Evidence map›Paper›PMID 32997177›Full record

ArticleEuropean radiology2021

Noninvasive evaluation of early diabetic nephropathy using diffusion kurtosis imaging: an experimental study.

Haiying Zhou, Jianguang Zhang, Xiao Ming Zhang, Tianwu Chen, Jiani Hu, Zonglin Jing, Shunhai Jian

Abstract read
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In one paragraph

Article in European radiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
1.4field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 23 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

Haiying ZhouSichuan Key Laboratory of Medical Imaging, and Department of Radiology, Affiliated Hospital of North Sichuan Medical College, 63# Wenhua Road, Shunqing District, Nanchong, 637000, Sichuan Province, China.
Jianguang ZhangDepartment of Orthopedics, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan, China.
Xiao Ming ZhangSichuan Key Laboratory of Medical Imaging, and Department of Radiology, Affiliated Hospital of North Sichuan Medical College, 63# Wenhua Road, Shunqing District, Nanchong, 637000, Sichuan Province, China. zhangxm@nsmc.edu.cn.ORCID http://orcid.org/0000-0001-5327-8506
Tianwu ChenSichuan Key Laboratory of Medical Imaging, and Department of Radiology, Affiliated Hospital of North Sichuan Medical College, 63# Wenhua Road, Shunqing District, Nanchong, 637000, Sichuan Province, China.
Jiani HuDepartment of Radiology, Wayne State University, Detroit, MI, USA.
Zonglin JingSichuan Key Laboratory of Medical Imaging, and Department of Radiology, Affiliated Hospital of North Sichuan Medical College, 63# Wenhua Road, Shunqing District, Nanchong, 637000, Sichuan Province, China.
Shunhai JianDepartment of Pathology, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan, China.
Affiliated Hospital of North Sichuan Medical College · CNNorth Sichuan Medical University · CNWayne State University · US

Funding

National Natural Science Foundation of China 81541127
6 · The paper itself

Abstract

objectivesTo evaluate the value of renal diffusion kurtosis imaging (DKI) in the diagnosis of early diabetic nephropathy (DN) in a rat model. MATERIALS AND

methodsForty male Zucker diabetic fatty rats that spontaneously developed type 2 diabetes mellitus (DM) and 20 age-matched nondiabetic lean Zucker rats were included. Renal DKI scans and histological examinations were performed on the rats in batches at the end of the 4th, 8th, 12th, 16th, and 20th week after DM model was built. Based on renal histopathological appearance, included animals were divided into three groups: a nondiabetic control group, a DM group without DN, and an early DN group. Mean kurtosis (MK) and mean diffusivity (MD) values of renal cortex and medulla were analyzed statistically.

resultsMK values of renal cortex and medulla tended to increase from the control group to the early DN group, respectively, while MD values tended to decrease. The cutoff MD and MK values of renal cortex and medulla showed different values in discriminating early DN from controls. Among them, cutoff MK value of medulla of 0.62 was the best parameter (sensitivity, 93.9%; specificity, 96.4%; and area under the curve, 0.95). For discriminate early DN from DM without DN and DM without DN from controls, cutoff MK value of renal cortex or medulla achieved an area under the curve of 0.76-0.85.

conclusionsMR DKI may be valuable for the noninvasive detection of early DN, and MK value might serve as a more sensitive biomarker of early DN than MD value. KEY POINTS: • In this article, diffusion kurtosis imaging (DKI) was used to detect the changes in the kidneys due to early diabetic nephropathy (DN). • MR DKI may be valuable for the noninvasive detection of early DN. • The mean kurtosis values of renal cortex and medulla might serve as a more sensitive biomarker of early DN than the mean diffusivity values.

Indexed as

Diabetes Mellitus, Type 2Diabetic NephropathiesAnimalsDiffusion Magnetic Resonance ImagingDiffusion Tensor ImagingMaleRatsRats, ZuckerTomography, X-Ray ComputedDiabetic nephropathyDiffusion magnetic resonance imagingMagnetic resonance imaging

Identifiers

PMID32997177
OpenAlexW3090344863

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.