizoate Sodium,Diatrizoic Acid,Hypaque,Hypaque 50,Sodium Diatrizoate,Sodium-Magnesium Diatrizoate,Urogranoic Acid,Urothrast,Urotrast,Diatrizoate, Sodium,Diatrizoate, Sodium-Magnesium
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
D000293 Adolescent A person 13 to 18 years of age. Adolescence,Youth,Adolescents,Adolescents, Female,Adolescents, Male,Teenagers,Teens,Adolescent, Female,Adolescent, Male,Female Adolescent,Female Adolescents,Male Adolescent,Male Adolescents,Teen,Teenager,Youths

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