1. Diffusion Tensor Imaging MRI With Spin-Echo Sequence and Long-Duration Measurement for Evaluation of Renal Fibrosis in a Rat Fibrosis Model
- Author
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Kagayaki Kuroda, Akira Fujimori, Naotsugu Ichimaru, Satoko Yamamoto, H. Shibata, Takashi Yokawa, Akihiko Fujikawa, Masaki Hatanaka, Yoshitaka Isaka, Toshiki Moriyama, Hiromi Rakugi, Jun-ya Kaimori, S. Takahara, and Sosuke Miyoshi
- Subjects
Male ,030232 urology & nephrology ,urologic and male genital diseases ,030218 nuclear medicine & medical imaging ,Masson's trichrome stain ,03 medical and health sciences ,chemistry.chemical_compound ,0302 clinical medicine ,Fractional anisotropy ,Renal fibrosis ,medicine ,Animals ,Sirius Red ,Transplantation ,Kidney ,business.industry ,medicine.disease ,Fibrosis ,Magnetic Resonance Imaging ,Rats ,Disease Models, Animal ,Diffusion Tensor Imaging ,medicine.anatomical_structure ,chemistry ,Disease Progression ,Kidney Diseases ,Surgery ,business ,Nuclear medicine ,Diffusion MRI ,Kidney disease - Abstract
Background Renal fibrosis (RF) is a well-known marker for chronic kidney disease (CKD) progression, including chronic renal injury after renal transplantation. However, invasive biopsy is an available examination for evaluation of RF. Diffusion MRI was once recognized as a promising option for RF. However, it is now controversial for RF evaluation in a unilateral ureteral obstruction (UUO) model. Methods To seek an optimal imaging method applicable for RF in UUO model kidneys, we attempted a series of MRI methods, including proton density–weighted imaging, T1-weighted imaging, T2-weighted imaging, T2*-weighted imaging, diffusion-weighted imaging, and diffusion tensor imaging (DTI). Results We identified DTI MRI by spin-echo sequence plus a special kidney attachment as the best option for evaluation of renal UUO fibrosis, compared with normal kidney on the opposite side. To confirm these results, we applied this technique to a rat UUO therapeutic model with the anti-fibrotic reagent Fasudil. Fractional anisotropy values calculated from DTI MRI showed statistically significant linear correlation with the RF area measured by use of Sirius red or Masson trichrome staining of the positive area [cortex ( r = 0.6397, P = .0283) and outer stripe of the outer medulla ( r = 0.7810, P = .0039)]. Conclusions By use of the DTI MRI with spin-echo sequence, it may be possible to accurately evaluate RF in CKD.
- Published
- 2017
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