CT determination of renal and hepatic microvascular volumes in experimental acute renal failure.

Alterations in renal blood flow are considered to play an important role in the pathogenesis of acute renal failure. Most techniques designed to assess organ blood flow and microcirculatory disturbances are relatively invasive and cumbersome. This study describes a noninvasive method for the determination of an organ's fractional vascular volume (FVV)-the fraction of an organ occupied by blood vessel lumen. It utilizes computed tomographic (CT) scanning and a contrast agent, perfluoroctylbromide (PFOB), which remains intravascular and is not excreted by the kidney. Acute renal failure (ARF) was induced in rats by intraperitoneal injection of glycerol (5 g/kg). CT scans of kidneys, liver, and heart were performed prior to and following intravenous administration of PFOB. FVV of kidney and liver were calculated prior to induction of ARF and at selected time periods following ARF (20-50 minutes and 60-120 minutes). FVV of the kidney decreased significantly 20-50 minutes following ARF and had returned to control values at 60-120 minutes. Renal histologic abnormalities were more severe at the later time period. Thus, early alterations in blood flow precede pathologic abnormalities in the kidney following glycerol-induced ARF. Determination of an organ's fractional vascular volume is a simple noninvasive technique which provides useful information on the microcirculation during the course of experimental disease.