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Different strategies for MRI measurements of renal cortical volume
Author(s) -
Karstoft Kristian,
Lødrup Anders B.,
Dissing Thomas H.,
Sørensen Thomas S.,
Nyengaard Jens R.,
Pedersen Michael
Publication year - 2007
Publication title -
journal of magnetic resonance imaging
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.563
H-Index - 160
eISSN - 1522-2586
pISSN - 1053-1807
DOI - 10.1002/jmri.21121
Subject(s) - reproducibility , stereology , segmentation , nuclear medicine , medicine , magnetic resonance imaging , biomedical engineering , radiology , computer science , mathematics , pathology , artificial intelligence , statistics
Purpose First, to measure renal cortical volume (Vc) using different MRI methods combined with a semiautomatic segmentation method. Second, to compare MRI measurements of Vc using the semiautomatic segmentation method with a manual segmentation method. Third, to evaluate the reproducibility of Vc measurements. Materials and Methods A total of 22 pigs, 13 with healthy kidneys and nine with diseased kidneys, underwent MRI with two non‐contrast‐agent methods (MRI 100×900 and MRI 300×1100 ) and one contrast‐agent method (MRI Gd ). For each of these methods, Vc was estimated using semiautomatic (Vc 100×900 , Vc 300×1100 , and Vc Gd ), as well as manual (Vc MANUAL ) segmentation. Reference volumes were estimated by stereological means (Vc STEREOLOGY ). MRI‐derived volumes were compared with reference volumes using a two‐tailed paired t ‐test, and variances between methods were visualized with Bland Altman plots. Reproducibilities were analyzed using covariance analysis. Results Neither measurements of Vc 100×900 , Vc 300×1100 , nor Vc Gd differed markedly from Vc STEREOLOGY using semiautomatic segmentation. Vc was comparable when semiautomatic and manual segmentations were performed at the same scan. Reproducibility of MRI estimated Vc values offered intra‐ and interindividual differences <5%. Conclusion Vc can in both healthy and diseased kidneys be measured accurately with MRI using both semiautomatic and manual segmentation, and measurements can be obtained with a high reproducibility. Measurements of Vc 100×900 may in the future become suitable in patients with chronic renal failure. J. Magn. Reson. Imaging 2007. © 2007 Wiley‐Liss, Inc.