Frontiers in European Radiology pp 29-45 | Cite as
Densitometric Investigations of Renal Perfusion by Dynamic X-Ray Computed Tomography
Abstract
X-ray computed tomography (CT) not only has the potential to provide information on the topography, form, size, contour, and structure of the kidney without surgical intervention, but also, by means of sequential CT studies, allows conclusions to be drawn on the normal and pathologic perfusion of this excretory organ. Sequential CT can be defined as a series of CT scans taken in the same body slice so that changes in enhancement after intravenous contrast medium injection can be evaluated qualitatively as well as quantitatively. Unlike in other parenchymal organs, sequential CT of the kidneys has the advantage that the symmetry of the urinary system admits comparison between the affected and the normal side. Furthermore, the segmentary construction of the kidney allows localization of a disorder.
Keywords
Contrast Medium Abdominal Aorta Renal Pelvis Renal Cortex Renal PerfusionPreview
Unable to display preview. Download preview PDF.
References
- Axel L (1980) Cerebral blood flow determination by rapid-sequence computed tomography. Radiology 137: 679–686PubMedGoogle Scholar
- Baert AL, Wilms G, Marchai G, DeMayer P, DeSomer F (1980) Contrast enhancement by bolus technique in the CT examination of the kidney. Radiologe 20: 279–287PubMedGoogle Scholar
- Brennan RE, Curtis JA, Pollack HM, Weinberg I ( 1979 a) Sequential changes in the CT numbers of the normal canine kidney following intravenous contrast administration. I. The renal cortex. Invest Radiol 14: 141–148Google Scholar
- Brennan RE, Curtis JA, Pollack HM, Weinberg I ( 1979 b) Sequential changes in the CT numbers of the normal canine kidney following intravenous contrast administration. II. The renal medulla. Invest Radiol 14: 239–245PubMedCrossRefGoogle Scholar
- Burgener FA, Hamlin DJ (1981) Contrast enhancement in abdominal CT: bolus vs. infusion. AJR 137: 351–358PubMedGoogle Scholar
- Decker D, Faust U, Reiser U (1983) Model experiments for angiocinedensitometry. In: Heuck FHW (ed) Radiological functional analysis of the vascular system. Springer, Berlin Heidelberg New York TokyoGoogle Scholar
- Fuchs WA, Vock P, Haertel M (1979) Pharmakokinetik intravasaler Kontrastmittel bei der Computer-Tomographie. Radiologe 19: 90–93PubMedGoogle Scholar
- Gardeur D, Lantrou J, Millard JC, Berger N, Metzger J (1980) Pharmacokinetics of contrast media: experimental results in dog and man with CT implications. J Comput Assist Tomogr 4: 178–185PubMedCrossRefGoogle Scholar
- Heinz ER, Dubois PJ, Drayer BP, Hill R (1980) A preliminary investigation of the role of dynamic computed tomography in renovascular hypertension. J Comput Assist Tomogr 4: 63–66PubMedCrossRefGoogle Scholar
- Heller M, Huland H, Hagemann J, Bischoff K (1981b) Computertomographische Diagnostik von renalen und extrarenalen Komplikationen bei Nierentransplantation — „statische” und „dynamische” Untersuchungen. Computertomographie 1: 184–192Google Scholar
- Hübener KH (1978) Computertomographische Densitometrie von Leber, Milz und Nieren bei intravenös verabreichten lebergängigen Kontrastmitteln in Bolusform. Fortschr Röntgenstr 129: 289–297CrossRefGoogle Scholar
- Hübener KH, Klott KJ (1980) „Statisches” und dynamisches Kontrastmittelenhancement der Körperstamm-Computertomographie (Ortsauflösung, Angio-CT, Sequenz-CT). Fortschr Röntgenstr 133: 347Google Scholar
- Ishikawa I, Onouchi Z, Saito Y, Kitada H et al. (1981) Renal cortex visualization and analysisof dynamic CT curves of the kidney. J Comput Assist Tomogr 5: 695–701PubMedCrossRefGoogle Scholar
- Ono N, Martinez CR, Fara JW, Hodges FJ (1980) Diatrizoate distribution in dogs as a function of administration rate and time following intravenous injection. J Comput Assist Tomogr 4: 174–177PubMedCrossRefGoogle Scholar
- Reiser U, Heuck F, Pfeiler M (1980) Einfluß auf Quantifizierung der Atemverschieblichkeit von abdominellen Organen bei der Röntgencomputertomographie. Fortschr Röntgenstr 133: 1; 9–17CrossRefGoogle Scholar
- Schad N, Schepke P, Rohde U, Schepke H, Schmid Y, Breit A (1981) Timing of exposure in angiographic computed tomography. Cardiovasc Intervent Radiol 4: 59–65PubMedCrossRefGoogle Scholar
- Walz PH, Klose K, Goldmann F, Evers E, Alken P (1982) Kontrastmittelabhängige Dichteveränderungen gesunder und geschädigter Nieren in der Sequenz-Computertomographie. Aktuel Urologie 13: 33–36CrossRefGoogle Scholar
- Young SW, Noon MA, Nassi M, Castellino RA (1980) Dynamic computed tomography body scanning. J Comput Assist Tomogr 4: 168–173PubMedCrossRefGoogle Scholar