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Kidney split function in children. A comparative study between renography and planimetry from urography

S Haugstvedt, B Jacobsson, J Bjure

    Scandinavian Journal of Urology and Nephrology
    |January 1, 1980
    PubMed
    Summary
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    Background-subtracted renography accurately assesses separate kidney function in children. This method, combined with glomerular filtration rate, correlates well with planimetry for evaluating renal function distribution.

    Area of Science:

    • Pediatric Nephrology
    • Nuclear Medicine
    • Radiology

    Background:

    • Accurate assessment of individual kidney function is crucial in pediatric renal disorders.
    • Traditional methods may have limitations in precisely determining separate renal function.
    • Renography and planimetry are established techniques for evaluating kidney function.

    Purpose of the Study:

    • To evaluate the suitability of background-subtracted renography for assessing separate kidney function in children.
    • To compare renography with planimetry of renal parenchymal area for estimating individual kidney function.
    • To correlate total and separate kidney function measurements with renal parenchymal areas.

    Main Methods:

    • Background-subtracted renography was performed in pediatric patients.

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  • Individual renal parenchymal area was measured using planimetry from urography.
  • Glomerular filtration rate (GFR) was measured, and renogram data was correlated with planimetry measurements.
  • Main Results:

    • A good correlation was found between total kidney function (GFR) and the sum of individual renal parenchymal areas.
    • A highly significant correlation was observed between renography and planimetry for the percentage distribution of kidney function.
    • Moderate scatter was noted when judging kidney function solely from planimetry.

    Conclusions:

    • Background-subtracted renography is a reliable method for determining the side distribution of kidney function in children.
    • Combining renography with 51Cr-EDTA clearance provides a reliable method for calculating individual kidney function with minimal radiation.
    • Both renography and planimetry are well-suited for assessing the differential distribution of renal function.