Evidence map›Paper›PMID 42477596›Full record

ArticleBMC medical imaging2026

Capability of multiparametric MRI to detect diabetic nephropathy in high-risk patients with type 2 diabetes: a prospective preliminary study.

Wei Mao, Xiaoqiang Ding, Caixia Fu, Bernd Kuehn, Dominik Nickel, Robert Grimm, Thomas Benkert, Mengsu Zeng, Jianjun Zhou

Abstract read
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Article in BMC medical imaging, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Wei MaoDepartment of Radiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Medical Imaging, 180 Fenglin Road, Shanghai, 200032, People's Republic of China.
Xiaoqiang DingDepartment of Nephrology, Zhongshan Hospital, Fudan University, 180 Fenglin Road, Shanghai, 200032, People's Republic of China.
Caixia FuMR Applications Development, Siemens Shenzhen Magnetic Resonance Ltd, Shenzhen, China.
Bernd KuehnResearch & Clinical Translation, Magnetic Resonance, Siemens Healthineers AG, Erlangen, Germany.
Dominik NickelResearch & Clinical Translation, Magnetic Resonance, Siemens Healthineers AG, Erlangen, Germany.
Robert GrimmResearch & Clinical Translation, Magnetic Resonance, Siemens Healthineers AG, Erlangen, Germany.
Thomas BenkertResearch & Clinical Translation, Magnetic Resonance, Siemens Healthineers AG, Erlangen, Germany.
Mengsu Zeng *Department of Radiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Medical Imaging, 180 Fenglin Road, Shanghai, 200032, People's Republic of China. fdzsmw@126.com.
Jianjun Zhou *Department of Radiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Medical Imaging, 180 Fenglin Road, Shanghai, 200032, People's Republic of China. zhoujianjunzs@126.com.ORCID http://orcid.org/0000-0003-4175-0513

Funding

National Natural Science Foundation of China 82402224"Science and Technology Innovation Action Plan" Star Project/Star Cultivation (Sailing Special Project) 22YF1443700
6 · The paper itself

Abstract

backgroundEarly diagnosis and treatment of diabetic nephropathy (DN) is important for improving prognosis of patients, but the noninvasive and reliable diagnostic tool is lacking. We aim to investigate the ability of multiparametric MRI for detecting early DN in high-risk patients with type 2 diabetes.

methodsBetween June 2023 and October 2024, we prospectively recruited 80 patients(diabetic patients group, n = 42, 53.4 ± 10.0 years old; DN patients group, n = 38, 47.9 ± 10.9 years old) and 16 healthy volunteers(control group, 49.5 ± 9.5 years old). All participants were examined using multiparametric MRI(IVIM, DKI, ASL and T1 mapping). The true diffusion coefficient(D), perfusion fraction(f), mean diffusivity(MD), mean kurtosis(MK), renal blood flow(RBF), T1 values in renal cortex were measured. Renal cortical MRI parameters among 3 groups were compared by one-way analysis of variance. Correlation between estimated glomerular filtration rate(eGFR), 24-hour urine albumin(24 h-UA) and renal cortical MRI parameters was evaluated using Spearman correlation analysis. The diagnostic performances of MRI parameters compared with biochemical indexes for detecting early DN were assessed using receiver operating characteristic curves.

resultsRenal cortical MRI parameters demonstrated statistically significant differences among 3 groups(P < 0.050). The eGFR, 24 h-UA significantly correlated with renal cortical MRI parameters(P < 0. 001). The areas under the curve(AUCs) for discriminating diabetic patients group from DN patients group were 0.706, 0.864, 0.732, 0.718, 0.910 and 0.718 for D, f, MD, MK, RBF and T1 values. AUCs of renal cortical f, RBF values were significantly larger than that of eGFR, serum creatinine, 24 h-UA, fasting blood glucose(P < 0.050).

conclusionsIntravoxel incoherent motion diffusion-weighted imaging and arterial spin labeling exhibited considerable promise as noninvasive tools for detecting DN in high-risk patients with type 2 diabetes.

Indexed as

Diabetes Mellitus, Type 2Diabetic NephropathiesMultiparametric Magnetic Resonance ImagingAdultCase-Control StudiesEarly DiagnosisFemaleGlomerular Filtration RateHumansMaleMiddle AgedProspective StudiesArterial spin labelingDiabetic nephropathyDiffusion kurtosis imagingIntravoxel incoherent motion diffusion-weighted imagingT1 mapping

Identifiers

PMID42477596
PMCPMC13663060

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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.