Evidence map›Paper›PMID 42899103›Full record

ArticleClinical kidney journal2026

Diffusion tensor MR neurography reveals altered sciatic and tibial nerve microstructure in chronic dialysis patients.

Melissa Fesselier, Jonas Busecke, Katrin Klein, Clara Raudonat, Georges Sam, Markus Weiler, Sarah Khan-Blouki, Johann M E Jende, Sabine Heiland, Martin Zeier and 2 more

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Article in Clinical kidney journal, 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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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

12 authors.

Melissa FesselierDepartment of Neuroradiology, University Hospital Heidelberg, Heidelberg, Germany.
Jonas BuseckeDepartment of Neuroradiology, University Hospital Heidelberg, Heidelberg, Germany.
Katrin KleinDepartment of Nephrology, Heidelberg University Hospital, Heidelberg University, Heidelberg, Germany.
Clara RaudonatDepartment of Neuroradiology, University Hospital Heidelberg, Heidelberg, Germany.
Georges SamDepartment of Neurology, University Hospital Heidelberg, Heidelberg, Germany.
Markus WeilerDepartment of Neurology, University Hospital Heidelberg, Heidelberg, Germany.
Sarah Khan-BloukiDepartment of Nephrology, Heidelberg University Hospital, Heidelberg University, Heidelberg, Germany.
Johann M E JendeDivision of Radiology, German Cancer Research Center (DKFZ), Heidelberg, Germany.
Sabine HeilandDepartment of Neuroradiology, University Hospital Heidelberg, Heidelberg, Germany.
Martin ZeierDepartment of Nephrology, Heidelberg University Hospital, Heidelberg University, Heidelberg, Germany.
Martin BendszusDepartment of Neuroradiology, University Hospital Heidelberg, Heidelberg, Germany.ORCID https://orcid.org/0000-0002-9094-6769
Christoph M MooshageDepartment of Neuroradiology, University Hospital Heidelberg, Heidelberg, Germany.ORCID https://orcid.org/0000-0003-3436-9298

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Uremic polyneuropathy is a complication of chronic kidney disease, presenting as a distal symmetric neuropathy mainly attributed to axonal damage. Electrophysiology provides limited insight into microstructural nerve alterations. Magnetic resonance neurography (MRN) may enable assessment of peripheral nerve integrity. This study aimed to quantify sciatic and tibial nerve microstructural changes in chronic dialysis patients and evaluate their clinical relevance. Methods: Thirty patients on chronic dialysis (DP)-without prediabetes or diabetes-and 30 healthy controls (HCs) underwent MRN, including diffusion tensor imaging (DTI). All MRN datasets of the distal thigh (30/30) were suitable for analysis. Four lower-leg examinations in the patient cohort (26/30) and three in the healthy group (27/30) were excluded because of motion artifacts. Fractional anisotropy (FA) was defined as the primary imaging outcome, while axial diffusivity (AD) and radial diffusivity (RD) were analyzed as secondary metrics. Electrophysiological testing was not available in four patients in the dialysis cohort (26/30). Results were compared between groups and correlated with electrophysiological, clinical, and laboratory findings. Results: FA of the sciatic (DP 0.44, HC 0.48, Discussion: The reduction in FA and AD, together with electrophysiological and clinical correlations, is compatible with a predominantly axonal pattern of peripheral nerve involvement in chronic dialysis patients. DTI detected peripheral nerve microstructural alterations associated with chronic dialysis. These findings support further longitudinal and disease control studies to determine the clinical utility of DTI as an imaging biomarker in chronic dialysis patients.

Indexed as

biomarkersdialysishemodialysismagnetic resonance imagingsciatic neuropathy

Identifiers

PMID42899103
PMCPMC13678747

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