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Computer assisted nuclear assessment of renal perfusion in a two kidney, one clip canine model of Goldblatt hypertension

Thesis/Dissertation ·
OSTI ID:6066499
This study was designed to evaluate ninety-second and fifteen-minute Technetium-DTPA (/sup 99m/Tc-DTPA) time-activity curves in acute unilateral renal artery stenosis (RAS). The /sup 99m/Tc-DTPA studies were compared to angiograms, PAH clearances (C/sup PAH/), and thirty-minute /sup 131/I-Hippuran renograms in eight dogs prior to and after RAS. Renal artery stenosis resulted in a reduction of the renal blood flow ranging from 32% to 68%, as measured by electromagnetic flow probe and C/sub PAH/. The mean arterial pressure increased 21 mmHg. Changes in the ninety-second /sup 99m/Tc-DTPA curve were identified by eight computer isolated curve parameters. The fifteen minute /sup 99m/Tc-DTPA curves were interpreted according to the same criteria used in analyzing the /sup 131/I-Hippuran renograms, specifically the time to maximum activity, ratios of peak activity, and time to return to baseline activity. Both the ninety-second and the fifteen-minute /sup 99m/Tc-DTPA studies were superior to the /sup 131/I-Hippuran renogram in assessing RAS. It is concluded that (1) /sup 99m/Tc-DTPA studies are superior to /sup 131/I-Hippuran renograms for detecting unilateral experimental RAS, and (2) /sup 99m/Tc-DTPA may be the radioisotope of choice for detection and follow-up of RAS.
Research Organization:
Medical Coll. of Ohio, Toledo (USA)
OSTI ID:
6066499
Country of Publication:
United States
Language:
English

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