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2015 ; 128
(5
): 626-31
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Monitoring the progression of renal fibrosis by T2-weighted signal intensity and
diffusion weighted magnetic resonance imaging in cisplatin induced rat models
#MMPMID25698194
Wu HH
; Jia HR
; Zhang Y
; Liu L
; Xu DB
; Sun HR
Chin Med J (Engl)
2015[Mar]; 128
(5
): 626-31
PMID25698194
show ga
BACKGROUND: Diffusion weighted imaging (DWI), with the applying of intravoxel
incoherent motion model, has showed promising results in obtaining additional
information about microperfusion and tubular flow associated with morphologic
changes in chronic kidney diseases. The study aims to evaluate the potential of
T2-weighted signal intensity (SI) and DWI with mono- and bi-exponential models to
reflect the serial changes on cisplatin (CP) induced rat renal fibrosis models.
METHODS: Magnetic resonance exams were performed prior to and 2 nd day, 4 th day,
6 th day, 8 th day, 2 nd week, 3 rd week and 4 th week after CP injection at a
3.0T with an animal coil. Besides T2-weighted images (T2WI), DWI of 13 b values
from 0 to 1500 s/mm 2 was acquired. Apparent diffusion coefficient (ADC), fluid
fraction f, pure diffusivity D and pseudodiffusivity DFNx01 values were
calculated. The regions of interest were placed on cortex (CO), outer stripe of
the outer medulla (OM) and inner stripe of the outer medulla (OM), parameters
were measured and compared among different time points. Five rats were scarified
at each time point for pathological examination. RESULTS: OM revealed remarkable
hyperintense and broadened before it became an obscure thread, while CO
demonstrated moderate hyperintense and IM didn't show significant change on T2WI.
On all three stripes, ADC values decreased firstly then kept increasing since the
4 th day; f values decreased on all stripes; D values had a tendency to increase
with fluctuations but the changes didn't achieve statistical significance; DFNx01
values increased at the 2 nd day then tended to be steady thereafter.
Pathological findings revealed tubules epitheliums swelling followed by
inflammation cells infiltration, interstitial fibrosis was observed since the 2
nd week. CONCLUSIONS: All of T2-weighted SI, ADC, and biexponential models
parameters vary during fibrotic process; biexponential model is superior to
monoexponential model in separating changes of microperfusion together with
tubular flow from pure diffusion.
|Animals
[MESH]
|Cisplatin/therapeutic use
[MESH]
|Diffusion Magnetic Resonance Imaging/*methods
[MESH]