Kidney morphological parameters measured using noncontrast- enhanced steady-state free precession MRI with spatially selective inversion recovery pulse correlate with eGFR in patients with advanced CKD

• 資料種別: 博士論文
• タイトル: Kidney morphological parameters measured using noncontrast- enhanced steady-state free precession MRI with spatially selective inversion recovery pulse correlate with eGFR in patients with advanced CKD
• 著者・編者: Otsuka, Tadashi
• 出版事項: 新潟大学
• 出版年月日等: 2017-09-20
• 出版年（W3CDTF）: 2017-09-20
• 並列タイトル等: Kidney morphological parameters measured using noncontrast- enhanced steady-state free precession MRI with spatially selective inversion recovery pulse correlate with eGFR in patients with advanced CKD; 非造影SSFP-MRIによって計測された進行した慢性腎臓病患者の腎形態学的パラメーターは推定糸球体濾過量と相関する
• 授与機関名: 新潟大学
• 授与年月日: 2017-09-20
• 授与年月日（W3CDTF）: 2017-09-20
• 報告番号: 甲第4356号
• 学位: 博士（医学）
• 博論授与番号: 甲第4356号
• 本文の言語コード: eng
• 件名標目: SSFP MRI; Cortical thickness; Cortical area; Medullary area
• 一般注記: Background It is well known that atrophic renal changes are associated with chronic kidney disease (CKD) progression, but conventional diagnostic imaging methods such as noncontrast-enhanced computed tomography and magnetic resonance imaging (MRI) have been insufficient for precisely assessing kidney function because they cannot clearly distinguish between the medulla and cortex. Hence, here we used noncontrast-enhanced steady-state free precession (SSFP) MRI with a spatially selective inversion recovery (IR) pulse to improve visibility for renal corticomedullary differentiation and evaluated the association between morphological parameters and kidney function in patients with CKD. Methods Kidney corticomedullary contrast ratio, cortical and medullary areas, and minimal cortical thickness of 107 patients with CKD G1–G5 were measured using SSFP MRI with a spatially selective IR pulse and the association between these morphological parameters and kidney function were evaluated. Results Corticomedullary contrast ratio was significantly improved on SSFP MRI compared with conventional inphase T1-weighted gradient-echo MRI and positively correlated with estimated glomerular filtration ratio (eGFR), raw eGFR, and 24-h creatinine clearance. The medullary and cortical areas and minimal cortical thickness also positively correlated with those of kidney functional markers and the age. In patients with CKD and diabetes mellitus (DM), the correlation coefficients between raw eGFR and morphological parameters were higher than those in patients without DM, while minimal cortical thickness was larger in CKD patients with DM with a raw eGFR ≥ 45 mL/min. Conclusion Kidney morphological parameters measured with SSFP MRI were clearly correlated with kidney function in patients with CKD, including those with advanced kidney dysfunction.; 学位の種類: 博士（医学）. 報告番号: 甲第4356号. 学位記番号: 新大院博（医）甲第769号. 学位授与年月日: 平成29年9月20日; Clinical and Experimental Nephrology. First published online: 22 April 2017; 新大院博（医）甲第769号; 元資料の権利情報 : (C) The Author(s) 2017. This article is an open access publication.
• DOI: info:doi/10.1007/s10157-017-1413-x; https://doi.org/info:doi/10.1007/s10157-017-1413-x
• 国立国会図書館永続的識別子: info:ndljp/pid/10993757; https://dl.ndl.go.jp/pid/10993757
• コレクション（共通）: 障害者向け資料
• コレクション（障害者向け資料：レベル1）: テキストデータ
• コレクション（個別）: 国立国会図書館デジタルコレクション > デジタル化資料 > 博士論文; https://dl.ndl.go.jp/collections/A00014
• 収集根拠: 博士論文（自動収集）
• 受理日（W3CDTF）: 2017-12-04T02:02:48+09:00
• 作成日（W3CDTF）: 2019-08-05
• 記録形式（IMT）: application/pdf
• オンライン閲覧公開範囲: 国立国会図書館内限定公開
• デジタル化資料送信: 図書館・個人送信対象外
• 遠隔複写可否（NDL）: 可
• 掲載誌（URI）: http://hdl.handle.net/10191/48149
• 連携機関・データベース: 国立国会図書館 : 国立国会図書館デジタルコレクション; https://dl.ndl.go.jp