Dynamic Contrast Enhancement (DCE) MRI-Derived Renal Perfusion and Filtration: Basic Concepts

Research output: Contribution to book/anthology/report/proceedingBook chapterResearchpeer-review

  • Michael Pedersen
  • Pietro Irrera, University of Campania Luigi Vanvitelli
  • ,
  • Walter Dastrù, University Torino, Clinic for Cardiac Surgery, Torino
  • ,
  • Frank G Zöllner, Heidelberg Univ, Ruprecht Karl University Heidelberg, Dept Phys & Astron Heidelberg
  • ,
  • Kevin M Bennett, The George Washington University School of Medicine, Washington, DC, USA.
  • ,
  • Scott C Beeman, The George Washington University School of Medicine, Washington, DC, USA.
  • ,
  • G Larry Bretthorst, The George Washington University School of Medicine, Washington, DC, USA.
  • ,
  • Joel R Garbow, The George Washington University School of Medicine, Washington, DC, USA.
  • ,
  • Dario Livio Longo, Institute of Biostructures and Bioimaging (IBB)

Dynamic contrast-enhanced (DCE) MRI monitors the transit of contrast agents, typically gadolinium chelates, through the intrarenal regions, the renal cortex, the medulla, and the collecting system. In this way, DCE-MRI reveals the renal uptake and excretion of the contrast agent. An optimal DCE-MRI acquisition protocol involves finding a good compromise between whole-kidney coverage (i.e., 3D imaging), spatial and temporal resolution, and contrast resolution. By analyzing the enhancement of the renal tissues as a function of time, one can determine indirect measures of clinically important single-kidney parameters as the renal blood flow, glomerular filtration rate, and intrarenal blood volumes. Gadolinium-containing contrast agents may be nephrotoxic in patients suffering from severe renal dysfunction, but otherwise DCE-MRI is clearly useful for diagnosis of renal functions and for assessing treatment response and posttransplant rejection.Here we introduce the concept of renal DCE-MRI, describe the existing methods, and provide an overview of preclinical DCE-MRI applications to illustrate the utility of this technique to measure renal perfusion and glomerular filtration rate in animal models.This publication is based upon work from the COST Action PARENCHIMA, a community-driven network funded by the European Cooperation in Science and Technology (COST) program of the European Union, which aims to improve the reproducibility and standardization of renal MRI biomarkers. This introduction is complemented by two separate publications describing the experimental procedure and data analysis.

Original languageEnglish
Title of host publication Preclinical MRI of the Kidney : Methods and Protocols
EditorsAndreas Pohlmann, Thoralf Niendorf
Number of pages23
Volume2216
Place of publicationNew York
PublisherHumana Press
Publication year2021
Pages205-227
ISBN (print)978-1-0716-0977-4
ISBN (Electronic)978-1-0716-0978-1
DOIs
Publication statusPublished - 2021
SeriesMethods in Molecular Biology
Volume2216
ISSN1064-3745

    Research areas

  • Contrast agent, Dynamic contrast-enhanced (DCE), Glomerular filtration rate (GFR), Kidney, Magnetic resonance imaging (MRI), Mice, Perfusion, Rats, T mapping

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