Erschienen in:
01.06.2014 | Magnetic Resonance
Quantitative sodium MR imaging of native versus transplanted kidneys using a dual-tuned proton/sodium (1H/23Na) coil: initial experience
verfasst von:
Chan Hong Moon, Alessandro Furlan, Jung-Hwan Kim, Tiejun Zhao, Ron Shapiro, Kyongtae Ty Bae
Erschienen in:
European Radiology
|
Ausgabe 6/2014
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Abstract
Objectives
To compare sodium (23Na) characteristics between native and transplanted kidneys using dual-tuned proton (1H)/sodium MRI.
Methods
Six healthy volunteers and six renal transplant patients (3 normal function, 3 acute allograft rejection) were included. Proton/sodium MRI was obtained at 3 T using a dual-tuned coil. Signal to noise ratio (SNR), sodium concentration ([23Na]) and cortico-medullary sodium gradient (CMSG) were measured. Reproducibility of [23Na] measurement was also tested. SNR, [23Na] and CMSG of the native and transplanted kidneys were compared.
Results
Proton and sodium images of kidneys were successfully acquired. SNR and [23Na] measurements of the native kidneys were reproducible at two different sessions. [23Na] and CMSG of the transplanted kidneys was significantly lower than those of the native kidneys: 153.5 ± 11.9 vs. 192.9 ± 9.6 mM (P = 0.002) and 8.9 ± 1.5 vs. 10.5 ± 0.9 mM/mm (P = 0.041), respectively. [23Na] and CMSG of the transplanted kidneys with normal function vs. acute rejection were not statistically different.
Conclusions
Sodium quantification of kidneys was reliably performed using proton/sodium MRI. [23Na] and CMSG of the transplanted kidneys were lower than those of the native kidneys, but without a statistically significant difference between patients with or without renal allograft rejection.
Key Points
• Dual-tuned proton/sodium RF coil enables co-registered proton and sodium MRI.
• Structural and sodium biochemical property can be acquired by dual-tuned proton/sodium MRI.
• Sodium and sodium gradient of kidneys can be measured by dual-tuned MRI.
• Sodium concentration was lower in transplanted kidneys than in native kidneys.
• Sodium gradient of transplanted kidneys was lower than for native kidneys.