Measurement of separate kidney clearance by means of99mTc-DTPA complex and a scintillation camera

✍ Scribed by Amnon Piepsz; André Dobbeleir; François Erbsmann

• Book ID: 104687086
• Publisher: Springer
• Year: 1977
• Tongue: English
• Weight: 433 KB
• Volume: 2
• Category: Article
• ISSN: 0340-6997
• DOI: 10.1007/bf00257276

✦ Synopsis

A new radioisotopic method of determining the separate glomerular clearance of the kidneys is described. After injection of 99mTc-DTPA, the data from a scintillation camera are recorded by computer. The renal curves are corrected for extrarenal activity and the plasma curve is obtained from a precordial curve. At each instant the slope of the renal curve divided by the corresponding plasma concentration gives the separate clearance value, in the period extending from 80 to 180 s after injection of the tracer. The error and correction factors introduced are discussed. Normal values are established on 25 patients and correspond to inulin clearance values. Left kidney: 60 ml/min (SD=13). Right kidney: 57 ml/min (SD=12). The method is simple for the patient, takes only 20 min, is not dangerous, is particularly applicable to young children and can be repeated frequently in the same patient.