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Eur J Nucl Med Mol Imaging. 2006 Dec;33(12):1477-82. Epub 2006 Jul 25.

Revisiting normal (51)Cr-ethylenediaminetetraacetic acid clearance values in children.

Author information

1
CHU St Pierre, Department of Radioisotopes, Brussels, Belgium. amypiepsz@yahoo.com

Abstract

PURPOSE:

Normal (51)Cr-ethylenediaminetetraacetic acid (EDTA) clearance values as a function of age were published a number of years ago. These values were based on data from children with a normal left to right ratio and a normal appearance on DMSA scintigraphy, despite the presence of an acute renal infection. At that time, the authors were unaware that hyperfiltration is a common phenomenon in patients with acute renal infection and that their normal values could have been significantly overestimated. The present work therefore aimed to re-appraise these normal values.

METHODS:

In a first step, in order to verify the previous results, the same type of population was selected, namely patients with present or past urinary tract infection but normal images and a normal left to right ratio on DMSA scintigraphy. In a second step, the selection was based on patients who had had no recent urinary tract infection. In both series, a single blood sample method was used for the evaluation of (51)Cr-EDTA clearance.

RESULTS:

In the first group of patients, the results obtained were almost identical to those previously published. In the second group of patients, the results were significantly lower: after 2 years of age, the mean GFR value was 104 ml/min/1.73 m(2) (10th and 90th percentiles 81 and 135 ml/min/1.73 m(2), respectively), compared with 117 ml/min/1.73 m(2) in the first group.

CONCLUSION:

The data of the second group are probably more representative of the true normal GFR values and can be applied to the entire paediatric population.

PMID:
16865393
DOI:
10.1007/s00259-006-0179-2
[Indexed for MEDLINE]

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