Standardization of glomerular filtration rate in dog by 99m-Tc-DTPA scintigraphy

Currently the diagnosis of renal diseases is based on thorough history, clinical examination, urinanalysis and investigation of hemato-biochemical profiles. But biochemical markers are not sensitive to detect early renal damage. Also usefulness of their estimation is limited in early renal failure when marked reduction of GFR may be associated with little change in their concentration. At present imaging is an important diagnostic tool for early precise diagnosis. Scintigraphy is a less known diagnostic imaging technique in veterinary medicine, although it is similar to competitive methods such as radiography, ultrasound and endoscopy. By all the other methods only morphological objects can be visualized whereas scintigraphy has the advantage of the so-called physiological imaging. Scintigraphy is able to visualize and quantitate distribution of different materials in living organisms indicating normal [physiological] or abnormal (pathological) processes of the object. This is a sensitive, specific and non-invasive diagnostic method supporting clinician's diagnosis, as a part of combined modality-imaging systems; it gives useful data for veterinary clinicians. Present study was planned to standardize the scintigraphic profile for healthy dogs. Perfusion index Mean ± S.D. for right kidneys and left kidney was 154.7 ± 40.05 and 169.0 ± 46.0. The mean percent uptake at 2–3 minutes was 53.56 ± 6.17 and 46.46 ± 6.17 for right and left kidney. Time taken to Peak (TPP) minute, which indicates efficiency of blood flow at both the kidneys, was 3.12 ± 1.21 and 3.03 ± 1.22 min for right and left kidney respectively. The T½ from peak count [min] for right and left kidney was 5.02 ± 2.24 and 5.15 ± 3.6 min. The GFR for right and left kidneys was 68.79 ± 33.67 and 61.62 ± 31.92, respectively and the normalized GFR when both the kidneys are considered together in healthy dogs was 439.48 ± 55.67.