We proposed a simple parameter, the kidney-to-aorta ratio (KAR), for evalua
tion of renal transplant perfusion. KAR was calculated from the peak counts
of the kidney and the aorta. The calculated values were compared with the
visual interpretation of the radionuclide first-pass flow study, percent re
nal uptake (%RU), and tubular extraction rate (TER) by Bubeck's one point s
ampling method in 37 studies. KAR correlated well with the visual interpret
ation of the flow study and the other quantitative parameters. Representati
ve cases, which showed the usefulness of KAR for the objective assessment o
f the perfusion status of renal transplants, were presented. In conclusion,
KAR is a simple and practically useful parameter for objective evaluation
and follow-up of renal transplant perfusion.