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- Katja Hueper, Matti Peperhove, Song Rong, Jessica Gerstenberg, Michael Mengel, Martin Meier, Marcel Gutberlet, Susanne Tewes, Amelie Barrmeyer, Rongjun Chen, Herman Haller, Frank Wacker, Dagmar Hartung, and Faikah Gueler.
- Department of Radiology, Hannover Medical School, Carl-Neuberg-Str.1, 30625, Hannover, Germany, hueper.katja@mh-hannover.de.
- Eur Radiol. 2014 Sep 1;24(9):2252-60.
ObjectivesTo investigate whether T1-mapping allows assessment of acute kidney injury (AKI) and prediction of chronic kidney disease (CKD) in mice.MethodsAKI was induced in C57Bl/6N mice by clamping of the right renal pedicle for 35 min (moderate AKI, n = 26) or 45 min (severe AKI, n = 23). Sham animals served as controls (n = 9). Renal histology was assessed in the acute (day 1 + day 7; d1 + d7) and chronic phase (d28) after AKI. Furthermore, longitudinal MRI-examinations (prior to until d28 after surgery) were performed using a 7-Tesla magnet. T1-maps were calculated from a fat-saturated echoplanar inversion recovery sequence, and mean and relative T1-relaxation times were determined.ResultsRenal histology showed severe tubular injury at d1 + d7 in both AKI groups, whereas, at d28, only animals with prolonged 45-min ischemia showed persistent signs of AKI. Following both AKI severities T1-values significantly increased and peaked at d7. T1-times in the contralateral kidney without AKI remained stable. At d7 relative T1-values in the outer stripe of the outer medulla were significantly higher after severe than after moderate AKI (138 ± 2% vs. 121 ± 3%, p = 0.001). T1-elevation persisted until d28 only after severe AKI. Already at d7 T1 in the outer stripe of the outer medulla correlated with kidney volume loss indicating CKD (r = 0.83).ConclusionT1-mapping non-invasively detects AKI severity in mice and predicts further outcome.Key PointsRenal T1-relaxation times are increased after ischemia-induced acute kidney injury. Renal T1-values correlate with subsequent kidney volume loss. T1-mapping detects the severity of acute kidney injury and predicts further outcome.
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