Evaluation of renal allograft function early after transplantation with diffusion-weighted MR imaging View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2009-12-16

AUTHORS

Ute Eisenberger, Harriet C. Thoeny, Tobias Binser, Mathias Gugger, Felix J. Frey, Chris Boesch, Peter Vermathen

ABSTRACT

AimsTo determine the inter-patient variability of apparent diffusion coefficients (ADC) and concurrent micro-circulation contributions from diffusion-weighted MR imaging (DW-MRI) in renal allografts early after transplantation, and to obtain initial information on whether these measures are altered in histologically proven acute allograft rejection (AR).MethodsDW-MRI was performed in 15 renal allograft recipients 5–19 days after transplantation. Four patients presented with AR and one with acute tubular necrosis (ATN). Total ADC (ADCT) was determined, which includes diffusion and micro-circulation contributions. Furthermore, diffusion and micro-circulation contributions were separated, yielding the “perfusion fraction” (FP), and “perfusion-free” diffusion (ADCD).ResultsDiffusion parameters in the ten allografts with stable function early after transplantation demonstrated low variabilities. Values for ADCT and ADCD were (×10−5 mm2/s) 228 ± 14 and 203 ± 9, respectively, in cortex and 226 ± 16 and 199 ± 9, respectively, in medulla. FP values were 18 ± 5% in cortex and 19 ± 5% in medulla. FP values were strongly reduced to less than 12% in cortex and medulla of renal transplants with AR and ATN. FP values correlated with creatinine clearance.ConclusionDW-MRI allows reliable determination of diffusion and micro-circulation contributions in renal allografts shortly after transplantation; deviations in AR indicate potential clinical utility of this method to non-invasively monitor derangements in renal allografts. More... »

PAGES

1374-1383

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00330-009-1679-9

DOI

http://dx.doi.org/10.1007/s00330-009-1679-9

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1003280993

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/20013274


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