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Quantitative sodium MRI of kidney

One of the main tasks of the human kidneys is to maintain the homeostasis of the body's fluid and electrolyte balance by filtration of the plasma and excretion of the end products. Herein, the regulation of extracellular sodium in the kidney is of particular importance. Sodium MRI (23Na MRI) al...

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Main Authors: Zöllner, Frank G. (Author) , Budjan, Johannes (Author) , Schönberg, Stefan (Author) , Schad, Lothar R. (Author) , Haneder, Stefan (Author)
Format: Article (Journal)
Language:English
Published: 2016
In: NMR in biomedicine
Year: 2015, Volume: 29, Issue: 2, Pages: 197-205
ISSN:1099-1492
DOI:10.1002/nbm.3274
Online Access:Verlag, Volltext: http://dx.doi.org/10.1002/nbm.3274
Verlag, Volltext: https://onlinelibrary-wiley-com.ezproxy.medma.uni-heidelberg.de/doi/abs/10.1002/nbm.3274
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Author Notes:Frank G. Zöllner, Simon Konstandin, Jonathan Lommen, Johannes Budjan, Stefan O. Schoenberg, Lothar R. Schad, Stefan Haneder

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520 |a One of the main tasks of the human kidneys is to maintain the homeostasis of the body's fluid and electrolyte balance by filtration of the plasma and excretion of the end products. Herein, the regulation of extracellular sodium in the kidney is of particular importance. Sodium MRI (23Na MRI) allows for the absolute quantification of the tissue sodium concentration (TSC) and thereby provides a direct link between TSC and tissue viability. Renal 23Na MRI can provide new insights into physiological tissue function and viability thought to differ from the information obtained by standard 1H MRI. Sodium imaging has the potential to become an independent surrogate biomarker not only for renal imaging, but also for oncology indications. However, this technique is now on the threshold of clinical implementation. Numerous, initial pre-clinical and clinical studies have already outlined the potential of this technique; however, future studies need to be extended to larger patient groups to show the diagnostic outcome. In conclusion, 23Na MRI is seen as a powerful technique with the option to establish a non-invasive renal biomarker for tissue viability, but is still a long way from real clinical implementation. 
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