Diffusion tensor imaging and tractography for assessment of renal allograft dysfunction—initial results View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2011-06-28

AUTHORS

Katja Hueper, M. Gutberlet, T. Rodt, W. Gwinner, F. Lehner, F. Wacker, M. Galanski, D. Hartung

ABSTRACT

ObjectivesTo evaluate MR diffusion tensor imaging (DTI) as non-invasive diagnostic tool for detection of acute and chronic allograft dysfunction and changes of organ microstructure.Methods15 kidney transplanted patients with allograft dysfunction and 14 healthy volunteers were examined using a fat-saturated echo-planar DTI-sequence at 1.5 T (6 diffusion directions, b = 0, 600 s/mm²). Mean apparent diffusion coefficient (ADC) and mean fractional anisotropy (FA) were calculated separately for the cortex and for the medulla and compared between healthy and transplanted kidneys. Furthermore, the correlation between diffusion parameters and estimated GFR was determined.ResultsThe ADC in the cortex and in the medulla were lower in transplanted than in healthy kidneys (p < 0.01). Differences were more distinct for FA, especially in the renal medulla, with a significant reduction in allografts (p < 0.001). Furthermore, in transplanted patients a correlation between mean FA in the medulla and estimated GFR was observed (r = 0.72, p < 0.01). Tractography visualized changes in renal microstructure in patients with impaired allograft function.ConclusionsChanges in allograft function and microstructure can be detected and quantified using DTI. However, to prove the value of DTI for standard clinical application especially correlation of imaging findings and biopsy results is necessary. More... »

PAGES

2427

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00330-011-2189-0

DOI

http://dx.doi.org/10.1007/s00330-011-2189-0

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1050283932

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/21710264


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