Simplified technetium-99m-EC clearance in adults from a single plasma sample.
Technetium-99m-EC has recently been introduced as an alternative renal tubular agent to 131I-ortho iodohippurate (OIH). It has been shown that 99mTc-EC clearance shows strong correlation with OIH clearance and it is possible to estimate effective renal plasma flow. In routine clinical studies, it is practical to use one or two plasma sample methods instead of multiple plasma samples for clearance determination. An attempt was made to determine 99mTc-EC clearance with one sample method.


METHODS
Data from 72 subjects were collected. To increase the range of renal function, two anuric hemodialysis patients were also included. Clearances were determined by the open two-compartment model.


RESULTS
The clearance range was 12 ml/min to 660 ml/min with a mean of 275 +/- 117 ml/min. Analysis of correlation was made by Tauxe's method. The least standard error of estimation (s.e.e. = 32.71 ml/min) and the best correlation (r = 0.97) between the theoretical volume distribution and the clearance estimations were obtained from the 54-min plasma sample.


CONCLUSIONS
This study suggests that EC clearance could be determined by a simplified single-sample method with an acceptable s.e.e.
Kabasakal
L
L
Department of Nuclear Medicine, Cerrahpaşa Medical Faculty, Istanbul, Turkey.
Yapar
A F
AF
Ozker
K
K
Alkan
E
E
Atay
S
S
Ozçelik
N
N
Onsel
C
C
D000328:Adult; D003545:Cysteine / Q000031:analogs & derivatives* / Q000097:blood; D005260:Female; D006801:Humans; D007668:Kidney / Q000000981:diagnostic imaging*; D016030:Kidney Transplantation / Q000000981:diagnostic imaging; D008297:Male; D008875:Middle Aged; D015609:Organotechnetium Compounds / Q000097:blood; D011877:Radionuclide Imaging; D019275:Radiopharmaceuticals / Q000097:blood; D051437:Renal Insufficiency / Q000000981:diagnostic imaging*; D017596:Renal Plasma Flow, Effective; D013997:Time Factors
D015609:Organotechnetium Compounds; D019275:Radiopharmaceuticals; C073806:technetium Tc 99m-ethylenedicysteine; D003545:Cysteine