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  • Title: Pixel-by-pixel mean transit time without deconvolution.
    Author: Dobbeleir AA, Piepsz A, Ham HR.
    Journal: Nucl Med Commun; 2008 Apr; 29(4):345-8. PubMed ID: 18317298.
    Abstract:
    BACKGROUND: Mean transit time (MTT) within a kidney is given by the integral of the renal activity on a well-corrected renogram between time zero and time t divided by the integral of the plasma activity between zero and t, providing that t is close to infinity. However, as the data acquisition of a renogram is finite, the MTT calculated using this approach might result in the underestimation of the true MTT. To evaluate the degree of this underestimation we conducted a simulation study. METHODS: One thousand renograms were created by convoluting various plasma curves obtained from patients with different renal clearance levels with simulated retentions curves having different shapes and mean transit times. RESULTS: For a 20 min renogram, the calculated MTT started to underestimate the MTT when the MTT was higher than 6 min. The longer the MTT, the greater was the underestimation. Up to a MTT value of 6 min, the error on the MTT estimation is negligible. CONCLUSION: As normal cortical transit is less than 2 min, this approach is used for patients to calculate pixel-to-pixel cortical mean transit time and to create a MTT parametric image without deconvolution.
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