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Fig. 9C. Results of CT measurements and calculations with three-compartment
model for contrast medium concentrations in vascular space and interstitium in
74-year-old patient with good renal function treated with right-sided
percutaneous nephrostomy for ureteral stone. Volume of both kidneys was 578
mL. Glomerular filtration rate (GFR) measured by plasma clearance was 113
mL/min. CT GFR was 129 mL/min. Lower curve (A and B) represents
contrast medium concentration in interstitial space. Parameters are more fully
defined in Appendix 1. Graph shows amount of contrast medium as Patlak plot
[3] resulting from
three-compartment model (
) calculations. Interstitial space in patient
was calculated as 11% of whole-kidney volume. Consequently, amount of contrast
medium in interstitial space is much smaller than amount of contrast medium
excreted into nephron, and calculated Patlak plot is almost a straight line.
GFR calculated with Patlak plot is close to true GFR.
= CT
measurement.