Cardiorenal Syndrome: Emerging Role of Medical Imaging for Clinical Diagnosis and Management

Cardiorenal syndrome (CRS) concerns the interconnection between heart and kidneys in which the dysfunction of one organ leads to abnormalities of the other. The main clinical challenges associated with cardiorenal syndrome are the lack of tools for early diagnosis, prognosis, and evaluation of therapeutic effects. Ultrasound, computed tomography, nuclear medicine, and magnetic resonance imaging are increasingly used for clinical management of cardiovascular and renal diseases. In the last decade, rapid development of imaging techniques provides a number of promising biomarkers for functional evaluation and tissue characterization. This review summarizes the applicability as well as the future technological potential of each imaging modality in the assessment of CRS. Furthermore, opportunities for a comprehensive imaging approach for the evaluation of CRS are defined.

[1]  H. Lamb,et al.  Identification of cardiovascular abnormalities by multiparametric magnetic resonance imaging in end-stage renal disease patients with preserved left ventricular ejection fraction , 2021, European Radiology.

[2]  D. Pennell,et al.  SCMR Position Paper (2020) on clinical indications for cardiovascular magnetic resonance , 2020, Journal of Cardiovascular Magnetic Resonance.

[3]  Michael E. Hall,et al.  Consensus‐Based Technical Recommendations for Clinical Translation of Renal Phase Contrast MRI , 2020, Journal of Magnetic Resonance Imaging.

[4]  G. Deferrari,et al.  Renal dysfunction in cardiovascular diseases and its consequences , 2020, Journal of Nephrology.

[5]  J. Kellum,et al.  Contemporary Management of Severe Acute Kidney Injury and Refractory Cardiorenal Syndrome: JACC Council Perspectives. , 2020, Journal of the American College of Cardiology.

[6]  M. Al-mallah,et al.  Cardiac Imaging for Coronary Heart Disease Risk Stratification in Chronic Kidney Disease. , 2020, JACC. Cardiovascular imaging.

[7]  Ö. Özcan,et al.  Value of Renal Vascular Doppler Sonography in Cardiorenal Syndrome Type 1 , 2020, Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine.

[8]  A. Garg,et al.  A prospective cohort study of acute kidney injury and kidney outcomes, cardiovascular events, and death , 2020, Kidney International.

[9]  C. Weston,et al.  Defining Myocardial Abnormalities Across the Stages of Chronic Kidney Disease: A Cardiac Magnetic Resonance Imaging Study. , 2020, JACC. Cardiovascular imaging.

[10]  B. Hamm,et al.  Multiparametric Assessment of Changes in Renal Tissue after Kidney Transplantation with Quantitative MR Relaxometry and Diffusion-Tensor Imaging at 3 T , 2020, Journal of clinical medicine.

[11]  W. Tang,et al.  Right Heart Failure and Cardiorenal Syndrome. , 2020, Cardiology clinics.

[12]  T. Leiner,et al.  Multiparametric Renal MRI: An Intrasubject Test–Retest Repeatability Study , 2020, Journal of magnetic resonance imaging : JMRI.

[13]  M. Kachelriess,et al.  Clinical quantitative cardiac imaging for the assessment of myocardial ischaemia , 2020, Nature Reviews Cardiology.

[14]  Michael E. Hall,et al.  Consensus-based technical recommendations for clinical translation of renal BOLD MRI , 2019, Magnetic Resonance Materials in Physics, Biology and Medicine.

[15]  Christoffer Laustsen,et al.  Consensus-based technical recommendations for clinical translation of renal T1 and T2 mapping MRI , 2019, Magnetic Resonance Materials in Physics, Biology and Medicine.

[16]  João S Periquito,et al.  Consensus-based technical recommendations for clinical translation of renal diffusion-weighted MRI , 2019, Magnetic Resonance Materials in Physics, Biology and Medicine.

[17]  Christoffer Laustsen,et al.  Technical recommendations for clinical translation of renal MRI: a consensus project of the Cooperation in Science and Technology Action PARENCHIMA , 2019, Magnetic Resonance Materials in Physics, Biology and Medicine.

[18]  J. Voigt,et al.  2- and 3-Dimensional Myocardial Strain in Cardiac Health and Disease. , 2019, JACC. Cardiovascular imaging.

[19]  G. Oudit,et al.  Cardiorenal Syndrome and Heart Failure-Challenges and Opportunities. , 2019, The Canadian journal of cardiology.

[20]  J. Afilalo,et al.  Diagnostic and prognostic value of cardiac magnetic resonance in acute myocarditis: a systematic review and meta-analysis , 2019, The International Journal of Cardiovascular Imaging.

[21]  L. Lerman,et al.  Noninvasive assessment of renal fibrosis by magnetic resonance imaging and ultrasound techniques. , 2019, Translational research : the journal of laboratory and clinical medicine.

[22]  C. Ronco,et al.  Cardiorenal Syndrome: Classification, Pathophysiology, Diagnosis, and Treatment Strategies: A Scientific Statement From the American Heart Association. , 2019, Circulation.

[23]  B. Hack,et al.  Cortical Perfusion and Tubular Function as Evaluated by Magnetic Resonance Imaging Correlates with Annual Loss in Renal Function in Moderate Chronic Kidney Disease , 2019, American Journal of Nephrology.

[24]  Eric J Velazquez,et al.  Guidelines for Performing a Comprehensive Transthoracic Echocardiographic Examination in Adults: Recommendations from the American Society of Echocardiography. , 2019, Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography.

[25]  H. Lamb,et al.  Reproducibility of native T1 mapping for renal tissue characterization at 3T , 2018, Journal of magnetic resonance imaging : JMRI.

[26]  A. Bayés‐Genís,et al.  Intrarenal venous flow in cardiorenal syndrome: a shining light into the darkness , 2018, ESC heart failure.

[27]  W. Beaubien-Souligny,et al.  Alterations in Portal Vein Flow and Intrarenal Venous Flow Are Associated With Acute Kidney Injury After Cardiac Surgery: A Prospective Observational Cohort Study , 2018, Journal of the American Heart Association.

[28]  D. Schlessinger,et al.  Kidney size in relation to ageing, gender, renal function, birthweight and chronic kidney disease risk factors in a general population. , 2018, Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association.

[29]  H. Lamb,et al.  Clinical application and technical considerations of T1 & T2(*) mapping in cardiac, liver, and renal imaging. , 2018, The British journal of radiology.

[30]  F. Wacker,et al.  Usability of Functional MRI in Clinical Studies for Fast and Reliable Assessment of Renal Perfusion and Quantification of Hemodynamic Effects on the Kidney , 2018, Journal of clinical pharmacology.

[31]  M. Stuber,et al.  Reduced cortical oxygenation predicts a progressive decline of renal function in patients with chronic kidney disease. , 2018, Kidney international.

[32]  Wojciech Zareba,et al.  Chronic kidney disease and arrhythmias: conclusions from a Kidney Disease: Improving Global Outcomes (KDIGO) Controversies Conference , 2018, European heart journal.

[33]  J. Moon,et al.  Myocardial Extracellular Volume Quantification by Cardiovascular Magnetic Resonance and Computed Tomography , 2018, Current Cardiology Reports.

[34]  Harald Becher,et al.  Clinical Applications of Ultrasonic Enhancing Agents in Echocardiography: 2018 American Society of Echocardiography Guidelines Update. , 2018, Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography.

[35]  P. Mark,et al.  Characterizing Cardiac Involvement in Chronic Kidney Disease Using CMR—a Systematic Review , 2018, Current Cardiovascular Imaging Reports.

[36]  I. Dekkers,et al.  Gadolinium retention after administration of contrast agents based on linear chelators and the recommendations of the European Medicines Agency , 2018, European Radiology.

[37]  G. Bongartz,et al.  Post-contrast acute kidney injury – Part 1: Definition, clinical features, incidence, role of contrast medium and risk factors , 2018, European Radiology.

[38]  K. Hoyt,et al.  New Ultrasound Techniques Promise Further Advances in AKI and CKD. , 2017, Journal of the American Society of Nephrology : JASN.

[39]  J. M. Mora-Gutiérrez,et al.  Arterial spin labeling MRI is able to detect early hemodynamic changes in diabetic nephropathy , 2017, Journal of magnetic resonance imaging : JMRI.

[40]  J. Vallée,et al.  Comparison of readout‐segmented and conventional single‐shot for echo‐planar diffusion‐weighted imaging in the assessment of kidney interstitial fibrosis , 2017, Journal of magnetic resonance imaging : JMRI.

[41]  T. Mavrakanas,et al.  Epidemiology and Natural History of the Cardiorenal Syndromes in a Cohort with Echocardiography. , 2017, Clinical journal of the American Society of Nephrology : CJASN.

[42]  S. Francis,et al.  Multiparametric Renal Magnetic Resonance Imaging: Validation, Interventions, and Alterations in Chronic Kidney Disease , 2017, Front. Physiol..

[43]  W. Tang,et al.  Intrarenal Flow Alterations During Transition From Euvolemia to Intravascular Volume Expansion in Heart Failure Patients. , 2017, JACC. Heart failure.

[44]  A. Mayr,et al.  Acute kidney injury is associated with microvascular myocardial damage following myocardial infarction. , 2017, Kidney international.

[45]  Jeroen J. Bax,et al.  Prognostic Implications of Left Ventricular Global Longitudinal Strain in Predialysis and Dialysis Patients. , 2017, The American journal of cardiology.

[46]  A. Kono,et al.  Integrating CT Myocardial Perfusion and CT-FFR in the Work-Up of Coronary Artery Disease. , 2017, JACC. Cardiovascular imaging.

[47]  Alistair E. W. Johnson,et al.  Right Ventricular Function, Peripheral Edema, and Acute Kidney Injury in Critical Illness , 2017, Kidney international reports.

[48]  F. Wacker,et al.  Functional MRI for characterization of renal perfusion impairment and edema formation due to acute kidney injury in different mouse strains , 2017, PloS one.

[49]  Jeroen J. Bax,et al.  Myocardial strain to detect subtle left ventricular systolic dysfunction , 2017, European journal of heart failure.

[50]  F. Saremi Cardiac MR Imaging in Acute Coronary Syndrome: Application and Image Interpretation. , 2017, Radiology.

[51]  F. Lehner,et al.  Assessment of acute kidney injury with T1 mapping MRI following solid organ transplantation , 2017, European Radiology.

[52]  A. Razek,et al.  Diffusion tensor imaging of the renal cortex in diabetic patients: correlation with urinary and serum biomarkers , 2017, Abdominal Radiology.

[53]  Patrizio Lancellotti,et al.  Recommendations for the Evaluation of Left Ventricular Diastolic Function by Echocardiography: An Update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. , 2016, European heart journal cardiovascular Imaging.

[54]  S. Plein,et al.  Cardiac T1 Mapping and Extracellular Volume (ECV) in clinical practice: a comprehensive review , 2016, Journal of Cardiovascular Magnetic Resonance.

[55]  M. Al-mallah,et al.  Controversies in the Use of Fractional Flow Reserve Form Computed Tomography (FFRCT) vs. Coronary Angiography , 2016, Current Cardiovascular Imaging Reports.

[56]  D. Stensel,et al.  Novel cardiac nuclear magnetic resonance method for noninvasive assessment of myocardial fibrosis in hemodialysis patients. , 2016, Kidney international.

[57]  A. Radjenovic,et al.  Defining myocardial tissue abnormalities in end-stage renal failure with cardiac magnetic resonance imaging using native T1 mapping , 2016, Kidney international.

[58]  G. Filippatos,et al.  Heart failure and kidney dysfunction: epidemiology, mechanisms and management , 2016, Nature Reviews Nephrology.

[59]  Jing Yuan,et al.  Myocardial T1rho mapping of patients with end‐stage renal disease and its comparison with T1 mapping and T2 mapping: A feasibility and reproducibility study , 2016, Journal of magnetic resonance imaging : JMRI.

[60]  D. Kaye,et al.  Role of Renal Oxidative Stress in the Pathogenesis of the Cardiorenal Syndrome. , 2016, Heart, lung & circulation.

[61]  W. Tang,et al.  Intrarenal Venous Flow: A Window Into the Congestive Kidney Failure Phenotype of Heart Failure? , 2016, JACC. Heart failure.

[62]  K. Aonuma,et al.  Clinical Implications of Intrarenal Hemodynamic Evaluation by Doppler Ultrasonography in Heart Failure. , 2016, JACC. Heart failure.

[63]  Juhani Knuuti,et al.  ASNC imaging guidelines/SNMMI procedure standard for positron emission tomography (PET) nuclear cardiology procedures , 2016, Journal of Nuclear Cardiology.

[64]  Rajan K. Patel,et al.  Non-Contrast Renal Magnetic Resonance Imaging to Assess Perfusion and Corticomedullary Differentiation in Health and Chronic Kidney Disease , 2016, Nephron.

[65]  C. Combe,et al.  Radiologic imaging of the renal parenchyma structure and function , 2016, Nature Reviews Nephrology.

[66]  K. Yutzey,et al.  Cardiac Fibrosis: The Fibroblast Awakens. , 2016, Circulation research.

[67]  G. Remuzzi,et al.  Novel Biomarkers for Renal Diseases? None for the Moment (but One) , 2016, Journal of biomolecular screening.

[68]  Tian-wu Chen,et al.  Review Article Functional Magnetic Resonance Imaging in Acute Kidney Injury: Present Status , 2022 .

[69]  F. Wacker,et al.  Multiparametric Functional Magnetic Resonance Imaging for Assessment of Renal Allograft Pathophysiology in Mice , 2015 .

[70]  Hans Torp,et al.  Myocardial strain imaging: how useful is it in clinical decision making? , 2015, European heart journal.

[71]  Volkmar Falk,et al.  2016 ESC Guidelines for the Diagnosis and Treatment of Acute and Chronic Heart Failure. , 2016, Revista espanola de cardiologia.

[72]  M. Horsfield,et al.  Characterisation of cardiomyopathy by cardiac and aortic magnetic resonance in patients new to hemodialysis , 2015, European Radiology.

[73]  Shihua Zhao,et al.  Contrast-free detection of myocardial fibrosis in hypertrophic cardiomyopathy patients with diffusion-weighted cardiovascular magnetic resonance , 2015, Journal of Cardiovascular Magnetic Resonance.

[74]  Jeanette Schulz-Menger,et al.  Role of cardiovascular magnetic resonance in the guidelines of the European Society of Cardiology , 2015, Journal of Cardiovascular Magnetic Resonance.

[75]  J. Townend,et al.  Diffuse interstitial fibrosis and myocardial dysfunction in early chronic kidney disease. , 2015, The American journal of cardiology.

[76]  P. Nihoyannopoulos,et al.  Early detection of subclinical left ventricular myocardial dysfunction in patients with chronic kidney disease. , 2015, European heart journal cardiovascular Imaging.

[77]  M. Haberal,et al.  Assessment of myocardial mechanics in patients with end-stage renal disease and renal transplant recipients using speckle tracking echocardiography. , 2015, Experimental and clinical transplantation : official journal of the Middle East Society for Organ Transplantation.

[78]  C. Liang,et al.  To Evaluate the Damage of Renal Function in CIAKI Rats at 3T: Using ASL and BOLD MRI , 2015, BioMed research international.

[79]  Don C Rockey,et al.  Fibrosis--a common pathway to organ injury and failure. , 2015, The New England journal of medicine.

[80]  J. McMurray,et al.  Terminology and definition of changes renal function in heart failure. , 2014, European heart journal.

[81]  Xinchun Li,et al.  In vivo evaluation of renal function using diffusion weighted imaging and diffusion tensor imaging in type 2 diabetics with normoalbuminuria versus microalbuminuria , 2014, Frontiers of Medicine.

[82]  Tevfik F Ismail,et al.  In vivo cardiovascular magnetic resonance diffusion tensor imaging shows evidence of abnormal myocardial laminar orientations and mobility in hypertrophic cardiomyopathy , 2014, Journal of Cardiovascular Magnetic Resonance.

[83]  Y. Li,et al.  Assessment of renal fibrosis in chronic kidney disease using diffusion-weighted MRI. , 2014, Clinical radiology.

[84]  K. Hoyt,et al.  Volumetric Contrast‐Enhanced Ultrasound Imaging of Renal Perfusion , 2014, Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine.

[85]  Thoralf Niendorf,et al.  Detailing the Relation Between Renal T2* and Renal Tissue pO2 Using an Integrated Approach of Parametric Magnetic Resonance Imaging and Invasive Physiological Measurements , 2014, Investigative radiology.

[86]  F. Wacker,et al.  T1-mapping for assessment of ischemia-induced acute kidney injury and prediction of chronic kidney disease in mice , 2014, European Radiology.

[87]  J. Townend,et al.  Defining the natural history of uremic cardiomyopathy in chronic kidney disease: the role of cardiovascular magnetic resonance. , 2014, JACC. Cardiovascular imaging.

[88]  B. Tamarappoo,et al.  Clinical decision making with myocardial perfusion imaging in patients with known or suspected coronary artery disease. , 2014, Seminars in nuclear medicine.

[89]  M. Haneda,et al.  Hypoxia in Diabetic Kidneys , 2014, BioMed research international.

[90]  Minming Zhang,et al.  Diffusion-weighted imaging in assessing renal pathology of chronic kidney disease: A preliminary clinical study. , 2014, European journal of radiology.

[91]  S. Faubel,et al.  Renal relevant radiology: use of ultrasonography in patients with AKI. , 2014, Clinical journal of the American Society of Nephrology : CJASN.

[92]  Chi Pang Wen,et al.  Chronic kidney disease and cardiovascular risk: epidemiology, mechanisms, and prevention , 2013, The Lancet.

[93]  Jue Zhang,et al.  Quantitative assessment of acute kidney injury by noninvasive arterial spin labeling perfusion MRI: a pilot study , 2013, Science China Life Sciences.

[94]  V. Haase Mechanisms of hypoxia responses in renal tissue. , 2013, Journal of the American Society of Nephrology : JASN.

[95]  Prabhleen Singh,et al.  Renal oxygenation and haemodynamics in acute kidney injury and chronic kidney disease , 2013, Clinical and experimental pharmacology & physiology.

[96]  G. Fonarow,et al.  Cardiorenal syndrome: pathophysiology and potential targets for clinical management , 2013, Nature Reviews Nephrology.

[97]  L. Schad,et al.  Quantitative Renal Perfusion Measurements in a Rat Model of Acute Kidney Injury at 3T: Testing Inter- and Intramethodical Significance of ASL and DCE-MRI , 2013, PloS one.

[98]  W. Tang,et al.  Cardiorenal Syndrome Revisited , 2013 .

[99]  J. Cleland,et al.  Global longitudinal strain in patients with suspected heart failure and a normal ejection fraction: does it improve diagnosis and risk stratification? , 2013, The International Journal of Cardiovascular Imaging.

[100]  J. Kellum,et al.  Pathogenesis of cardiorenal syndrome type 1 in acute decompensated heart failure: workgroup statements from the eleventh consensus conference of the Acute Dialysis Quality Initiative (ADQI). , 2013, Contributions to nephrology.

[101]  D. Benhamou,et al.  Renal Resistive Index Better Predicts the Occurrence of Acute Kidney Injury Than Cystatin C , 2012, Shock.

[102]  Yong Yang,et al.  Multidirectional myocardial systolic function in hemodialysis patients with preserved left ventricular ejection fraction and different left ventricular geometry. , 2012, Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association.

[103]  Hengyi Rao,et al.  Applications of arterial spin labeled MRI in the brain , 2012, Journal of magnetic resonance imaging : JMRI.

[104]  S. Schoenberg,et al.  Renal BOLD-MRI does not reflect renal function in chronic kidney disease. , 2012, Kidney international.

[105]  J. Neugarten Renal BOLD-MRI and assessment for renal hypoxia. , 2012, Kidney international.

[106]  Norbert Lameire,et al.  Notice , 2012, Kidney International Supplements.

[107]  P. McCullough,et al.  Cardio-renal syndrome type 1: epidemiology, pathophysiology, and treatment. , 2012, Seminars in nephrology.

[108]  C. Ronco,et al.  Cardio-renal syndrome type 5: epidemiology, pathophysiology, and treatment. , 2012, Seminars in nephrology.

[109]  C. Ronco,et al.  The role of inflammation in the cardio-renal syndrome: a focus on cytokines and inflammatory mediators. , 2012, Seminars in nephrology.

[110]  A. Mebazaa,et al.  Cardio-renal syndrome type 2: epidemiology, pathophysiology, and treatment. , 2012, Seminars in nephrology.

[111]  J. Kellum,et al.  Cardio-renal syndrome type 3: epidemiology, pathophysiology, and treatment. , 2012, Seminars in nephrology.

[112]  A. House Cardio-renal syndrome type 4: epidemiology, pathophysiology and treatment. , 2012, Seminars in nephrology.

[113]  L. Beydon,et al.  Early detection of postoperative acute kidney injury by Doppler renal resistive index in cardiac surgery with cardiopulmonary bypass. , 2011, British journal of anaesthesia.

[114]  Dae-Chul Jung,et al.  Renal venous doppler ultrasonography in normal subjects and patients with diabetic nephropathy: Value of venous impedance index measurements , 2011, Journal of clinical ultrasound : JCU.

[115]  M. Landray,et al.  The effects of lowering LDL cholesterol with simvastatin plus ezetimibe in patients with chronic kidney disease (Study of Heart and Renal Protection): a randomised placebo-controlled trial , 2011, The Lancet.

[116]  Pierre Croisille,et al.  Assessment of myocardial fibrosis with cardiovascular magnetic resonance. , 2011, Journal of the American College of Cardiology.

[117]  Jenq-Wen Huang,et al.  Left Ventricular Systolic Strain in Chronic Kidney Disease and Hemodialysis Patients , 2010, American Journal of Nephrology.

[118]  Kakuya Kitagawa,et al.  Characterization and correction of beam-hardening artifacts during dynamic volume CT assessment of myocardial perfusion. , 2010, Radiology.

[119]  M. Woodward,et al.  Association of estimated glomerular filtration rate and albuminuria with all-cause and cardiovascular mortality in general population cohorts: a collaborative meta-analysis , 2010, The Lancet.

[120]  Manesh R. Patel,et al.  ACCF/ACR/AHA/NASCI/SCMR 2010 expert consensus document on cardiovascular magnetic resonance: a report of the American College of Cardiology Foundation Task Force on Expert Consensus Documents. , 2010, Circulation.

[121]  P. Ponikowski,et al.  Epidemiology of cardio-renal syndromes: workgroup statements from the 7th ADQI Consensus Conference. , 2010, Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association.

[122]  Noel R. Rose,et al.  Proinflammatory cytokines in heart failure: double-edged swords , 2010, Heart Failure Reviews.

[123]  Marc Kachelrieß,et al.  Dynamic Iterative Beam Hardening Correction (DIBHC) in Myocardial Perfusion Imaging Using Contrast-Enhanced Computed Tomography , 2010, Investigative radiology.

[124]  W. Bautz,et al.  Measurement of kidney perfusion by magnetic resonance imaging: comparison of MRI with arterial spin labeling to para-aminohippuric acid plasma clearance in male subjects with metabolic syndrome. , 2010, Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association.

[125]  T. Miyata,et al.  Diabetic nephropathy: a disorder of oxygen metabolism? , 2010, Nature Reviews Nephrology.

[126]  Cardio-renal syndromes: report from the consensus conference of the Acute Dialysis Quality Initiative , 2009, European heart journal.

[127]  G. Filippatos,et al.  Association of chronic kidney disease with outcomes in chronic heart failure: a propensity-matched study. , 2008, Nephrology, Dialysis and Transplantation.

[128]  Marc Kachelriess,et al.  Partial scan artifact reduction (PSAR) for the assessment of cardiac perfusion in dynamic phase-correlated CT , 2009, 2008 IEEE Nuclear Science Symposium Conference Record.

[129]  Rajan K. Patel,et al.  Renal transplantation is not associated with regression of left ventricular hypertrophy: a magnetic resonance study. , 2008, Clinical journal of the American Society of Nephrology : CJASN.

[130]  C. Kramer,et al.  Patterns of late gadolinium enhancement in chronic hemodialysis patients. , 2008, JACC. Cardiovascular imaging.

[131]  J Concato,et al.  Biomarkers for the diagnosis and risk stratification of acute kidney injury: a systematic review. , 2008, Kidney international.

[132]  M. Perazella,et al.  Gadolinium-contrast toxicity in patients with kidney disease: nephrotoxicity and nephrogenic systemic fibrosis. , 2008, Current drug safety.

[133]  G. Fonarow,et al.  High prevalence of renal dysfunction and its impact on outcome in 118,465 patients hospitalized with acute decompensated heart failure: a report from the ADHERE database. , 2007, Journal of cardiac failure.

[134]  E. Guérot,et al.  Renal failure in septic shock: predictive value of Doppler-based renal arterial resistive index , 2006, Intensive Care Medicine.

[135]  J. Gore,et al.  ORIGINAL INVESTIGATIONS Pathogenesis and Treatment of Kidney Disease and Hypertension Differential Symptoms of Acute Myocardial Infarction in Patients With Kidney Disease: A Community-Wide Perspective , 2006 .

[136]  Timothy G Reese,et al.  Imaging myocardial fiber disarray and intramural strain hypokinesis in hypertrophic cardiomyopathy with MRI , 2006, Journal of magnetic resonance imaging : JMRI.

[137]  P. Doevendans,et al.  Renal function; , 2004 .

[138]  M. Bock,et al.  Renal Disease: Value of Functional Magnetic Resonance Imaging With Flow and Perfusion Measurements , 2004, Investigative radiology.

[139]  E Widjaja,et al.  Ultrasound measured renal length versus low dose CT volume in predicting single kidney glomerular filtration rate. , 2004, The British journal of radiology.

[140]  T. Hostetter,et al.  Aldosterone in chronic kidney and cardiac disease. , 2003, Journal of the American Society of Nephrology : JASN.

[141]  J. Foster,et al.  Echocardiography overestimates left ventricular mass in hemodialysis patients relative to magnetic resonance imaging. , 1999, Kidney international.

[142]  W. Abraham,et al.  Hormones and hemodynamics in heart failure. , 1999, The New England journal of medicine.

[143]  E. Ritz,et al.  Diffuse intermyocardiocytic fibrosis in uraemic patients. , 1990, Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association.