Rapid measurement of Gd-DTPA extraction fraction in a dialysis system using echo-planar imaging

Eric R. Niendorf, Thomas M. Grist, Richard Frayne, Peter C. Brazy, Giles E. Santyr

Research output: Contribution to journalArticlepeer-review

18 Scopus citations

Abstract

Gd-DTPA (Magnevist, Berlex, Wayne, NJ) extraction fractions (EF) have been measured for three dialysis filter types using an echoplanar imaging (EPI) Look-Locker T1 measurement technique under conditions of fast and slow flow. The mean EF measured in Fresenius (Bad Homburg, Germany) F3, F6, and F8 dialysis filters were 0.015±0.005, 0.053±0.004, and 0.084±0.003, respectively, under conditions of fast flow which provided complete refreshment of spins in the intervals between read-out pulse samples of the T1 relaxation recovery. Data acquisition and postprocessing techniques were developed to extend the accuracy of the LL technique to systems with slow flow which did not provide complete refreshment of spins between samples of the T1 recovery. A multi-shot EPI LL interleaved acquisition of relaxation recovery space (IRRS) provided T1 measurement accuracy comparable to the refreshed system, ± 10, but at the expense of increased scan times (factor of 2 or 3). Discarding the first few non-equilibrium relaxation recovery samples from the T1 fit allowed accurate T1 estimation (±10) with a single-shot EPI LL method under conditions of slow flow. These EPI LL EF measurement methods may provide useful techniques for evaluating renal function in vivo.

Original languageEnglish (US)
Pages (from-to)1907-1913
Number of pages7
JournalMedical Physics
Volume24
Issue number12
DOIs
StatePublished - Dec 1997

Bibliographical note

Copyright:
Copyright 2020 Elsevier B.V., All rights reserved.

Keywords

  • Dialysis
  • Gd-DTPA
  • Glomerular filtration rate
  • MRI
  • Renal filtration fraction

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