Diagnostic value of renal perfusion in patients with chronic kidney disease using 3D arterial spin labeling

Purpose To evaluate the diagnostic value of 3D arterial spin labeling (ASL) for noninvasive quantification of renal blood flow (RBF) in patients with chronic kidney disease (CKD). Materials and Methods CKD patients (n = 27) and healthy volunteers (n = 36) underwent renal 3T ASL magnetic resonance im...

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Veröffentlicht in:Journal of magnetic resonance imaging 2017-08, Vol.46 (2), p.589-594
Hauptverfasser: Cai, Yu‐zhe, Li, Zhi‐cheng, Zuo, Pan‐li, Pfeuffer, Josef, Li, Yu‐ming, Liu, Fang, Liu, Rong‐bo
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container_end_page 594
container_issue 2
container_start_page 589
container_title Journal of magnetic resonance imaging
container_volume 46
creator Cai, Yu‐zhe
Li, Zhi‐cheng
Zuo, Pan‐li
Pfeuffer, Josef
Li, Yu‐ming
Liu, Fang
Liu, Rong‐bo
description Purpose To evaluate the diagnostic value of 3D arterial spin labeling (ASL) for noninvasive quantification of renal blood flow (RBF) in patients with chronic kidney disease (CKD). Materials and Methods CKD patients (n = 27) and healthy volunteers (n = 36) underwent renal 3T ASL magnetic resonance imaging, with inversion times from 1200 to 2000 msec for volunteers in the preliminary test, and 1800 to 2000 msec for volunteers and CKD patients in the formal experiments. The cortical RBFs were compared, and a correlation between RBF and estimated glomerular filtration rate (eGFR) was evaluated. Results For healthy volunteers, RBF values increased with TIs from 1200 to 1600 msec, but were almost constant at TIs from 1600 to 2000 msec. The cortical RBF values of CKD patients were lower than that of healthy volunteers at TIs from 1800 to 2000 msec. In addition, the CKD patients had lower cortical RBF values than the healthy volunteers (P < 0.01 for both), and their RBF values positively correlated with eGFR. Conclusion 3D ASL is a potential noninvasive method for measuring renal perfusion that can provide valuable information for clinical CKD diagnosis. Level of Evidence: 1 Technical Efficacy: Stage 3 J. MAGN. RESON. IMAGING 2017;46:589–594
doi_str_mv 10.1002/jmri.25601
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Materials and Methods CKD patients (n = 27) and healthy volunteers (n = 36) underwent renal 3T ASL magnetic resonance imaging, with inversion times from 1200 to 2000 msec for volunteers in the preliminary test, and 1800 to 2000 msec for volunteers and CKD patients in the formal experiments. The cortical RBFs were compared, and a correlation between RBF and estimated glomerular filtration rate (eGFR) was evaluated. Results For healthy volunteers, RBF values increased with TIs from 1200 to 1600 msec, but were almost constant at TIs from 1600 to 2000 msec. The cortical RBF values of CKD patients were lower than that of healthy volunteers at TIs from 1800 to 2000 msec. In addition, the CKD patients had lower cortical RBF values than the healthy volunteers (P &lt; 0.01 for both), and their RBF values positively correlated with eGFR. Conclusion 3D ASL is a potential noninvasive method for measuring renal perfusion that can provide valuable information for clinical CKD diagnosis. Level of Evidence: 1 Technical Efficacy: Stage 3 J. MAGN. RESON. IMAGING 2017;46:589–594</description><identifier>ISSN: 1053-1807</identifier><identifier>EISSN: 1522-2586</identifier><identifier>DOI: 10.1002/jmri.25601</identifier><identifier>PMID: 28181335</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Adult ; Aged ; arterial spin labeling (ASL) ; Blood flow ; Blood Flow Velocity ; Case-Control Studies ; chronic kidney disease (CKD) ; Correlation ; Diagnosis ; Diagnostic systems ; Epidermal growth factor receptors ; Female ; Glomerular Filtration Rate ; Healthy Volunteers ; Humans ; Image Processing, Computer-Assisted ; Imaging, Three-Dimensional ; Information dissemination ; Kidney - blood supply ; Kidney - diagnostic imaging ; Kidney - physiopathology ; Kidney diseases ; Kidney Failure, Chronic - diagnostic imaging ; Kidney Failure, Chronic - physiopathology ; Kidney transplantation ; Labeling ; Magnetic Resonance Imaging ; magnetic resonance imaging (MRI) ; Male ; Marking ; Middle Aged ; Patients ; Perfusion ; Renal Artery - diagnostic imaging ; renal blood flow (RBF) ; Renal Circulation ; Reproducibility of Results ; Resonance ; Spin labeling ; Spin Labels ; Young Adult</subject><ispartof>Journal of magnetic resonance imaging, 2017-08, Vol.46 (2), p.589-594</ispartof><rights>2017 International Society for Magnetic Resonance in Medicine</rights><rights>2017 International Society for Magnetic Resonance in Medicine.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3601-de05c8066ed2088f3ed176d355e8a4aecea5b0e5f6751e8ce5f9ce7e51c478993</citedby><cites>FETCH-LOGICAL-c3601-de05c8066ed2088f3ed176d355e8a4aecea5b0e5f6751e8ce5f9ce7e51c478993</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fjmri.25601$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fjmri.25601$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,1427,27901,27902,45550,45551,46384,46808</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28181335$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cai, Yu‐zhe</creatorcontrib><creatorcontrib>Li, Zhi‐cheng</creatorcontrib><creatorcontrib>Zuo, Pan‐li</creatorcontrib><creatorcontrib>Pfeuffer, Josef</creatorcontrib><creatorcontrib>Li, Yu‐ming</creatorcontrib><creatorcontrib>Liu, Fang</creatorcontrib><creatorcontrib>Liu, Rong‐bo</creatorcontrib><title>Diagnostic value of renal perfusion in patients with chronic kidney disease using 3D arterial spin labeling</title><title>Journal of magnetic resonance imaging</title><addtitle>J Magn Reson Imaging</addtitle><description>Purpose To evaluate the diagnostic value of 3D arterial spin labeling (ASL) for noninvasive quantification of renal blood flow (RBF) in patients with chronic kidney disease (CKD). Materials and Methods CKD patients (n = 27) and healthy volunteers (n = 36) underwent renal 3T ASL magnetic resonance imaging, with inversion times from 1200 to 2000 msec for volunteers in the preliminary test, and 1800 to 2000 msec for volunteers and CKD patients in the formal experiments. The cortical RBFs were compared, and a correlation between RBF and estimated glomerular filtration rate (eGFR) was evaluated. Results For healthy volunteers, RBF values increased with TIs from 1200 to 1600 msec, but were almost constant at TIs from 1600 to 2000 msec. The cortical RBF values of CKD patients were lower than that of healthy volunteers at TIs from 1800 to 2000 msec. In addition, the CKD patients had lower cortical RBF values than the healthy volunteers (P &lt; 0.01 for both), and their RBF values positively correlated with eGFR. Conclusion 3D ASL is a potential noninvasive method for measuring renal perfusion that can provide valuable information for clinical CKD diagnosis. Level of Evidence: 1 Technical Efficacy: Stage 3 J. MAGN. RESON. IMAGING 2017;46:589–594</description><subject>Adult</subject><subject>Aged</subject><subject>arterial spin labeling (ASL)</subject><subject>Blood flow</subject><subject>Blood Flow Velocity</subject><subject>Case-Control Studies</subject><subject>chronic kidney disease (CKD)</subject><subject>Correlation</subject><subject>Diagnosis</subject><subject>Diagnostic systems</subject><subject>Epidermal growth factor receptors</subject><subject>Female</subject><subject>Glomerular Filtration Rate</subject><subject>Healthy Volunteers</subject><subject>Humans</subject><subject>Image Processing, Computer-Assisted</subject><subject>Imaging, Three-Dimensional</subject><subject>Information dissemination</subject><subject>Kidney - blood supply</subject><subject>Kidney - diagnostic imaging</subject><subject>Kidney - physiopathology</subject><subject>Kidney diseases</subject><subject>Kidney Failure, Chronic - diagnostic imaging</subject><subject>Kidney Failure, Chronic - physiopathology</subject><subject>Kidney transplantation</subject><subject>Labeling</subject><subject>Magnetic Resonance Imaging</subject><subject>magnetic resonance imaging (MRI)</subject><subject>Male</subject><subject>Marking</subject><subject>Middle Aged</subject><subject>Patients</subject><subject>Perfusion</subject><subject>Renal Artery - diagnostic imaging</subject><subject>renal blood flow (RBF)</subject><subject>Renal Circulation</subject><subject>Reproducibility of Results</subject><subject>Resonance</subject><subject>Spin labeling</subject><subject>Spin Labels</subject><subject>Young Adult</subject><issn>1053-1807</issn><issn>1522-2586</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kF1LwzAUhoMobk5v_AES8E7oTJqlTS9l82MyEUSvQ5aebtm6tCatY__ezE4vvToHznMeeF-ELikZUkLi29XGmWHME0KPUJ_yOI5iLpLjsBPOIipI2kNn3q8IIVk24qeoFwsqKGO8j9YToxa28o3R-EuVLeCqwA6sKnENrmi9qSw2FteqMWAbj7emWWK9dJUNH2uTW9jh3HhQHnCg7QKzCVauAWeCw9fht1RzKMPlHJ0UqvRwcZgD9PFw_z5-imavj9Px3SzSLGSIciBcC5IkkMdEiIJBTtMkZ5yDUCMFGhSfE-BFknIKQoct05ACp3qUiixjA3TdeWtXfbbgG7mqWhcieUkzKhgJyUeBuuko7SrvHRSydmaj3E5SIve9yn2v8qfXAF8dlO18A_kf-ltkAGgHbE0Ju39U8vnlbdpJvwE0zIQf</recordid><startdate>201708</startdate><enddate>201708</enddate><creator>Cai, Yu‐zhe</creator><creator>Li, Zhi‐cheng</creator><creator>Zuo, Pan‐li</creator><creator>Pfeuffer, Josef</creator><creator>Li, Yu‐ming</creator><creator>Liu, Fang</creator><creator>Liu, Rong‐bo</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QO</scope><scope>7TK</scope><scope>8FD</scope><scope>FR3</scope><scope>K9.</scope><scope>P64</scope></search><sort><creationdate>201708</creationdate><title>Diagnostic value of renal perfusion in patients with chronic kidney disease using 3D arterial spin labeling</title><author>Cai, Yu‐zhe ; 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Medical Complete (Alumni)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><jtitle>Journal of magnetic resonance imaging</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cai, Yu‐zhe</au><au>Li, Zhi‐cheng</au><au>Zuo, Pan‐li</au><au>Pfeuffer, Josef</au><au>Li, Yu‐ming</au><au>Liu, Fang</au><au>Liu, Rong‐bo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Diagnostic value of renal perfusion in patients with chronic kidney disease using 3D arterial spin labeling</atitle><jtitle>Journal of magnetic resonance imaging</jtitle><addtitle>J Magn Reson Imaging</addtitle><date>2017-08</date><risdate>2017</risdate><volume>46</volume><issue>2</issue><spage>589</spage><epage>594</epage><pages>589-594</pages><issn>1053-1807</issn><eissn>1522-2586</eissn><abstract>Purpose To evaluate the diagnostic value of 3D arterial spin labeling (ASL) for noninvasive quantification of renal blood flow (RBF) in patients with chronic kidney disease (CKD). Materials and Methods CKD patients (n = 27) and healthy volunteers (n = 36) underwent renal 3T ASL magnetic resonance imaging, with inversion times from 1200 to 2000 msec for volunteers in the preliminary test, and 1800 to 2000 msec for volunteers and CKD patients in the formal experiments. The cortical RBFs were compared, and a correlation between RBF and estimated glomerular filtration rate (eGFR) was evaluated. Results For healthy volunteers, RBF values increased with TIs from 1200 to 1600 msec, but were almost constant at TIs from 1600 to 2000 msec. The cortical RBF values of CKD patients were lower than that of healthy volunteers at TIs from 1800 to 2000 msec. In addition, the CKD patients had lower cortical RBF values than the healthy volunteers (P &lt; 0.01 for both), and their RBF values positively correlated with eGFR. Conclusion 3D ASL is a potential noninvasive method for measuring renal perfusion that can provide valuable information for clinical CKD diagnosis. Level of Evidence: 1 Technical Efficacy: Stage 3 J. MAGN. RESON. IMAGING 2017;46:589–594</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>28181335</pmid><doi>10.1002/jmri.25601</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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subjects Adult
Aged
arterial spin labeling (ASL)
Blood flow
Blood Flow Velocity
Case-Control Studies
chronic kidney disease (CKD)
Correlation
Diagnosis
Diagnostic systems
Epidermal growth factor receptors
Female
Glomerular Filtration Rate
Healthy Volunteers
Humans
Image Processing, Computer-Assisted
Imaging, Three-Dimensional
Information dissemination
Kidney - blood supply
Kidney - diagnostic imaging
Kidney - physiopathology
Kidney diseases
Kidney Failure, Chronic - diagnostic imaging
Kidney Failure, Chronic - physiopathology
Kidney transplantation
Labeling
Magnetic Resonance Imaging
magnetic resonance imaging (MRI)
Male
Marking
Middle Aged
Patients
Perfusion
Renal Artery - diagnostic imaging
renal blood flow (RBF)
Renal Circulation
Reproducibility of Results
Resonance
Spin labeling
Spin Labels
Young Adult
title Diagnostic value of renal perfusion in patients with chronic kidney disease using 3D arterial spin labeling
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