Comparison of 2D planar and 3D volumetric methods for estimation of split renal function by 99m Tc-DMSA scintigraphy

Split renal function (SRF) can be measured by using several methods in Tc-DMSA scintigraphy. Geometric mean (GM) based methods derived from planar images(2D) have been used for several years, besides; 3D-methods were also reported as an option for assessment of SRF. The purpose of this study to compare 2D and 3D methods for calculation of SRF in pediatric and adult patients. We evaluated 212 patients, underwent both planar and SPECT Tc-DMSA scintigraphy.2D-SRFs were calculated by GM without background correction (SRFnobcg), GM with background correction in crescent formation from lower lateral borders (SRFcres), and GM with background correction in circumferential formation, including the whole kidney surroundings (SRFcirc). In 3D settings, SRF was measured with SPECT (SRFspect). Paired t-test was used to compare the mean SRFs of each group. Bland-Altman method was used as an agreement method for each method. Analyses were performed based on left kidney SRFs. In comparison of 2D and 3D methods, SRFspect was significantly different from SRFnobcg and SRFcres (p=