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Publication : Noninvasive monitoring of chronic kidney disease using pH and perfusion imaging.

First Author  Pavuluri K Year  2019
Journal  Sci Adv Volume  5
Issue  8 Pages  eaaw8357
PubMed ID  31453331 Mgi Jnum  J:288099
Mgi Id  MGI:6415824 Doi  10.1126/sciadv.aaw8357
Citation  Pavuluri K, et al. (2019) Noninvasive monitoring of chronic kidney disease using pH and perfusion imaging. Sci Adv 5(8):eaaw8357
abstractText  Chronic Kidney Disease (CKD) is a cardinal feature of methylmalonic acidemia (MMA), a prototypic organic acidemia. Impaired growth, low activity, and protein restriction affect muscle mass and lower serum creatinine, which can delay diagnosis and management of renal disease. We have designed an alternative strategy for monitoring renal function based on administration of a pH sensitive MRI agent and assessed this in a mouse model. This protocol produced three metrics: kidney contrast, ~4% for severe renal disease mice compared to ~13% and ~25% for moderate renal disease and healthy controls, filtration fraction (FF), ~15% for severe renal disease mice compared to ~79% and 100% for moderate renal disease and healthy controls, and variation in pH, ~0.45 units for severe disease mice compared to 0.06 and 0.01 for moderate disease and healthy controls. Our results demonstrate that MRI can be used for early detection and monitoring of CKD.
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