Comparison of Gd-DTPA and Gd-BOPTA for studying renal perfusion and filtration

Autor: Maximilian F. Reiser, K. P. Lodemann, Bente Jespersen, Michael Pedersen, Michael Fischereder, Christian Glaser, Mike Notohamiprodjo, Andreas Helck, Steven Sourbron
Rok vydání: 2011
Předmět:
Zdroj: Notohamiprodjo, M, Pedersen, M, Glaser, C, Helck, A D, Lodemann, K-P, Jespersen, B, Fischereder, M, Reiser, M F & Sourbron, S P 2011, ' Comparison of Gd-DTPA and Gd-BOPTA for studying renal perfusion and filtration ', Journal of Magnetic Resonance Imaging, vol. 34, pp. 595-607 . https://doi.org/10.1002/jmri.22640
ISSN: 1053-1807
DOI: 10.1002/jmri.22640
Popis: Material and Methods: The 2-compartment filtration model for Gd-DTPA (2) was generalized to allow for protein binding. Eight healthy Danish-Landrace-pigs were examined in general anaesthesia at 1.5T with a saturation-recovery TurboFLASH sequence (1 axial and 2 coronal slices; temporal resolution 1s; TR 194ms; TE 0.96ms; IR 9ms; slice thickness 8mm). A double-bolus protocol with Gd-DTPA as first bolus followed by Gd-BOPTA as second bolus or vice versa (group I; Gd-DTPA/Gd-BOPTA n = 4 vs. group II GdBOPTA/Gd-DTPA n = 4) was performed. An arterial input function (AIF) was defined manually in the aorta and cortical regions-ofinterest were defined semi-automatically in left- and right kidneys using thresholds on plasma volume. Data were fitted to the generalized 2-compartment filtration model, producing split renal plasma-flow (FP) and -volume (VP), tubular flow (FT) or glomerular-filtration-rate (GFR) and tubular transit time (TT). Urine protein levels were obtained. Gd-DTPA and Gd-BOPTA values were compared with the Wilcoxon-signed-rank-test. Differences between both groups were assessed with the Wilcoxon-rank-sumtest. Results: The pigs demonstrated a weak proteinuria of 0.27 ± 0.08g/l. There were no significant differences between group I (GdDTPA then Gd-BOPTA) and group II (Gd-BOPTA) for any of the parameters. The AIF measured with Gd-BOPTA showed a significantly higher maximal enhancement (162.8 ± 36.9 AU), compared to the AIF derived from Gd-DTPA (145±29.8 AU) (p
Databáze: OpenAIRE