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Medical Biophysics

Western University

Theses/Dissertations

2020

Hemodialysis

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Exploring The Effects Of Hemodialysis On Renal And Hepatic Blood Flow And Function Using Ct Perfusion Imaging, Raanan Marants Jul 2020

Exploring The Effects Of Hemodialysis On Renal And Hepatic Blood Flow And Function Using Ct Perfusion Imaging, Raanan Marants

Electronic Thesis and Dissertation Repository

Hemodialysis (HD) is the most common form of renal replacement therapy for end-stage renal disease. However, patients develop complications that are driven by HD-induced circulatory stress from rapidly removing large fluid volumes during HD, making various vascular beds vulnerable to ischemia. By assessing how HD-induced circulatory stress affects different organs, it may be possible to characterize the mechanisms behind these complications and evaluate therapeutic interventions. This thesis aims to explore how HD affects renal and hepatic blood flow and function using CT perfusion imaging. For this work, patients received either standard or cooled HD first in a two-visit, crossover study …