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

Published version
Peer-reviewed

Type

Article

Change log

Authors

Selby, Nicholas M 
Blankestijn, Peter J 
Boor, Peter 
Combe, Christian 
Eckardt, Kai-Uwe 

Abstract

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.

Description

Keywords

Biomarkers, Disease Progression, Humans, Magnetic Resonance Imaging, Renal Insufficiency, Chronic

Journal Title

Nephrol Dial Transplant

Conference Name

Journal ISSN

0931-0509
1460-2385

Volume Title

33

Publisher

Oxford University Press (OUP)
Sponsorship
EU COST Action PARENCHIMA