Hyperpolarized 13C,15N2‐Urea MRI for assessment of the urea gradient in the porcine kidney

A decline in cortico‐medullary osmolality gradient of the kidney may serve as an early indicator of pathological disruption of the tubular reabsorption process. The purpose of this study was to investigate the feasibility of hyperpolarized 13C,15N2‐urea MRI as a biomarker of renal function in healthy porcine kidneys resembling the human physiology.

[1]  J. Arthur,et al.  Biomarkers of AKI: a review of mechanistic relevance and potential therapeutic implications. , 2015, Clinical journal of the American Society of Nephrology : CJASN.

[2]  H. Degani,et al.  Detection of evolving acute tubular necrosis with renal 23Na MRI: studies in rats. , 2006, Kidney international.

[3]  M. Stuber,et al.  Determinants of Renal Tissue Oxygenation as Measured with BOLD-MRI in Chronic Kidney Disease and Hypertension in Humans , 2014, PloS one.

[4]  M. Pettoello‐Mantovani,et al.  Urea-induced ROS cause endothelial dysfunction in chronic renal failure. , 2015, Atherosclerosis.

[5]  Paul D Griffiths,et al.  Simultaneous imaging of lung structure and function with triple-nuclear hybrid MR imaging. , 2013, Radiology.

[6]  K. Ho,et al.  Benefits and risks of furosemide in acute kidney injury , 2010, Anaesthesia.

[7]  Christoffer Laustsen,et al.  Hyperpolarized Renal Magnetic Resonance Imaging: Potential and Pitfalls , 2016, Front. Physiol..

[8]  J. Kurhanewicz,et al.  Monitoring urea transport in rat kidney in vivo using hyperpolarized ¹³C magnetic resonance imaging. , 2012, American journal of physiology. Renal physiology.

[9]  C. Laustsen,et al.  Hyperpolarized 13C urea relaxation mechanism reveals renal changes in diabetic nephropathy , 2015, Magnetic resonance in medicine.

[10]  H. Stødkilde-Jørgensen,et al.  Diabetes induced renal urea transport alterations assessed with 3D hyperpolarized 13C,15N‐Urea , 2017, Magnetic resonance in medicine.

[11]  C. Laustsen,et al.  Early diabetic kidney maintains the corticomedullary urea and sodium gradient , 2016, Physiological reports.

[12]  M. Swindle,et al.  Swine as models in experimental surgery. , 1988, Journal of investigative surgery : the official journal of the Academy of Surgical Research.

[13]  P. Larson,et al.  Metabolic Imaging of Patients with Prostate Cancer Using Hyperpolarized [1-13C]Pyruvate , 2013, Science Translational Medicine.

[14]  J. Sands,et al.  Active urea transport in the rat inner medullary collecting duct: functional characterization and initial expression cloning. , 1996, Kidney international.

[15]  J. Bonventre,et al.  Cellular pathophysiology of ischemic acute kidney injury. , 2011, The Journal of clinical investigation.

[16]  Marion I Menzel,et al.  Earth's magnetic field enabled scalar coupling relaxation of 13C nuclei bound to fast-relaxing quadrupolar 14N in amide groups. , 2013, Journal of magnetic resonance.

[17]  J. Ardenkjær-Larsen,et al.  Increase in signal-to-noise ratio of > 10,000 times in liquid-state NMR , 2003, Proceedings of the National Academy of Sciences of the United States of America.

[18]  Robert E Lenkinski,et al.  Sodium MRI of the human kidney at 3 Tesla , 2006, Magnetic resonance in medicine.

[19]  M. Stuber,et al.  Renal Tissue Oxygenation in Essential Hypertension and Chronic Kidney Disease , 2013, International journal of hypertension.

[20]  M. Lustig,et al.  Imaging Renal Urea Handling in Rats at Millimeter Resolution Using Hyperpolarized Magnetic Resonance Relaxometry , 2015, Tomography.

[21]  Yves Bouvier Manual of equine dermatology , 1999 .

[22]  G. Giebisch,et al.  URINE CONCENTRATION AND DILUTION , 2009 .

[23]  M. Paley,et al.  Parallel imaging of hyperpolarized helium‐3 with simultaneous slice excitation , 2006, Magnetic resonance in medicine.

[24]  M. Swindle,et al.  Surgery, anesthesia, and experimental techniques in swine. , 1998 .

[25]  G. Wells,et al.  Renal cysts in pigs: prevalence and pathology in slaughtered pigs from a single herd , 1980, Veterinary Record.

[26]  Paul D Griffiths,et al.  Feasibility of human lung ventilation imaging using highly polarized naturally abundant xenon and optimized three‐dimensional steady‐state free precession , 2015, Magnetic resonance in medicine.

[27]  Peder E. Z. Larson,et al.  High Resolution $^{13}$C MRI With Hyperpolarized Urea: In Vivo $T_{2}$ Mapping and $^{15}$N Labeling Effects , 2014, IEEE Trans. Medical Imaging.

[28]  Neil Clarke,et al.  Dynamic nuclear polarization polarizer for sterile use intent , 2011, NMR in biomedicine.

[29]  H. Stødkilde-Jørgensen,et al.  Acute porcine renal metabolic effect of endogastric soft drink administration assessed with hyperpolarized [1‐13c]pyruvate , 2015, Magnetic resonance in medicine.

[30]  M. Madero,et al.  Biomarkers in chronic kidney disease, from kidney function to kidney damage. , 2015, World journal of nephrology.

[31]  Tetsuhiro Tanaka,et al.  Uremia induces abnormal oxygen consumption in tubules and aggravates chronic hypoxia of the kidney via oxidative stress. , 2010, American journal of physiology. Renal physiology.