Visualization of the renal cortex by magnetic resonance imaging

One of the characteristics of magnetic resonance imaging (MR imaging) of the kidney is corticomedullary differentiation (CMD) without the use of a contrast medium. We investigated the con ditions under which corticomedullary differentiation is visualized on MR imaging in 10 controls, 19 patients wit...

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Veröffentlicht in:Nihon Jinzo Gakkai shi 1987/03/25, Vol.29(3), pp.315-321
Hauptverfasser: ISHIKAWA, ISAO, SHIKURA, NAOTO, MASUZAKI, SHIGEKI, HORIGUCHI, TAKAYASU, SHINODA, AKIRA, OHGUCHI, MANABU, YAMAMOTO, ITARU
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container_end_page 321
container_issue 3
container_start_page 315
container_title Nihon Jinzo Gakkai shi
container_volume 29
creator ISHIKAWA, ISAO
SHIKURA, NAOTO
MASUZAKI, SHIGEKI
HORIGUCHI, TAKAYASU
SHINODA, AKIRA
OHGUCHI, MANABU
YAMAMOTO, ITARU
description One of the characteristics of magnetic resonance imaging (MR imaging) of the kidney is corticomedullary differentiation (CMD) without the use of a contrast medium. We investigated the con ditions under which corticomedullary differentiation is visualized on MR imaging in 10 controls, 19 patients with renal graft and 7 patients with nephrotic syndrome. T1 weighted images revealed CMD in 10 controls and 12 patients who had good graft function. Five out of 7 patients with chronic rejec tion episodes and 4 out of 7 patients with nephrotic syndrome revealed no CMD. The grading of CMD in 4 different pulse sequences, using the naked eye method, was inversely correlated with the serum creatinine and positively correlated with hematocrit. Furthermore, the visualization of CMD tended to be related to interstitial edema and fibrosis found in renal biopsies of nephrotics, even those within the normal range of renal function. In conclusion, CMD on MR imaging is affected by a combination of clinical parameters such as renal function, hematocrit and renal histological changes.
doi_str_mv 10.14842/jpnjnephrol1959.29.315
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source MEDLINE; EZB-FREE-00999 freely available EZB journals
subjects corticomedullary differentiation
Graft Rejection
Humans
Kidney Cortex - pathology
Kidney Medulla - pathology
Kidney Transplantation
Magnetic Resonance Spectroscopy
Middle Aged
MR imaging
Nephrotic Syndrome - diagnosis
renal function
renal histology
title Visualization of the renal cortex by magnetic resonance imaging
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