Cardiometabolic & kidney

Feasibility of Simultaneous Quantification of Myocardial and Renal Perfusion With Cardiac Positron Emission Tomography

Circ Cardiovasc ImagingPublished Feasibility study

Authors' conclusion

Renal blood flow can be reliably measured from cardiac 13N-ammonia PET/CT and allows for simultaneous assessment of myocardial and renal perfusion

Study context

Population
Patients undergoing routine, clinically indicated 13N-ammonia myocardial perfusion positron emission tomography (PET)/computed tomography (CT)296 (76.7%) evaluable
Participants
386 patients
Outcome
Feasibility of quantification of renal blood flow from cardiac 13N-ammonia PET/CT
Methodological detailsconsecutive patients
  • Consecutive patients

Main finding

As reported in the abstract

Evaluable images to quantify renal perfusion

296

76.7%

Reproducibility, intraclass correlation coefficient (3 readers)

0.98

95% CI 0.93–0.99

Correlation of renal blood flow with eGFR

r=0.64

P<0.001

Further findings

Resting renal blood flow vs stress myocardial blood flow and myocardial flow reserve

Resting renal blood flow correlated with maximal stress myocardial blood flow and myocardial flow reserve

Resting renal blood flow vs histological interstitial fibrosis (kidney biopsy subgroup, n=12)

Strong negative correlation
r=−0.85; P<0.001

Original publication

Feasibility of Simultaneous Quantification of Myocardial and Renal Perfusion With Cardiac Positron Emission Tomography. Circ Cardiovasc Imaging. Published 1 September 2023. doi:10.1161/circimaging.123.015324

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