Simplified estimation of glomerular filtration rate and effective renal plasma flow

Eur J Nucl Med. 1981;6(6):249-53. doi: 10.1007/BF00251347.

Abstract

A method is described for the determination of GFR and ERPF using a combined injection of 51Cr-EDTA and 125I-iodohippurate. Plasma samples obtained at 60 min and 150 min after administration were used to determine a flow rate F assuming a monoexponential clearance of the tracers. Empirical relationships were found between F and the true GFR and ERPF determined from multiple sampling and multi-exponential analysis of the clearance curves. The method was shown to be superior to previously published methods involving one or two samples. GFR was calculated with a standard deviation (SD) of only 3.3 ml/min when compared to the multiple sample technique (the reference method), whereas the best estimate from a single sample had a SD of 6.3 ml/min. An improvement in accuracy of ERPF estimation was achieved for values of flow of less than 200 ml/min when the SD was only 9.3 ml/min.

MeSH terms

  • Chromium Radioisotopes
  • Edetic Acid
  • Glomerular Filtration Rate*
  • Humans
  • Iodohippuric Acid
  • Kidney / blood supply*
  • Radioisotope Renography / methods*
  • Regional Blood Flow

Substances

  • Chromium Radioisotopes
  • Iodohippuric Acid
  • Edetic Acid