Ishikawa I, Saito T, Ishii H, Bansho J, Koyama Y, Tobita A
Division of Nephrology and Radiologic Examination Center, Kanazawa Medical University, Uchinada, Japan.
Nihon Jinzo Gakkai Shi. 1995 May;37(5):277-83.
Renal dynamic CT scanning is suitable for determining the excretion of contrast medium in the cortex and medulla of the kidney, which is valuable for understanding the pathogenesis of disease processes in various conditions. This form of scanning would be convenient for use, if a method of application to the rat kidney were available. Therefore, we developed a method of applying renal dynamic CT to rats and evaluated the cortical and medullary curves, e.g., the corticomedullary junction time which is correlated to creatinine clearance, in various rat models of acute renal failure. The rat was placed in a 10 degrees oblique position and a bilateral hilar slice was obtained before and 5, 10, 15, 20, 25, 30, 40, 50, 60, 80, 100, 120, 140, 160 and 180 sec after administering 0.5 ml of contrast medium using Somatom DR. The width of the slice was 4 mm and the scan time was 3 sec. The corticomedullary junction time in normal rats was 23.0 +/- 10.5 sec, the peak value of the cortical curve was 286.3 +/- 76.7 Hounsfield Unit (HU) and the peak value of the medullary curve was 390.1 +/- 66.2 HU. Corticomedullary junction time after exposure of the kidney was prolonged compared to that of the unexposed kidney. In rats with acute renal failure, the excretion pattern of contrast medium was similar in both the glycerol- and HgCl2-induced acute renal failure models.(ABSTRACT TRUNCATED AT 250 WORDS)
肾动态CT扫描适用于确定造影剂在肾脏皮质和髓质中的排泄情况,这对于理解各种情况下疾病过程的发病机制具有重要价值。如果有适用于大鼠肾脏的应用方法,这种扫描形式将便于使用。因此,我们开发了一种将肾动态CT应用于大鼠的方法,并在各种急性肾衰竭大鼠模型中评估了皮质和髓质曲线,例如与肌酐清除率相关的皮质髓质交界时间。将大鼠置于10度倾斜位置,使用Somatom DR在注射0.5 ml造影剂之前以及之后5、10、15、20、25、30、40、50、60、80、100、120、140、160和180秒获取双侧肾门层面图像。层面宽度为4 mm,扫描时间为3秒。正常大鼠的皮质髓质交界时间为23.0±10.5秒,皮质曲线的峰值为286.3±76.7亨氏单位(HU),髓质曲线的峰值为390.1±66.2 HU。肾脏暴露后的皮质髓质交界时间比未暴露的肾脏延长。在急性肾衰竭大鼠中,甘油和氯化汞诱导的急性肾衰竭模型中造影剂的排泄模式相似。(摘要截短于250字)