| WCE 2007 - Prediction of Differential Renal Funtion as Determined by Contrasted and Non-Contrasted Computerized Tomography |
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| Written by Michael K. Louie, MD | ||
| Thursday, 01 November 2007 | ||
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CANCUN, MEXICO (UroToday.com) - Coverage of the 25th Annual World Congress of Endourology and SWL - Cancun, Mexico - Wednesday October 31st 2007 Radioisotope renography is the gold standard method to determine differential renal function. However, with its widespread use and familiarity, helical computed tomography may be a more efficient determinant of renal function. Morrisroe and colleagues from the University of Pittsburgh Medical Center sought to determine if differential renal parenchymal volume could be used as a surrogate for percentage of renal function. They compared CT percentage renal volume from 23 patients, 17 with enhanced CT and 6 with unenhanced CT, to the percentage of renal function from 99cTm-MAG3 scans. They showed a strong correlation (r=0.87, p less than 0.0001, CI 0.68-0.95) between percentage renal function and percentage renal volume in both the enhanced and non-enhanced CT groups. They were also able to show significance in 9 patients with renal function less than 30%. Session: Stones: Imaging and New Technology
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