Evidence map›Paper›PMID 33285670›Full record

Observational studyMedicine2020

Application of MR diffusion imaging for non-invasive assessment of acute kidney injury after lung transplantation.

Katja Derlin, Susanne Hellms, Marcel Gutberlet, Matti Peperhove, Mi-Sun Jang, Robert Greite, Dagmar Hartung, Thorsten Derlin, Christine Fegbeutel, Igor Tudorache and 8 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.6field-weighted citation impact, top 29% 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

5 citing papers in PubMed, 8 citations in OpenAlex.

  1. Review
  2. Assessment of Acute Kidney Injury using MRI.Journal of magnetic resonance imaging : JMRI · 2025
    Review
  3. Review
  4. Article
  5. Review
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

18 authors at 1 institution in 3 countries.

Katja DerlinDepartment of Radiology.
Susanne HellmsDepartment of Radiology.ORCID 0000-0001-9604-2691
Marcel GutberletDepartment of Radiology.
Matti PeperhoveDepartment of Radiology.
Mi-Sun JangDepartment of Nephrology.
Robert GreiteDepartment of Nephrology.
Dagmar HartungDepartment of Radiology.
Thorsten DerlinDepartment of Nuclear Medicine.
Christine FegbeutelDepartment of Cardiothoracic, Transplantation and Vascular Surgery.
Igor TudoracheDepartment of Transplantation and Vascular Surgery.
Björn JüttnerDepartment of Anaesthesiology.
Birgitt WieseDepartment of General Practice.
Ralf LichtinghagenDepartment of Clinical Chemistry, Hannover Medical School, Hannover, Germany.
Hermann HallerDepartment of Nephrology.
Axel HaverichDepartment of Cardiothoracic, Transplantation and Vascular Surgery.
Frank WackerDepartment of Radiology.
Gregor WarneckeDepartment of Cardiothoracic, Transplantation and Vascular Surgery.
Faikah GuelerDepartment of Nephrology.
Apple (Israel) · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To assess whether MR diffusion imaging may be applied for non-invasive detection of renal changes correlating with clinical diagnosis of acute kidney injury (AKI) in patients after lung transplantation (lutx).Fifty-four patients (mean age 49.6, range 26-64 years) after lutx were enrolled in a prospective clinical study and underwent functional MR imaging of the kidneys in the early postoperative period. Baseline s-creatinine ranged from 39 to 112 μmol/L. For comparison, 14 healthy volunteers (mean age 42.1, range 24-59 years) underwent magnetic resonance imaging (MRI) using the same protocol. Renal tissue injury was evaluated using quantification of diffusion and diffusion anisotropy with diffusion-weighted (DWI) and diffusion-tensor imaging (DTI). Renal function was monitored and AKI was defined according to Acute-Kidney-Injury-Network criteria. Statistical analysis comprised one-way ANOVA and Pearson correlation.67% of lutx patients (36/54) developed AKI, 47% (17/36) had AKI stage 1, 42% (15/36) AKI stage 2, and 8% (3/36) severe AKI stage 3. Renal apparent diffusion coefficients (ADCs) were reduced in patients with AKI, but preserved in transplant patients without AKI and healthy volunteers (2.07 ± 0.02 vs 2.18 ± 0.05 vs 2.21 ± 0.03 × 10 mm/s, P < .05). Diffusion anisotropy was reduced in all lutx recipients compared with healthy volunteers (AKI: 0.27 ± 0.01 vs no AKI: 0.28 ± 0.01 vs healthy: 0.33 ± 0.02; P < .01). Reduction of renal ADC correlated significantly with acute loss of renal function after lutx (decrease of renal function in the postoperative period and glomerular filtration rate on the day of MRI).MR diffusion imaging enables non-invasive assessment of renal changes correlating with AKI early after lutx. Reduction of diffusion anisotropy was present in all patients after lutx, whereas marked reduction of renal ADC was observed only in the group of lutx recipients with AKI and correlated with renal function impairment.

Indexed as

Acute Kidney InjuryAdultAnisotropyCreatinineDiffusion Magnetic Resonance ImagingFemaleGlomerular Filtration RateHumansLung TransplantationMaleMiddle AgedProspective StudiesSeverity of Illness IndexCreatinine

Identifiers

PMID33285670
PMCPMC7717793
OpenAlexW3110677726

What OpenQuestion holds

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Registered trials

None linked

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.