Document Detail


Measurement of single kidney function using dynamic contrast-enhanced MRI: comparison of two models in human subjects.
MedLine Citation:
PMID:  16941606     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To compare two methods for assessing the single kidney glomerular filtration rate (SK-GFR) in humans using dynamic contrast-enhanced (DCE)-MRI. MATERIALS AND METHODS: Images were acquired from 39 separate MR studies of patients with atherosclerotic renovascular disease (ARVD). Data from the kidneys and descending aorta were analyzed using both a Rutland-Patlak plot and a compartmental model. MR estimates of the SK-GFR were compared with standard radioisotope measures in a total of 75 kidneys. RESULTS: Estimates of renal function using both techniques correlated well with radioisotope-assessed SK-GFR (Spearman's rho=0.81, Rutland-Patlak; rho=0.71, compartmental model). The Rutland-Patlak approach provided a near one-to-one correspondence, while the compartmental method tended to overestimate SK-GFR. However, the compartmental model fits to the experimental data were significantly better than those obtained using the Rutland-Patlak approach. CONCLUSION: DCE-MRI of the kidneys provides data that correlate well with reference measures of SK-GFR. However, further work, including image registration, is needed to isolate measurement of glomerular filtration to the level of the renal cortex.
Authors:
David L Buckley; Ala'a E Shurrab; Ching M Cheung; Andrew P Jones; Hari Mamtora; Philip A Kalra
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Journal of magnetic resonance imaging : JMRI     Volume:  24     ISSN:  1053-1807     ISO Abbreviation:  J Magn Reson Imaging     Publication Date:  2006 Nov 
Date Detail:
Created Date:  2006-10-30     Completed Date:  2007-01-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9105850     Medline TA:  J Magn Reson Imaging     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1117-23     Citation Subset:  IM    
Copyright Information:
Copyright (c) 2006 Wiley-Liss, Inc.
Affiliation:
Imaging Science and Biomedical Engineering, University of Manchester, Manchester, and Department of Renal Medicine, Hope Hospital, Salford, United Kingdom. david.buckley@manchester.ac.uk
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Algorithms
Computer Simulation
Contrast Media
Female
Gadolinium DTPA / diagnostic use*,  metabolism,  pharmacokinetics
Humans
Image Enhancement / methods
Image Interpretation, Computer-Assisted / methods*
Kidney / pathology,  physiopathology
Kidney Diseases / diagnosis*,  physiopathology*
Kidney Function Tests / methods*
Kinetics
Magnetic Resonance Imaging / methods*
Male
Middle Aged
Models, Biological*
Reproducibility of Results
Sensitivity and Specificity
Chemical
Reg. No./Substance:
0/Contrast Media; 80529-93-7/Gadolinium DTPA

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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