Estimating glomerular number in situ using magnetic resonance imaging and biopsy

John M. Basgen, Michael W Steffes, Arthur E. Stillman, Michael Mauer

Research output: Contribution to journalArticlepeer-review

36 Scopus citations

Abstract

In the past researchers have used an estimate of one million as the number of glomeruli in each human kidney. However, recent work on excised kidneys has demonstrated a large variation in glomerular number from one person to another (330,000 to 1,400,000) per kidney. Theoretically an in situ estimate of glomerular number could be obtained if renal cortical volume, volume density of glomeruli per cortex [Vv(glom/cortex)] and mean glomerular volume are known. We used a dog model to demonstrate that an accurate estimate of cortical volume could be obtained in situ using magnetic resonance imaging (MRI). Vv(glom/cortex) and mean glomerular volume were obtained from needle biopsies. An independent and more direct method (the fractionator) was used to validate the estimate of glomerular number obtained using MRI and renal biopsy. On average there was very good agreement between the fractionator method (379,000 ± 40,000) and the MRI/renal biopsy method (376,000 ± 108,000) for the 10 dog kidneys measured; however we found up to a 36% difference between the two methods in an individual kidney. Nonetheless, the estimate from the MRI/renal biopsy method has more precision than the assumption that there are one million glomeruli per human kidney.

Original languageEnglish (US)
Pages (from-to)1668-1672
Number of pages5
JournalKidney international
Volume45
Issue number6
DOIs
StatePublished - Jun 1994

Bibliographical note

Funding Information:
Preliminary results of the work were presented at the Eighth Inter-national Congress for Stereology, Irvine, California, USA, August 25—29, 1991 and the Twenty-Sixth Annual Meeting of the American Society of Nephrology, Boston, Massachusetts, November 14—17, 1993. Financial support was provided by the National Institutes of Health (DK43605) and the American Diabetes Association, Minnesota Affiliate, Inc. and the Juvenile Diabetes Foundation. The authors are grateful to Bruce Wigness and Dale Arens for providing surgical help,

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