دورية أكاديمية
Evaluation of renal tubular function by multiparametric functional MRI in early diabetes.
العنوان: | Evaluation of renal tubular function by multiparametric functional MRI in early diabetes. |
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المؤلفون: | Wang R; Department of Radiology, Peking University First Hospital, Beijing, China., Lin Z; Department of Radiology, Peking University First Hospital, Beijing, China., Quan S; Department of Radiology, Peking University First Hospital, Beijing, China., Yang X; Department of Radiology, China Academy of Chinese Medical Sciences Guanganmen Hospital, Beijing, China., Zhao K; Department of Radiology, Peking University First Hospital, Beijing, China., Sui X; Department of Radiology, The Affiliated Hospital of Qingdao University, Qingdao, China., Kong H; UIH Group, Beijing United Imaging Research Institute of Intelligent Imaging, Beijing, China., Wang X; Department of Radiology, Peking University First Hospital, Beijing, China. Electronic address: wangxiaoying@bjmu.edu.cn., Su T; Department of Nephrology, Peking University First Hospital, Beijing, China. Electronic address: tao.su@bjmu.edu.cn. |
المصدر: | Magnetic resonance imaging [Magn Reson Imaging] 2024 Jun; Vol. 109, pp. 100-107. Date of Electronic Publication: 2024 Mar 16. |
نوع المنشور: | Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: Elsevier Country of Publication: Netherlands NLM ID: 8214883 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1873-5894 (Electronic) Linking ISSN: 0730725X NLM ISO Abbreviation: Magn Reson Imaging Subsets: MEDLINE |
أسماء مطبوعة: | Publication: <2008->: Amsterdam : Elsevier Original Publication: New York : Pergamon, c1982- |
مواضيع طبية MeSH: | Multiparametric Magnetic Resonance Imaging* , Diabetes Mellitus*/pathology, Animals ; Rabbits ; Furosemide/pharmacology ; Magnetic Resonance Imaging/methods ; Kidney/pathology ; Oxygen |
مستخلص: | Purpose To evaluate the tubular function in an alloxan-induced type 1 diabetes mellitus (DM) rabbit model measured by renal oxygenation (R2*), oxygen extraction fraction (OEF), and renal blood flow (RBF) using blood oxygenation level dependent, asymmetric spin echo, and arterial spin labeling MRI. Methods Twenty-six rabbits were randomized into the 3-day DM group (n = 13) and the 7-day DM group (n = 13). We performed pairs of multiparametric MRIs (before and after furosemide injection) at baseline and 3/7 days post-DM, and scored pathological kidney injury. We performed statistical analyses using non-parametric, chi-square, and Spearman correlation tests. Results At baseline, medullary R2* significantly decreased by 24.97% and 16.74% in the outer and inner stripes of the outer medulla (OS and IS, p = 0.006 and 0.003, respectively) after furosemide administration. While the corresponding OEF decreased by 15.91% for OS and 16.67% for IS (both p = 0.003), and no significant change in medullary RBF was observed (p > 0.05). In the 3-day DM group, the decrease of medullary R2* and OEF post-furosemide became unremarkable, suggesting tubular dysfunction. We noticed similar changes in the 7-day DM group. Correlation analysis showed pathological tubular injury score significantly correlated with medullary ∆R2* (post-furosemide - pre-furosemide difference, r = 0.82 for OS and 0.82 for IS) and ∆OEF (r = 0.82 for OS and 0.82 for IS) (p < 0.001, respectively). Conclusion: The combination of medullary OEF and R2* in response to furosemide could detect renal tubular dysfunction in early DM. (Copyright © 2024. Published by Elsevier Inc.) |
فهرسة مساهمة: | Keywords: Diabetes mellitus; Furosemide; Magnetic resonance imaging; Oxygen consumption; Tubular dysfunction |
المشرفين على المادة: | 7LXU5N7ZO5 (Furosemide) S88TT14065 (Oxygen) |
تواريخ الأحداث: | Date Created: 20240317 Date Completed: 20240409 Latest Revision: 20240426 |
رمز التحديث: | 20240427 |
DOI: | 10.1016/j.mri.2024.03.016 |
PMID: | 38494095 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1873-5894 |
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DOI: | 10.1016/j.mri.2024.03.016 |