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. 2011 Jun;37(6):900-8.
doi: 10.1016/j.ultrasmedbio.2011.03.011.

Validation of dynamic contrast-enhanced ultrasound in rodent kidneys as an absolute quantitative method for measuring blood perfusion

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Validation of dynamic contrast-enhanced ultrasound in rodent kidneys as an absolute quantitative method for measuring blood perfusion

Paul Kogan et al. Ultrasound Med Biol. 2011 Jun.

Abstract

Contrast-enhanced ultrasound (CEUS) has demonstrated utility in the monitoring of blood flow in tissues, organs and tumors. However, current CEUS methods typically provide only relative image-derived measurements, rather than quantitative values of blood flow in milliliters/minute per gram of tissue. In this study, CEUS derived parameters of blood flow are compared with absolute measurements of blood flow in rodent kidneys. Additionally, the effects of contrast agent infusion rate and transducer orientation on image-derived perfusion measurements are assessed. Both wash-in curve and time-to-refill algorithms are examined. Data illustrate that for all conditions, image-derived flow measurements were well-correlated with transit-time flow probe measurements (R > 0.9). However, we report differences in the sensitivity to flow across different transducer orientations as well as the contrast analysis algorithm utilized. Results also indicate that there exists a range of contrast agent flow rates for which image-derived estimates are consistent.

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Figures

Figure 1
Figure 1
Representative user selected ROI for a) cortial, b)outer medullary and c) inner medullary regions of the kidney for the coronal (left) and parasagittal (right). The MCA/KW infusion rate for these images was 23.0 μl/g·min.
Figure 2
Figure 2
A representative perfusion map using parametric method for one animal with decreasing renal blood flow (top to bottom). Green indicates faster flow and red indicates slower flow. A-C is the coronal orientation and the D-F is the parasagittal orientation. The MCA/KW infusion rate for these images was 34.0 μl/g·min. In order to reduce the RBF, the animal was given 0, 6 and 10 ng of AngII.
Figure 3
Figure 3
A representative plot of reperfusion rate (RR) vs. RBF for a single orientation and single MCA infusion rate/KW for both young (formula image, less than 500g) and old (●, more than 500g) rats.. The MCA/KW infusion rate for this curve is 31.1 μl/g·min in the coronal orientation.
Figure 4
Figure 4
A representative intensity vs. time curve for the cortical(▲), outer (+) and inner (*) medullary regions of a single kidney. The lines are curve fits to the equation y = A(1 – e-βt). The MCA/KW infusion rate for this curve is 59.4 μl/g·min in the coronal orientation with 0ng of AngII given to the animal.
Figure 5
Figure 5
A representative plot of β vs. RBF for a single orientation and single MCA infusion rate/KW for both young (formula image, less than 500g) and old (●, more than 500g) rats. The MCA/KW infusion rate for this curve is 52.8 μl/g·min in the coronal orientation.
Figure 6
Figure 6
Kidney weight (KW) vs. body weight (BW) for rats used in this study. Body weights ranged from 350g – 750g. This conversion can be used to convert from body weight to kidney weight in future non-invasive studies.
Figure 7
Figure 7
A plot of the slopes for the RBF vs. either reperfusion rate or β for different mean MCA infusion rates/KW.

References

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