Determination of Glomerular Filtration Rate Using Dynamic CT-Angiography Simultaneous Acquisition of Morphological and Functional Information INVESTIGATIVE RADIOLOGY Helck, A., Sommer, W. H., Klotz, E., Wessely, M., Nikolaou, K., Clevert, D. A., Notohamiprodjo, M., Illner, W. D., Reiser, M., Becker, H. 2010; 45 (7): 387-392


To determine the feasibility of a dynamic CT angiography-protocol in regard to simultaneous assessment of morphology and function.Fourteen patients with renal graft dysfunction received a dynamic computed tomography angiography (CTA) using a 128-slice CT-scanner with continuous bi-directional table movement, allowing to cover a scan range of 18 cm within 1.75 seconds. Twelve scans of the entire kidney were acquired every 3.5 seconds with the aim to simultaneously obtain CTA and renal function data. The glomerular filtration rate (GFR) was calculated by a modified Patlak method and compared with creatinine-based formulas (MDRD 4 and endogenous creatinine clearance), that served as reference standard.GFR obtained from dynamic CTA correlates well with the GFR derived by creatinine-based formulas with a correlation coefficient of r = 0.8986; P < 0.0001. The average absolute deviation was 8.1 mL/min. The mean amount of contrast medium required was 35 mL. The average effective dose was 13.8 mSv.Dynamic CTA offers the possibility to determine the GFR and thus facilitates simultaneous assessment of morphology and function. Additionally, our dynamic CTA-protocol helps to significantly reduce the amount of contrast medium, which is beneficial for patients with impaired renal function.

View details for DOI 10.1097/RLI.0b013e3181e332d0

View details for Web of Science ID 000279394300004

View details for PubMedID 20479647