Whole-Body Spectroscopy (BCM) in the Assessment of Normovolemia in Hemodialysis Patients

2008 ◽  
pp. 115-118 ◽  
Author(s):  
Volker Wizemann ◽  
Christiane Rode ◽  
Peter Wabel
Keyword(s):  
Hemodialysis Patients ◽  
Whole Body

scholarly journals A new technique for establishing dry weight in hemodialysis patients via whole body bioimpedance

2002 ◽  
Vol 61 (6) ◽  
pp. 2250-2258 ◽  
Author(s):  
Paul W. Chamney ◽  
Matthias Krämer ◽  
Christiane Rode ◽  
Wolfgang Kleinekofort ◽  
Volker Wizemann
Keyword(s):  
Dry Weight ◽  
Hemodialysis Patients ◽  
New Technique ◽  
Whole Body ◽  
A New Technique

Segment-specific resistivity improves body fluid volume estimates from bioimpedance spectroscopy in hemodialysis patients

2006 ◽  
Vol 100 (2) ◽  
pp. 717-724 ◽  
Author(s):  
F. Zhu ◽  
M. K. Kuhlmann ◽  
G. A. Kaysen ◽  
S. Sarkar ◽  
C. Kaitwatcharachai ◽  
...  
Keyword(s):  
Gold Standard ◽  
Total Body Water ◽  
Body Fluid ◽  
Hemodialysis Patients ◽  
Fluid Volume ◽  
Whole Body ◽  
Bioimpedance Spectroscopy ◽  
Specific Resistivity ◽  
Body Fluid Volume ◽  
Total Body

Discrepancies in body fluid estimates between segmental bioimpedance spectroscopy (SBIS) and gold-standard methods may be due to the use of a uniform value of tissue resistivity to compute extracellular fluid volume (ECV) and intracellular fluid volume (ICV). Discrepancies may also arise from the exclusion of fluid volumes of hands, feet, neck, and head from measurements due to electrode positions. The aim of this study was to define the specific resistivity of various body segments and to use those values for computation of ECV and ICV along with a correction for unmeasured fluid volumes. Twenty-nine maintenance hemodialysis patients (16 men) underwent body composition analysis including whole body MRI, whole body potassium (40K) content, deuterium, and sodium bromide dilution, and segmental and wrist-to-ankle bioimpedance spectroscopy, all performed on the same day before a hemodialysis. Segment-specific resistivity was determined from segmental fat-free mass (FFM; by MRI), hydration status of FFM (by deuterium and sodium bromide), tissue resistance (by SBIS), and segment length. Segmental FFM was higher and extracellular hydration of FFM was lower in men compared with women. Segment-specific resistivity values for arm, trunk, and leg all differed from the uniform resistivity used in traditional SBIS algorithms. Estimates for whole body ECV, ICV, and total body water from SBIS using segmental instead of uniform resistivity values and after adjustment for unmeasured fluid volumes of the body did not differ significantly from gold-standard measures. The uniform tissue resistivity values used in traditional SBIS algorithms result in underestimation of ECV, ICV, and total body water. Use of segmental resistivity values combined with adjustment for body volumes that are neglected by traditional SBIS technique significantly improves estimations of body fluid volume in hemodialysis patients.

scholarly journals The method of calculating whole body water in hemodialysis patients

2007 ◽  
Vol 40 (5) ◽  
pp. 409-415
Author(s):  
Hideyo Ninomiya ◽  
Michihiro Takada ◽  
Nukio Toyoda ◽  
Yoshimasa Suetomo ◽  
Ryuichiro Mukai
Keyword(s):  
Hemodialysis Patients ◽  
Body Water ◽  
Whole Body

scholarly journals Prevalence of radiological findings among cases of severe secondary hyperparathyroidism

2009 ◽  
Vol 127 (2) ◽  
pp. 71-77 ◽  
Author(s):  
Paulo Gustavo Sampaio Lacativa ◽  
Felipe Malzac Franco ◽  
José Raimundo Pimentel ◽  
Pedro José de Mattos Patrício Filho ◽  
Manoel Domingos da Cruz Gonçalves ◽  
...  
Keyword(s):  
Bone Resorption ◽  
Secondary Hyperparathyroidism ◽  
Bone Disease ◽  
Hemodialysis Patients ◽  
Lateral View ◽  
Chronic Hemodialysis ◽  
Lower Limbs ◽  
Whole Body ◽  
Cross Sectional ◽  
Radiographic Findings

CONTEXT AND OBJECTIVE: Patients with end stage renal disease (ESRD) and secondary hyperparathyroidism (HPT2) are prone to develop heterotopic calcifications and severe bone disease. Determination of the sites most commonly affected would decrease costs and patients' exposure to X-ray radiation. The aim here was to determine which skeletal sites produce most radiographic findings, in order to evaluate hemodialysis patients with HPT2, and to describe the most prevalent radiographic findings. DESIGN AND SETTING: This study was cross-sectional, conducted in one center, the Hospital Universitário Clementino Fraga Filho (HUCFF), in Rio de Janeiro, Brazil. METHODS: Whole-body radiographs were obtained from 73 chronic hemodialysis patients with indications for parathyroidectomy due to severe HPT2. The regions studied were the skull, hands, wrists, clavicles, thoracic and lumbar column, long bones and pelvis. All the radiographs were analyzed by the same two radiologists, with great experience in bone disease interpretation. RESULTS: The most common abnormality was subperiosteal bone resorption, mostly at the phalanges and distal clavicles (94% of patients, each). "Rugger jersey spine" sign was found in 27%. Pathological fractures and deformities were seen in 27% and 33%, respectively. Calcifications were presented in 80%, mostly at the forearm fistula (42%), abdominal aorta and lower limb arteries (35% each). Brown tumors were present in 37% of the patients, mostly on the face and lower limbs (9% each). CONCLUSION: The greatest prevalence of bone findings were found on radiographs of the hands, wrists, lateral view of the thoracic and lumbar columns and femurs. The most prevalent findings were bone resorption and ectopic calcifications.

Protein intake during hemodialysis maintains a positive whole body protein balance in chronic hemodialysis patients

2003 ◽  
Vol 284 (5) ◽  
pp. E954-E965 ◽  
Author(s):  
Jorden M. Veeneman ◽  
Hermi A. Kingma ◽  
Theo S. Boer ◽  
Frans Stellaard ◽  
Paul E. De Jong ◽  
...  
Keyword(s):  
Protein Energy Malnutrition ◽  
Hemodialysis Patients ◽  
Chronic Hemodialysis ◽  
Whole Body ◽  
Constant Infusion ◽  
Protein Balance ◽  
Body Protein ◽  
Protein Energy ◽  
Positive Balance ◽  
Negative Balance

Protein energy malnutrition is present in 18 to 56% of hemodialysis patients. Because hemodialysis has been regarded as a catabolic event, we studied whether consumption of a protein- and energy-enriched meal improves the whole body protein balance during dialysis in chronic hemodialysis (CHD) patients. Patients were studied on a single day between dialysis (HD− protocol) in the morning while fasting and in the afternoon while consuming six small test meals. Patients were also studied during two separate dialysis sessions (HD+ protocol). Patients were fasted during one and consumed the meals during the other. Whole body protein metabolism was studied by primed constant infusion ofl-[1-13C]valine. During HD−, feeding changed the negative whole body protein balance observed during fasting to a positive protein balance. Dialysis deepened the negative balance during fasting, whereas feeding during dialysis induced a positive balance comparable to the HD− protocol while feeding. Plasma valine concentrations during the studies were correlated with whole body protein synthesis and inversely correlated with whole body protein breakdown. We conclude that the consumption of a protein- and energy-enriched meal by CHD patients while dialyzing can strongly improve whole body protein balance, probably because of the increased amino acid concentrations in blood.

Whole-body protein turnover in adult hemodialysis patients as measured by 13C-leucine

1987 ◽  
Vol 46 (5) ◽  
pp. 778-783 ◽  
Author(s):  
C H Berkelhammer ◽  
J P Baker ◽  
L A Leiter ◽  
P R Uldall ◽  
R Whittall ◽  
...  
Keyword(s):  
Protein Turnover ◽  
Hemodialysis Patients ◽  
Whole Body ◽  
Body Protein

Whole body impedance measurements reflect total body water changes. A study in hemodialysis patients

1990 ◽  
Vol 7 (3) ◽  
pp. 163-169 ◽  
Author(s):  
Olle Ljungqvist ◽  
Gunilla Hedenborg ◽  
Stefan H Jacobson ◽  
Lars-Eric Lins ◽  
Kickan Samuelson ◽  
...  
Keyword(s):  
Total Body Water ◽  
Hemodialysis Patients ◽  
Body Water ◽  
Whole Body ◽  
Impedance Measurements ◽  
Body Impedance ◽  
Total Body

Whole-body single-frequency bioimpedance analysis in pediatric hemodialysis patients

2014 ◽  
Vol 29 (8) ◽  
pp. 1417-1423 ◽  
Author(s):  
Gia Oh ◽  
Cynthia Wong ◽  
Brandy Begin ◽  
Kari Salsbery ◽  
Scott Sutherland ◽  
...  
Keyword(s):  
Hemodialysis Patients ◽  
Whole Body ◽  
Single Frequency ◽  
Bioimpedance Analysis ◽  
Pediatric Hemodialysis

Detection of Cardiac Calcinosis in Hemodialysis Patients by Whole-Body Scintigraphy with 99m-Technetium Methylene Diphosphonate

2000 ◽  
Vol 20 (4) ◽  
pp. 278-282 ◽  
Author(s):  
Mariko Eguchi ◽  
Kazufumi Tsuchihashi ◽  
Hideki Takizawa ◽  
Narifumi Nakahara ◽  
Makoto Hagiwara ◽  
...  
Keyword(s):  
Hemodialysis Patients ◽  
Whole Body ◽  
Methylene Diphosphonate
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