Reference intervals for urinary metanephrines to creatinine ratios in dogs in Japan

J Vet Med Sci. 2024 Oct 1;86(10):1096-1099. doi: 10.1292/jvms.24-0163. Epub 2024 Sep 3.

Abstract

The urinary normetanephrine to creatinine ratio (uNMN/Cr) and urinary metanephrine to creatinine ratio (uMN/Cr) are commonly evaluated for the diagnosis of pheochromocytomas (PCC) in dogs. This study aimed to establish reference intervals for uNMN/Cr and uMN/Cr in 56 healthy dogs in Japan and to investigate the effect of urine collection methods on these measurements in 15 non-PCC dogs. The upper limits of reference intervals for uNMN/Cr and uMN/Cr were 124.4 nmol/mmol (90% confidence interval [CI] 107.7-137.0) and 121.1 nmol/mmol (90% CI 102.8-145.1), respectively. Both uNMN/Cr and uMN/Cr were significantly higher when urine was collected in the hospital compared to at home. Several factors, including the method of urine collection, should be considered when utilizing these reference intervals.

Keywords: canine; metanephrines; pheochromocytomas; reference interval; urine.

MeSH terms

  • Adrenal Gland Neoplasms / diagnosis
  • Adrenal Gland Neoplasms / urine
  • Adrenal Gland Neoplasms / veterinary
  • Animals
  • Creatinine* / urine
  • Dog Diseases / diagnosis
  • Dog Diseases / urine
  • Dogs / urine
  • Female
  • Japan
  • Male
  • Metanephrine* / urine
  • Normetanephrine / urine
  • Pheochromocytoma* / diagnosis
  • Pheochromocytoma* / urine
  • Pheochromocytoma* / veterinary
  • Reference Values
  • Urine Specimen Collection / methods
  • Urine Specimen Collection / standards
  • Urine Specimen Collection / veterinary

Substances

  • Creatinine
  • Metanephrine
  • Normetanephrine