Related Experiment Video
Updated: Jan 5, 2026

Use of Ultra-high Field MRI in Small Rodent Models of Polycystic Kidney Disease for In Vivo Phenotyping and Drug Monitoring
Published on: June 23, 2015
MRI-derived markers for predicting a decline in renal function in patients with autosomal dominant polycystic kidney
Ewa Banach-Ambroziak1, Magdalena Jankowska2, Małgorzata Grzywińska3
1University Medical Centre of Gdansk, Poland.
Abstract:
Autosomal dominant polycystic kidney disease (ADPKD) constitutes the fourth cause of end-stage renal disease in Europe. The course of the disease varies widely among patients with ADPKD. Due to the emergence of new possibilities of pharmacotherapy, it has become crucial to identify the group of patients with the fastest rate and risk of disease progression. This particular group of patients will benefit most from the therapy and they are the best candidates for clinical trials. At the early stages of ADPKD typical markers of severity and progression of the disease remain unchanged in contrast to the kidney volume, which increases continuously in an exponential way. Therefore, the use of height-adjusted total kidney volume as a biomarker should become a mandatory diagnostic option. Also, quantitative MRI techniques are promising biomarkers for the evaluation of disease severity and could provide additional insights into its course.
Insights
Autosomal dominant polycystic kidney disease (ADPKD) progression varies. Height-adjusted total kidney volume, measured via MRI, is a key biomarker for identifying patients who will benefit most from new therapies.
Area of Science:
- Nephrology
- Medical Imaging
- Genetics
Background:
- Autosomal dominant polycystic kidney disease (ADPKD) is a leading cause of end-stage renal disease in Europe.
- Disease progression in ADPKD exhibits significant inter-patient variability.
- Identifying rapidly progressing ADPKD cases is crucial for targeted pharmacotherapy and clinical trial enrollment.
Purpose of the Study:
- To highlight the importance of identifying ADPKD patients with the fastest disease progression.
- To advocate for the adoption of specific biomarkers for monitoring ADPKD.
- To emphasize the role of advanced imaging in assessing ADPKD severity.
Main Methods:
- The study focuses on the continuous, exponential increase in kidney volume in early-stage ADPKD.
- It proposes height-adjusted total kidney volume as a mandatory diagnostic biomarker.
- It suggests quantitative MRI techniques as promising tools for evaluating disease severity.
Main Results:
- Traditional markers of ADPKD severity remain unchanged in early stages.
- Kidney volume increases exponentially, making it a reliable indicator of progression.
- Quantitative MRI offers potential for deeper insights into ADPKD's course.
Conclusions:
- Height-adjusted total kidney volume should be a standard diagnostic measure for ADPKD.
- Quantitative MRI techniques show promise as biomarkers for ADPKD severity and progression.
- Accurate patient stratification is essential for optimizing treatment and research in ADPKD.
Related Concept Videos
Drug Dosing in Renal Diseases: Estimation of Glomerular Filtration Rate Based on Serum Creatinine Concentration
Factors Affecting Renal Clearance: Renal Impairment
One condition associated with renal failure is uremia. Uremia is characterized by impaired glomerular filtration and fluid accumulation in the body. This condition hinders the renal clearance of drugs, resulting in drug accumulation and potential...
Chronic Kidney Disease I: Introduction
Serum Studies: Renal Function Tests
Acute Kidney Injury IV: Diagnostic Studies and Prevention
Chronic Kidney Disease III: Interprofessional Care

