Chen Wen-Bo, Liang Long, Zhang Bin, Liu Chun-Ling, Liu Hong-Jun, Luo Hai-Ying, Zeng Qiong-Xin, Liang Chang-Hong, Liu Guan-Shu, Zhang Shui-Xing
Department of Radiology, Guangdong Academy of Medical Sciences/Guangdong General Hospital, No. 106 Zhongshan Er Road, Guangzhou, Guangdong Province 510080, China ; Department of Radiology, HuiZhou Municipal Central Hospital, No. 41 E Ling Bei Road, Huizhou, Guangdong Province 516008, China.
Department of Radiology, Guangdong Academy of Medical Sciences/Guangdong General Hospital, No. 106 Zhongshan Er Road, Guangzhou, Guangdong Province 510080, China ; Southern Medical University, No. 1838 Dadao Bei Road, Guangzhou, Guangdong Province 510515, China.
Biomed Res Int. 2015;2015:593060. doi: 10.1155/2015/593060. Epub 2015 Mar 29.
To investigate noninvasive arterial spin-labeling (ASL) and blood oxygen level-dependent imaging (BOLD) sequences for measuring renal hemodynamics and oxygenation in contrast induced acute kidney injury (CIAKI) rat.
Thirteen SD rats were randomly grouped into CIAKI group and control group. Both ASL and BOLD sequences were performed at 24 h preinjection and at intervals of 0.5, 12, 24, 48, 72, and 96 h postinjection to assess renal blood flow (RBF) and relative spin-spin relaxation rate (R2(*)), respectively.
For the CIAKI group, the value of RBF in the cortex (CO) and outer medulla (OM) of the kidney was significantly decreased (P < 0.05) at 12-48 h and regressed to baseline level (P = NS) at 72-96 h. In OM, the value of R2(*) was increased at 0.5-48 h (P < 0.05) and not statistically significant (P = NS) at 72 and 96 h.
RBF in OM and CO and oxygen level in OM were decreased postinjection of CM. ASL combining BOLD can further identify the primary cause of the decrease of renal oxygenation in CIAKI. This approach provides means for noninvasive monitoring renal function during the first 4 days of CIAKI in clinical routine work.
研究无创动脉自旋标记(ASL)和血氧水平依赖性功能磁共振成像(BOLD)序列用于测量对比剂诱导的急性肾损伤(CIAKI)大鼠的肾血流动力学和氧合情况。
13只SD大鼠随机分为CIAKI组和对照组。在注射前24小时以及注射后0.5、12、24、48、72和96小时分别进行ASL和BOLD序列扫描,以分别评估肾血流量(RBF)和相对自旋-自旋弛豫率(R2(*))。
对于CIAKI组,肾皮质(CO)和外髓质(OM)的RBF值在12 - 48小时显著降低(P < 0.05),在72 - 96小时恢复至基线水平(P = 无统计学意义)。在OM中,R2(*)值在0.5 - 48小时升高(P < 0.05),在72和96小时无统计学意义(P = 无统计学意义)。
注射造影剂后,OM和CO的RBF以及OM中的氧水平降低。ASL联合BOLD可以进一步明确CIAKI中肾氧合降低的主要原因。该方法为临床日常工作中CIAKI发病后4天内无创监测肾功能提供了手段。