Effect of background region of interest and time-interval selection on glomerular filtration ratio estimation by percentage dose uptake of (99m)Tc-DTPA in comparison with (51)Cr-EDTA clearance in healthy cats

J Feline Med Surg. 2013 Aug;15(8):698-705. doi: 10.1177/1098612X13475618. Epub 2013 Jan 24.

Abstract

Evaluation of glomerular function is a useful part of the diagnostic approach in animals suspected of having renal disease. Time-interval and background region of interest (bg ROI) selection are determining factors when calculating the glomerular filtration ratio (GFR) based on percentage uptake of (99m)technetium-labelled diethylene triamine penta-acetic acid ((99m)Tc-DTPA). Therefore, three different time intervals (60-120 s, 120-180 s, 60-180 s) and three different bg ROIs (C-shape, caudolateral, cranial + caudal) were investigated. In addition, global GFRs based on percentage dose uptake of (99m)Tc-DTPA for the different time-intervals and bg ROIs were compared with the global GFR based on (51)chromium-ethylene diaminic tetra-acetic acid ((51)Cr-EDTA) plasma clearance in nine healthy European domestic shorthair cats. Paired Student's t-tests and linear regression analysis were used to analyse the data. Different time intervals seemed to cause significant variation (P <0.01) in absolute GFR values, regardless of the choice of bg ROI. Significant differences (P <0.01) between bg ROIs were only observed in the 120-180s time interval between the C-shape and cranial + caudal bg ROI, and between the caudolateral and cranial + caudal bg ROI. The caudolateral bg ROI in the 60-180 s time interval showed the highest correlation coefficient (r = 0.882) between (99m)Tc-DTPA and (51)Cr-EDTA, although a significant difference (P <0.05) was present between both techniques.

Publication types

  • Clinical Trial

MeSH terms

  • Animals
  • Cats / physiology*
  • Edetic Acid / pharmacokinetics*
  • Female
  • Glomerular Filtration Rate / physiology*
  • Kidney / diagnostic imaging
  • Male
  • Radionuclide Imaging
  • Radiopharmaceuticals / pharmacokinetics*
  • Technetium Tc 99m Pentetate / pharmacokinetics*

Substances

  • Radiopharmaceuticals
  • Edetic Acid
  • Technetium Tc 99m Pentetate