Combined application of DTI and BOLD-MRI in the assessment of renal injury with hyperuricemia.

Objective: To explore the value of combined diffusion tensor imaging (DTI) and blood oxygenation level-dependent magnetic resonance imaging (BOLD-MRI) in detecting early renal alterations in patients with hyperuricemia. Materials and methods: Seventy-one individuals were enrolled in this study and d...

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Publicado en:Abdominal Radiology Vol. 46; no. 4; pp. 1694 - 1703
Autores principales: Cheng, Zhong-Yuan, Lin, Qi-Ting, Chen, Ping-Kang, Si-Tu, Ding-Kun, Qian, Long, Feng, You-Zhen, Cai, Xiang-Ran
Formato: Journal Article
Publicado: Springer Nature Apr2021
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2021
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      pub: Springer Nature
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        10.1007/s00261-020-02804-z
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        atl: Combined application of DTI and BOLD-MRI in the assessment of renal injury with hyperuricemia.
      aug:
        au:
          Cheng, Zhong-Yuan
          Lin, Qi-Ting
          Chen, Ping-Kang
          Si-Tu, Ding-Kun
          Qian, Long
          Feng, You-Zhen
          Cai, Xiang-Ran
        affil: Medical Imaging Center, First Affiliated Hospital of Jinan University, No. 613 West Huangpu Avenue, Tianhe District, 510630, Guangzhou, Guangdong, China
      sug:
      ab: Objective: To explore the value of combined diffusion tensor imaging (DTI) and blood oxygenation level-dependent magnetic resonance imaging (BOLD-MRI) in detecting early renal alterations in patients with hyperuricemia. Materials and methods: Seventy-one individuals were enrolled in this study and divided into three groups according to their serum uric acid (SUA) level and clinical symptoms: healthy controls (HC, n = 23), asymptomatic hyperuricemia (AH, n = 22) and gouty arthritis (GA, n = 26). All patients underwent both DTI and BOLD-MRI examination. Renal cortical and medullary ADC, FA and R2* values were calculated, respectively, and compared among the three groups. Correlations between ADC, FA and R2* with estimated glomerular filtration rate (eGFR) and SUA in hyperuricemia were evaluated, respectively. Result: In the renal cortex, the ADC, FA and R2* values of the AH and GA groups were significantly lower than those of the HC groups (p < 0.05). In the renal medulla, the ADC and FA values in AH and GA patients were significantly lower than those in healthy controls (p < 0.05). The R2* value of the GA group significantly decreased, compared to that of the AH and HC groups (p < 0.05). SUA was negatively correlated with cortical ADC, FA and R2* values (p < 0.05) as well as with medullary ADC and FA values. No significant correlation was discovered between the eGFR and ADC, FA and R2* values. Conclusion: The combined evaluation of DTI and BOLD might provide a sensitive and non-invasive approach for detection of renal microstructural alterations and oxygen metabolism abnormality in hyperuricemia.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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