Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 267.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 267.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 267.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 267.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 267.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\27081161
.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Physiol+Rep
2016 ; 4
(7
): ä Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Measurement of glomerular filtration rate by dynamic contrast-enhanced magnetic
resonance imaging using a subject-specific two-compartment model
#MMPMID27081161
Tipirneni-Sajja A
; Loeffler RB
; Oesingmann N
; Bissler J
; Song R
; McCarville B
; Jones DP
; Hudson M
; Spunt SL
; Hillenbrand CM
Physiol Rep
2016[Apr]; 4
(7
): ä PMID27081161
show ga
Measuring glomerular filtration rate (GFR) by dynamic contrast-enhanced (DCE)
magnetic resonance imaging (MRI) as part of standard of care clinicalMRIexams
(e.g., in pediatric solid tumor patients) has the potential to reduce diagnostic
burden. However, enthusiasm for this relatively newGFRtest may be curbed by the
limited amount of cross-calibration studies with referenceGFRtechniques and the
vast variety ofMRtracer model algorithms causing confusion on the choice of
model. To advanceMRI-basedGFRquantification via improvedGFRmodeling and
comparison with associated(99m)Tc-DTPA-GFR, 29 long-term Wilms' tumor survivors
(19.0-43.3 years, [median 32.0 ± 6.0 years]) treated with nephrectomy,
nonnephrotoxic chemotherapy ± radiotherapy underwentMRIwith Gd-DTPAadministration
and a(99m)Tc-DTPA GFRtest. ForDCE-MRI-basedGFRestimation, a subject-specific
two-compartment (SS-2C) model was developed that uses individual hematocrit
values, automatically defines subject-specific uptake intervals, and fits
tracer-uptake curves by incorporating these measures. The association between
reference(99m)Tc-DTPA GFRandMR-GFRs obtained bySS-2C, three published 2C uptake,
and inflow-outflow models was investigated via linear regression analysis. Uptake
intervals varied from 64 sec to 141 sec [96 sec ± 21 sec] and hematocrit values
ranged from 30% to 49% [41% ± 4%]; these parameters can therefore not be assumed
as constants in 2C modeling. OurMR-GFRestimates using theSS-2C model showed
accordingly the highest correlation with(99m)Tc-DTPA-GFRs (R(2) = 0.76,P < 0.001)
compared with other models (R(2)-range: 0.36-0.66). In conclusion,SS-2C modeling
ofDCE-MRIdata improved the association betweenGFRobtained by(99m)Tc-DTPAand
Gd-DTPA DCE-MRIto such a degree that this approach could turn into a viable,
diagnosticGFRassay without radiation exposure to the patient.