Sodium MRI: a new frontier in imaging in nephrology

Purpose of review This review focuses on the recent technological advances in quantitative sodium (23Na) MRI to provide a noninvasive measure of tissue viability for use in clinical studies of patients with kidney disease. 23Na MRI is the only non-invasive imaging technique that allows for the ab...

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Main Authors: Francis, Susan T., Buchanan, Charlotte, Prestwich, Benjamin, Taal, Maarten W.
Format: Article
Published: Lippincott, Williams & Wilkins 2017
Subjects:
Online Access:https://eprints.nottingham.ac.uk/47421/
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author Francis, Susan T.
Buchanan, Charlotte
Prestwich, Benjamin
Taal, Maarten W.
author_facet Francis, Susan T.
Buchanan, Charlotte
Prestwich, Benjamin
Taal, Maarten W.
author_sort Francis, Susan T.
building Nottingham Research Data Repository
collection Online Access
description Purpose of review This review focuses on the recent technological advances in quantitative sodium (23Na) MRI to provide a noninvasive measure of tissue viability for use in clinical studies of patients with kidney disease. 23Na MRI is the only non-invasive imaging technique that allows for the absolute spatial quantification of tissue sodium concentration (TSC), providing assessment of the corticomedullary sodium gradient (CMSG) in the kidney, and allowing measures of TSC in the skin and muscle. Recent findings 23Na MRI of the kidney has demonstrated the sensitivity to measure the CMSG, providing the normal range in healthy subjects and demonstrating a reduction in CMSG in kidney disease and transplanted kidneys. Studies using 23Na and 1H MRI have shown that in humans skeletal muscle and skin can store sodium without water retention, and that sodium concentrations in muscle and skin increase with advancing age. Recent studies have shown that TSC can be mobilised during haemodialysis, and that skin sodium content links closely to left ventricular mass in patients with Chronic Kidney Disease. Summary 23Na MRI is currently a research technique, but with future advances, 23Na MRI has potential to become a noninvasive renal biomarker to measure tissue sodium storage for clinical studies.
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spelling nottingham-474212020-05-04T19:15:34Z https://eprints.nottingham.ac.uk/47421/ Sodium MRI: a new frontier in imaging in nephrology Francis, Susan T. Buchanan, Charlotte Prestwich, Benjamin Taal, Maarten W. Purpose of review This review focuses on the recent technological advances in quantitative sodium (23Na) MRI to provide a noninvasive measure of tissue viability for use in clinical studies of patients with kidney disease. 23Na MRI is the only non-invasive imaging technique that allows for the absolute spatial quantification of tissue sodium concentration (TSC), providing assessment of the corticomedullary sodium gradient (CMSG) in the kidney, and allowing measures of TSC in the skin and muscle. Recent findings 23Na MRI of the kidney has demonstrated the sensitivity to measure the CMSG, providing the normal range in healthy subjects and demonstrating a reduction in CMSG in kidney disease and transplanted kidneys. Studies using 23Na and 1H MRI have shown that in humans skeletal muscle and skin can store sodium without water retention, and that sodium concentrations in muscle and skin increase with advancing age. Recent studies have shown that TSC can be mobilised during haemodialysis, and that skin sodium content links closely to left ventricular mass in patients with Chronic Kidney Disease. Summary 23Na MRI is currently a research technique, but with future advances, 23Na MRI has potential to become a noninvasive renal biomarker to measure tissue sodium storage for clinical studies. Lippincott, Williams & Wilkins 2017-11-01 Article PeerReviewed Francis, Susan T., Buchanan, Charlotte, Prestwich, Benjamin and Taal, Maarten W. (2017) Sodium MRI: a new frontier in imaging in nephrology. Current Opinion in Nephrology and Hypertension, 26 (6). pp. 435-441. ISSN 1473-6543 Sodium MRI; Kidney; Skin; Muscle; Clinical http://journals.lww.com/co-nephrolhypertens/Abstract/2017/11000/Sodium_MRI___a_new_frontier_in_imaging_in.2.aspx doi:10.1097/MNH.0000000000000370 doi:10.1097/MNH.0000000000000370
spellingShingle Sodium MRI; Kidney; Skin; Muscle; Clinical
Francis, Susan T.
Buchanan, Charlotte
Prestwich, Benjamin
Taal, Maarten W.
Sodium MRI: a new frontier in imaging in nephrology
title Sodium MRI: a new frontier in imaging in nephrology
title_full Sodium MRI: a new frontier in imaging in nephrology
title_fullStr Sodium MRI: a new frontier in imaging in nephrology
title_full_unstemmed Sodium MRI: a new frontier in imaging in nephrology
title_short Sodium MRI: a new frontier in imaging in nephrology
title_sort sodium mri: a new frontier in imaging in nephrology
topic Sodium MRI; Kidney; Skin; Muscle; Clinical
url https://eprints.nottingham.ac.uk/47421/
https://eprints.nottingham.ac.uk/47421/
https://eprints.nottingham.ac.uk/47421/