Magnetic resonance imaging biomarkers for chronic kidney disease: a position paper from the European Cooperation in Science and Technology Action PARENCHIMA

Functional renal magnetic resonance imaging (MRI) has seen a number of recent advances, and techniques are now available that can generate quantitative imaging biomarkers with the potential to improve the management of kidney disease. Such biomarkers are sensitive to changes in renal blood flow, tis...

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Published in:Nephrology, dialysis, transplantation Vol. 33; no. suppl_2; p. ii4
Main Authors: Selby, Nicholas M, Blankestijn, Peter J, Boor, Peter, Combe, Christian, Eckardt, Kai-Uwe, Eikefjord, Eli, Garcia-Fernandez, Nuria, Golay, Xavier, Gordon, Isky, Grenier, Nicolas, Hockings, Paul D, Jensen, Jens D, Joles, Jaap A, Kalra, Philip A, Krämer, Bernhard K, Mark, Patrick B, Mendichovszky, Iosif A, Nikolic, Olivera, Odudu, Aghogho, Ong, Albert C M, Ortiz, Alberto, Pruijm, Menno, Remuzzi, Giuseppe, Rørvik, Jarle, de Seigneux, Sophie, Simms, Roslyn J, Slatinska, Janka, Summers, Paul, Taal, Maarten W, Thoeny, Harriet C, Vallée, Jean-Paul, Wolf, Marcos, Caroli, Anna, Sourbron, Steven
Format: Journal Article
Language:English
Published: England 01.09.2018
Subjects:
Biomarkers - analysis
Disease Progression
Humans
Magnetic Resonance Imaging - methods
Renal Insufficiency, Chronic - classification
Renal Insufficiency, Chronic - pathology
Renal Insufficiency, Chronic - therapy
ISSN:1460-2385, 1460-2385
Online Access:Get more information
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Summary:Functional renal magnetic resonance imaging (MRI) has seen a number of recent advances, and techniques are now available that can generate quantitative imaging biomarkers with the potential to improve the management of kidney disease. Such biomarkers are sensitive to changes in renal blood flow, tissue perfusion, oxygenation and microstructure (including inflammation and fibrosis), processes that are important in a range of renal diseases including chronic kidney disease. However, several challenges remain to move these techniques towards clinical adoption, from technical validation through biological and clinical validation, to demonstration of cost-effectiveness and regulatory qualification. To address these challenges, the European Cooperation in Science and Technology Action PARENCHIMA was initiated in early 2017. PARENCHIMA is a multidisciplinary pan-European network with an overarching aim of eliminating the main barriers to the broader evaluation, commercial exploitation and clinical use of renal MRI biomarkers. This position paper lays out PARENCHIMA's vision on key clinical questions that MRI must address to become more widely used in patients with kidney disease, first within research settings and ultimately in clinical practice. We then present a series of practical recommendations to accelerate the study and translation of these techniques.
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ISSN:1460-2385
1460-2385
DOI:10.1093/ndt/gfy152