In this paper, we demonstrate a methodology for quantitative evaluation of noise reduction algorithms for very low-dose (1/10 th typical dose) renal CT perfusion imaging. Three types of noise reduction algorithms are evaluated, including the commonly used low pass filtering, edge-preserving algorithms, and spatial-temporal filtering algorithms, such as recently introduced local highly constrained back projection (HYPR-LR) technique and multi-band filtering (MBF). The performance of these noise reduction methods was evaluated in terms of background signal-to-noise ratio (SNR), spatial resolution, fidelity of the time-attenuation curves of renal cortex, and computational speed. The spatial resolution was quantified by an on-scene modulation transfer function (MTF) measurement method. The fidelity of time-attenuation curves was quantified by statistical analysis using a Chi-square test. The results indicate that algorithms employing spatial-temporal correlations of images, such as HYPR and MBF.