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The Journal of Nuclear Medicine Vol. 31 No. 7 1211-1219
© 1990 by Society of Nuclear Medicine
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Methods for Measuring GFR with Technetium-99m-DTPA: An Analysis of Several Common Methods

John S. Mulligan, Peter W. Blue and James A. Hasbargen

Department of Radiology, Nuclear Medicine Service, and Department of Medicine, Nephrology Service, Fitzsimons Army Medical Center, Aurora, Colorado

Correspondence: For reprints contact: Peter W. Blue, COL, MC, Nuclear Medicine Service, Fitzsimons Army Medical center, Aurora, Colorado 80045-5001.

ABSTRACT

Several commonly used scintigraphic methods of GFR measurement were evaluated. Forty-three adult patients with a wide range of ages and renal function were studied. The two-sample plasma method of Russell and the urinary method of Jackson were the most accurate methods overall. The one-sample plasma method of Russell, the volume of distribution method of Fawdry, and a terminal slope method were less reliable, especially at low (0–60 ml/min) GFRs. The renal uptake method of Gates correlated poorly to the standards at all GFR levels even when corrected for body surface area or blood volume. The Russell two point and Jackson urinary GFR's can be used as complementary techniques and are recommended as primary methods of scintigraphic GFR determination.

FOOTNOTES

Disclaimer: The opinions and assertions contained here in are the private views of the authors and are not to be construed as reflecting the views of the Army or the Department of Defense.




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Copyright © 1990 by the Society of Nuclear Medicine.