Measurement of Murine Single-Kidney Glomerular Filtration Rate Using Dynamic Contrast-Enhanced MRI

Magn Reson Med. 2018 Jun;79(6):2935-2943. doi: 10.1002/mrm.26955. Epub 2017 Oct 16.

Abstract

Purpose: To develop and validate a method for measuring murine single-kidney glomerular filtration rate (GFR) using dynamic contrast-enhanced MRI (DCE-MRI).

Methods: This prospective study was approved by the Institutional Animal Care and Use Committee. A fast longitudinal relaxation time (T1 ) measurement method was implemented to capture gadolinium dynamics (1 s/scan), and a modified two-compartment model was developed to quantify GFR as well as renal perfusion using 16.4T MRI in mice 2 weeks after unilateral renal artery stenosis (RAS, n = 6) or sham (n = 8) surgeries. This approach was validated by comparing model-derived GFR and perfusion to those obtained by fluorescein isothiocyanante (FITC)-inulin clearance and arterial spin labeling (ASL), respectively, using the Pearson's and Spearman's rank correlations and Bland-Altman analysis.

Results: The compartmental model provided a good fitting to measured gadolinium dynamics in both normal and RAS kidneys. The proposed DCE-MRI method offered assessment of single-kidney GFR and perfusion, comparable to the FITC-inulin clearance (Pearson's correlation coefficient r = 0.95 and Spearman's correlation coefficient ρ = 0.94, P < 0.0001, and mean difference -7.0 ± 11.0 μL/min) and ASL (r = 0.92 and ρ = 0.84, P < 0.0001, and mean difference 4.4 ± 66.1 mL/100 g/min) methods.

Conclusion: The proposed DCE-MRI method may be useful for reliable noninvasive measurements of single-kidney GFR and perfusion in mice. Magn Reson Med 79:2935-2943, 2018. © 2017 International Society for Magnetic Resonance in Medicine.

Keywords: compartmental model; dynamic contrast-enhanced MRI; glomerular filtration rate; renal artery stenosis; renal perfusion.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Animals
  • Arteries / pathology
  • Body Weight
  • Contrast Media / chemistry*
  • Fluorescein-5-isothiocyanate / chemistry
  • Glomerular Filtration Rate*
  • Image Interpretation, Computer-Assisted / methods
  • Image Processing, Computer-Assisted
  • Inulin / chemistry
  • Kidney / diagnostic imaging*
  • Kidney Function Tests / methods
  • Magnetic Resonance Imaging*
  • Mice
  • Perfusion
  • Prospective Studies
  • Reproducibility of Results
  • Spin Labels

Substances

  • Contrast Media
  • Spin Labels
  • Inulin
  • Fluorescein-5-isothiocyanate