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Serial analysis of renal blood flow by positron tomography with rubidium-82

Journal Article · · Am. J. Physiol.; (United States)
OSTI ID:6915084

To determine whether renal blood flow can be measured by positron-emission tomography (PET) during constant infusion of rubidium-82 (/sup 82/Rb) using a steady-state kinetic model, studies were performed in 10 dogs at control (n = 10), during mild flow reduction (n = 7), during severe flow reduction (n = 10), and after reperfusion of the kidney (n = 3). PET data were quantified to determine mean concentration of /sup 82/Rb (Ct) in each transverse section of the kidney. The arterial concentration (Ca) of /sup 82/Rb was measured by well counting of arterial blood samples during the equilibrium scan. /sup 82/Rb renal uptake (Ct/Ca) correlated nonlinearly with microsphere renal blood flow according to a steady-state kinetic model (r = 0.90). /sup 82/Rb estimated flow was 3.16 +/- 1.36 ml X min-1 X g-1 at control and 1.56 +/- 0.57 and 0.37 +/- 0.59 during mild and severe flow reductions, respectively. Microsphere determined flow was 2.89 +/- 0.77 ml X min-1 X g-1 at control, 1.58 +/- 0.42 at mild reduction, and 0.27 +/- 0.49 at severe reduction. In the occlusion and reperfusion model, the /sup 82/Rb estimated flow during occlusion was 0.21 +/- 0.15 ml X min-1 X g-1 and on reperfusion went up to 2.13 +/- 1.08. The contralateral kidney demonstrated reductions in the /sup 82/Rb estimated flow of 3.02 +/- 1.62 ml X min-1 X g-1 (63%) and 2.92 +/- 0.89 (61%) during mild and severe flow reductions, respectively. We conclude that PET with /sup 82/Rb permits serial quantitative assessment of renal flood flow.

Research Organization:
Massachusetts General Hospital, Boston
OSTI ID:
6915084
Journal Information:
Am. J. Physiol.; (United States), Journal Name: Am. J. Physiol.; (United States); ISSN AJPHA
Country of Publication:
United States
Language:
English