Characterizing Cardiac Involvement in Chronic Kidney Disease Using CMR—a Systematic Review

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Abstract

Purpose of Review

The aim of the review was to identify and describe recent advances (over the last 3 years) in cardiac magnetic resonance (CMR) imaging in patients with chronic kidney disease (CKD). We conducted a literature review in line with current guidelines.

Recent Findings

The authors identified 22 studies. Patients with CKD had left ventricular global and regional dysfunction and adverse remodeling. Stress testing with CMR revealed a reduced stress-response in CKD patients. Native T1 relaxation times (as a surrogate markers of fibrosis) are elevated in CKD patients, proportional to disease duration. Patients with CKD have reduced strain magnitudes and reduced aortic distensibility.

Summary

CMR has diagnostic utility to identify and characterize cardiac involvement in this patient group. A number of papers have described novel findings over the last 3 years, suggesting that CMR has potential to become more widely used in studies in this patient group.

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Most cited references 18

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KDOQI Clinical Practice Guidelines and Clinical Practice Recommendations for Anemia in Chronic Kidney Disease.

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The global burden of chronic kidney disease: estimates, variability and pitfalls

Richard Glassock, David Warnock, Pierre Delanaye (2016)

Chronic kidney disease (CKD) is currently defined by abnormalities of kidney structure or function assessed using a matrix of variables — including glomerular filtration rate (GFR), thresholds of albuminuria and duration of injury — and is considered by many to be a common disorder globally.

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DENSE: displacement encoding with stimulated echoes in cardiac functional MRI.

R Balaban, H Wen, Gui-Sheng Ding … (1999)

Displacement encoding with stimulated echoes (DENSE) was developed for high-resolution myocardial displacement mapping. Pixel phase is modulated by myocardial displacement and data spatial resolution is limited only by pixel size. 2D displacement vector maps were generated for the systolic action in canines with 0.94 x 1.9 mm nominal in-plane resolution and 2.3 mm/pi displacement encoding. A radial strain of 0.208 was measured across the free left ventricular wall over 105 ms during systole. DENSE displacement maps require small first-order gradient moments for encoding. DENSE magnitude images exhibit black-blood contrast which allows for better myocardial definition and reduced motion-related artifacts.

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Author and article information

Contributors

Elaine Rutherford: +44 (0)141 330 8218 , elaine.rutherford@glasgow.ac.uk

Journal

Journal ID (nlm-ta): Curr Cardiovasc Imaging Rep

Journal ID (iso-abbrev): Curr Cardiovasc Imaging Rep

Title: Current Cardiovascular Imaging Reports

Publisher: Springer US (New York )

ISSN (Print): 1941-9066

ISSN (Electronic): 1941-9074

Publication date (Electronic): 31 January 2018

Publication date PMC-release: 31 January 2018

Publication date (Print): 2018

Volume: 11

Issue: 1

Electronic Location Identifier: 2

Affiliations

[1 ]ISNI 0000 0001 2193 314X, GRID grid.8756.c, Institute of Cardiovascular and Medical Sciences, BHF Cardiovascular Research Centre, , University of Glasgow, ; BHF Building, 126 University Place, Glasgow, G12 8TA UK

[2 ]ISNI 0000 0001 2177 007X, GRID grid.415490.d, Glasgow Renal & Transplant Unit, NHS Greater Glasgow & Clyde, , Queen Elizabeth University Hospital, ; Glasgow, UK

Article

Publisher ID: 9441

DOI: 10.1007/s12410-018-9441-9

PMC ID: 5818546

PubMed ID: 29497467

SO-VID: 36ad12e2-191a-40ef-a960-61bdaa1a681c

License:

Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.

History

Funding

Funded by: FundRef http://dx.doi.org/10.13039/501100000291, Kidney Research UK;

Award ID: IN02/2013

Award Recipient : Elaine Rutherford

Funded by: darlinda's charity for renal research

Funded by: FundRef http://dx.doi.org/10.13039/501100000274, British Heart Foundation;

Award ID: FS/15/54/31639

Award Recipient : Kenneth Mangion

Funded by: NHS R&D

Award ID: GN16ON418

Award Recipient : Kenneth Mangion

Custom metadata

ScienceOpen disciplines: Cardiovascular Medicine

Keywords: cardiac magnetic resonance,chronic kidney disease,t1 mapping,strain

Data availability:

ScienceOpen disciplines: Cardiovascular Medicine

Keywords: cardiac magnetic resonance, chronic kidney disease, t1 mapping, strain

Characterizing Cardiac Involvement in Chronic Kidney Disease Using CMR—a Systematic Review

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Abstract

Purpose of Review

Recent Findings

Summary

Related collections

Cardiovascular Innovations and Applications

Most cited references 18

KDOQI Clinical Practice Guidelines and Clinical Practice Recommendations for Anemia in Chronic Kidney Disease.

The global burden of chronic kidney disease: estimates, variability and pitfalls

DENSE: displacement encoding with stimulated echoes in cardiac functional MRI.

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