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Published on: December 18, 2016
Magnetic Resonance Imaging of the Fibrotic Kidney
Glen R Morrell1, Jeff L Zhang2, Vivian S Lee2
1Department of Radiology and Imaging Sciences, University of Utah, Salt Lake City, Utah glen.morrell@hsc.utah.edu.
Abstract:
Magnetic resonance imaging (MRI) has been used for many years for anatomic evaluation of the kidney. Recently developed methods attempt to go beyond anatomy to give information about the health and function of the kidneys. Several methods, including diffusion-weighted MRI, renal blood oxygen level-dependent MRI, renal MR elastography, and renal susceptibility imaging, show promise for providing unique insight into kidney function and severity of fibrosis. However, substantial limitations in accuracy and practicality limit the immediate clinical application of each method. Further development and improvement are necessary to achieve the ideal of a noninvasive image-based measure of renal fibrosis. Our brief review provides a short explanation of these emerging MRI methods and outlines the promising initial results obtained with each as well as current limitations and barriers to clinical implementation.
Insights
Emerging magnetic resonance imaging (MRI) techniques offer new ways to assess kidney health and fibrosis noninvasively. While promising, these advanced MRI methods require further development for widespread clinical use in evaluating renal function.
Area of Science:
- Medical Imaging
- Nephrology
- Biomedical Engineering
Background:
- Traditional MRI primarily offers kidney anatomy.
- New MRI techniques aim to assess kidney function and disease.
- Fibrosis is a key indicator of kidney damage.
Purpose of the Study:
- To review emerging MRI methods for kidney health assessment.
- To outline the potential of these techniques in evaluating renal fibrosis.
- To discuss current limitations and future directions for clinical implementation.
Main Methods:
- Diffusion-weighted MRI
- Renal blood oxygen level-dependent (BOLD) MRI
- Renal MR elastography
- Renal susceptibility imaging
Main Results:
- These advanced MRI methods show promise for assessing kidney function and fibrosis.
- Initial results indicate unique insights into renal health.
- Significant limitations in accuracy and practicality currently hinder clinical adoption.
Conclusions:
- Emerging MRI techniques hold potential for noninvasive renal fibrosis assessment.
- Further research and development are crucial for clinical translation.
- Overcoming current barriers is necessary to achieve reliable, image-based measures of kidney fibrosis.
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