T2' Imaging of Native Kidneys and Renal Allografts - a Feasibility Study.
OBJECTIVE
To evaluate the feasibility of T2' mapping in native kidneys and renal allografts.


METHODS
Following approval of the local ethics committee, 24 renal allograft recipients and 10 control subjects (healthy volunteers) were included in this study. Multi-echo T2 and T2* imaging was performed on a 1.5 Tesla scanner. Allograft recipients were assigned to two groups: group a), 8 patients with good (glomerular filtration rate of more than 40 ml/min) allograft function and no evidence of transplant rejection, transplant renal artery stenosis or ureteral obstruction; group b), 16 patients with deterioration of renal graft function (glomerular filtration rate (GFR) of 40 ml/min or less). Two different imaging protocols were tested.


RESULTS
The mean T2' relaxation parameters were 108.33 msec ± 13.34, 100.00 msec ± 18.89 and 124.57 msec ± 6.51 for groups a), b) and for control subjects, respectively. The reduction of T2' values in patient group b) was not statistically significant. However, significant correlations could be demonstrated between T2' values and the glomerular filtration rate (GFR) of renal allograft function. The reproducibility was tested and the coefficients of variation of T2' values in the cortex of transplanted kidneys were 11.1% within subjects and 11.3% between subjects.


CONCLUSIONS
Our results indicate that T2' imaging is a promising non-enhanced technique, which seems to reveal information on transplant function. Further studies are required to determine the clinical value of T2' mapping for monitoring renal allograft recipients.
Mathys
C
C
Institute of Radiology, University Clinic Düsseldorf, Germany. mathys@uni-duesseldorf.de
Blondin
D
D
Wittsack
H-J
HJ
Miese
F R
FR
Rybacki
K
K
Walther
C
C
Holstein
A
A
Lanzman
R S
RS
D000328:Adult; D000368:Aged; D005240:Feasibility Studies; D005260:Female; D005919:Glomerular Filtration Rate / Q000502:physiology; D006084:Graft Rejection / Q000175:diagnosis* / Q000503:physiopathology; D006801:Humans; D007089:Image Enhancement / Q000379:methods*; D007091:Image Processing, Computer-Assisted / Q000379:methods*; D007668:Kidney / Q000473:pathology* / Q000503:physiopathology; D016030:Kidney Transplantation / Q000473:pathology* / Q000502:physiology; D008279:Magnetic Resonance Imaging / Q000379:methods*; D008297:Male; D008875:Middle Aged; D010100:Oxygen / Q000097:blood*; D011183:Postoperative Complications / Q000175:diagnosis* / Q000503:physiopathology; D012016:Reference Values; D012078:Renal Artery Obstruction / Q000175:diagnosis* / Q000503:physiopathology; D015203:Reproducibility of Results; D012984:Software; D014517:Ureteral Obstruction / Q000175:diagnosis* / Q000503:physiopathology; D055815:Young Adult
D010100:Oxygen