1. New Magnetic Resonance Imaging Index for Renal Fibrosis Assessment: A Comparison between Diffusion-Weighted Imaging and T1 Mapping with Histological Validation
- Author
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I. Friedli, L. A. Crowe, L. Berchtold, S. Moll, K. Hadaya, T. de Perrot, C. Vesin, P.-Y. Martin, S. de Seigneux, and J.-P. Vallée
- Subjects
ddc:616 ,Adult ,Male ,Histocytochemistry ,ddc:616.07 ,Middle Aged ,ddc:616.0757 ,Fibrosis ,Magnetic Resonance Imaging ,Sensitivity and Specificity ,Article ,Rats ,body regions ,Image Processing, Computer-Assisted ,Animals ,Humans ,Female ,Kidney Diseases ,ddc:612 ,Aged - Abstract
A need exists to noninvasively assess renal interstitial fibrosis, a common process to all kidney diseases and predictive of renal prognosis. In this translational study, Magnetic Resonance Imaging (MRI) T1 mapping and a new segmented Diffusion-Weighted Imaging (DWI) technique, for Apparent Diffusion Coefficient (ADC), were first compared to renal fibrosis in two well-controlled animal models to assess detection limits. Validation against biopsy was then performed in 33 kidney allograft recipients (KARs). Predictive MRI indices, ΔT1 and ΔADC (defined as the cortico-medullary differences), were compared to histology. In rats, both T1 and ADC correlated well with fibrosis and inflammation showing a difference between normal and diseased kidneys. In KARs, MRI indices were not sensitive to interstitial inflammation. By contrast, ΔADC outperformed ΔT1 with a stronger negative correlation to fibrosis (R(2) = 0.64 against R(2) = 0.29 p
- Published
- 2016
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