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 |
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container_title | Nihon Jinzo Gakkai shi |
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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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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.</description><identifier>ISSN: 0385-2385</identifier><identifier>EISSN: 1884-0728</identifier><identifier>DOI: 10.14842/jpnjnephrol1959.29.315</identifier><identifier>PMID: 3302429</identifier><language>eng</language><publisher>Japan: Japanese Society of Nephrology</publisher><subject>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</subject><ispartof>The Japanese Journal of Nephrology, 1987/03/25, Vol.29(3), pp.315-321</ispartof><rights>Japanese Society of Nephrology</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,4024,27923,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/3302429$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>ISHIKAWA, ISAO</creatorcontrib><creatorcontrib>SHIKURA, NAOTO</creatorcontrib><creatorcontrib>MASUZAKI, SHIGEKI</creatorcontrib><creatorcontrib>HORIGUCHI, TAKAYASU</creatorcontrib><creatorcontrib>SHINODA, AKIRA</creatorcontrib><creatorcontrib>OHGUCHI, MANABU</creatorcontrib><creatorcontrib>YAMAMOTO, ITARU</creatorcontrib><title>Visualization of the renal cortex by magnetic resonance imaging</title><title>Nihon Jinzo Gakkai shi</title><addtitle>Jpn J Nephrol</addtitle><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.</description><subject>corticomedullary differentiation</subject><subject>Graft Rejection</subject><subject>Humans</subject><subject>Kidney Cortex - pathology</subject><subject>Kidney Medulla - pathology</subject><subject>Kidney Transplantation</subject><subject>Magnetic Resonance Spectroscopy</subject><subject>Middle Aged</subject><subject>MR imaging</subject><subject>Nephrotic Syndrome - diagnosis</subject><subject>renal function</subject><subject>renal histology</subject><issn>0385-2385</issn><issn>1884-0728</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1987</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkMtqwzAQRUVpSUOaTyj1qju7etmWVqWEvmigm9CtkKxxYuPIrmRD06-vICGLzmIG5lyGuRehO4IzwgWnD-3gWgfDzvcdkbnMqMwYyS_QnAjBU1xScYnmmIk8pbFdo2UILY5VyIIzMkMzxjDlVM7R41cTJt01v3psepf0dTLuIPHgdJdUvR_hJzGHZK-3DsamiiD0TrsKkibuGre9QVe17gIsT3OBNi_Pm9Vbuv58fV89rdOWETqm1mpTVxhbKrgEK6lgoqYkx4ZrImjObFlTJmmNrbSGABhe5VhyoQ2mhWELdH88O_j-e4Iwqn0TKug67aCfgirLgmFZiCi8PQknswerBh8f9Qd1Mhz5x5G3YdRbOHPto70O1L9kFZWKHVsM-KyqdtorcOwPLRp3Yw</recordid><startdate>1987</startdate><enddate>1987</enddate><creator>ISHIKAWA, ISAO</creator><creator>SHIKURA, NAOTO</creator><creator>MASUZAKI, SHIGEKI</creator><creator>HORIGUCHI, TAKAYASU</creator><creator>SHINODA, AKIRA</creator><creator>OHGUCHI, MANABU</creator><creator>YAMAMOTO, ITARU</creator><general>Japanese Society of Nephrology</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>1987</creationdate><title>Visualization of the renal cortex by magnetic resonance imaging</title><author>ISHIKAWA, ISAO ; SHIKURA, NAOTO ; MASUZAKI, SHIGEKI ; HORIGUCHI, TAKAYASU ; SHINODA, AKIRA ; OHGUCHI, MANABU ; YAMAMOTO, ITARU</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-j312t-ddabfc00d2849ed92838f2150b4a18253d7f2392f0d9db1eeb4c50948ab026b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1987</creationdate><topic>corticomedullary differentiation</topic><topic>Graft Rejection</topic><topic>Humans</topic><topic>Kidney Cortex - pathology</topic><topic>Kidney Medulla - pathology</topic><topic>Kidney Transplantation</topic><topic>Magnetic Resonance Spectroscopy</topic><topic>Middle Aged</topic><topic>MR imaging</topic><topic>Nephrotic Syndrome - diagnosis</topic><topic>renal function</topic><topic>renal histology</topic><toplevel>online_resources</toplevel><creatorcontrib>ISHIKAWA, ISAO</creatorcontrib><creatorcontrib>SHIKURA, NAOTO</creatorcontrib><creatorcontrib>MASUZAKI, SHIGEKI</creatorcontrib><creatorcontrib>HORIGUCHI, TAKAYASU</creatorcontrib><creatorcontrib>SHINODA, AKIRA</creatorcontrib><creatorcontrib>OHGUCHI, MANABU</creatorcontrib><creatorcontrib>YAMAMOTO, ITARU</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Nihon Jinzo Gakkai shi</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>ISHIKAWA, ISAO</au><au>SHIKURA, NAOTO</au><au>MASUZAKI, SHIGEKI</au><au>HORIGUCHI, TAKAYASU</au><au>SHINODA, AKIRA</au><au>OHGUCHI, MANABU</au><au>YAMAMOTO, ITARU</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Visualization of the renal cortex by magnetic resonance imaging</atitle><jtitle>Nihon Jinzo Gakkai shi</jtitle><addtitle>Jpn J Nephrol</addtitle><date>1987</date><risdate>1987</risdate><volume>29</volume><issue>3</issue><spage>315</spage><epage>321</epage><pages>315-321</pages><issn>0385-2385</issn><eissn>1884-0728</eissn><abstract>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.</abstract><cop>Japan</cop><pub>Japanese Society of Nephrology</pub><pmid>3302429</pmid><doi>10.14842/jpnjnephrol1959.29.315</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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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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