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Comparison of Renal Blood Flow Using Maximum Slope-Based Computed Tomography Perfusion and Ultrasound Flow Probe in Healthy Dogs

机译:使用最大斜率的计算机断层扫描灌注和健康犬超声流探针的肾血流比较

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Computed tomography (CT) perfusion can analyze tissue perfusion and quantitative parameters, including blood flow, blood volume, and transit time. CT perfusion has been used for evaluating split renal function. However, its applicability in veterinary medicine was not validated. This study aimed to evaluate the correlation of renal blood flow (RBF) derived by maximum slope-based CT perfusion and an ultrasonic flow probe and assess the effect of the presence of a pre-existing contrast medium on CT perfusion in the kidneys. In five healthy purpose-bred beagles, CT perfusion was performed at the level of the left renal hila after injection of 1 mg/kg iohexol, during measuring RBF with an ultrasonic flow probe placed on the left renal artery. After post-contrast CT scan with injection of 2 mg/kg iohexol, CT perfusion scan was repeated with the same protocol used in the first perfusion study. The CT perfusion derived RBF was analyzed based on the maximum slope and was compared with the true RBF obtained using an ultrasonic flow probe. Results indicated that CT perfusion derived RBF was significantly correlated with true RBF, although CT perfusion derived RBF did not match the absolute value of the true RBF.. It was correlated with the true RBF, even in the presence of a pre-existing contrast medium in the kidney. CT perfusion can estimate the change in individual renal perfusion noninvasively, and this method can be used supplementary to the conventional CT protocol in clinic.
机译:计算机断层扫描(CT)灌注可以分析组织灌注和定量参数,包括血流量,血液体积和运输时间。 CT灌注已用于评估分裂肾功能。但是,它在兽医中的适用性未经验证。本研究旨在评估肾血流(RBF)通过基于最大斜率的CT灌注和超声波流量探针的相关性,并评估存在于肾脏中CT灌注上的存在预先存在的造影剂的效果。在5个健康的目的繁殖的大珠中,在测量1mg / kg碘六酚后,在测量RBF时,在左肾动脉上的超声波流动探针在测量RBF期间,在左肾HILA的水平下进行CT灌注。用注射2mg / kg碘六醇的对比度CT扫描后,用在第一灌注研究中使用的相同方案重复CT灌注扫描。基于最大斜率分析CT灌注衍生的RBF,与使用超声波流量探针获得的真正RBF进行比较。结果表明,CT灌注衍生的RBF与真正的RBF显着相关,但CT灌注衍生的RBF与真正的RBF的绝对值与真正的RBF不匹配。即使在存在预先存在的造影介质时也与真正的RBF相关联在肾脏。 CT灌注可以估计单个肾灌注的变化是无侵入性的,并且该方法可以用诊所中的常规CT协议进行补充。

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