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Magnetic Resonance Materials in Physics, Biology and Medicine
Published in: Magnetic Resonance Materials in Physics, Biology and Medicine 1/2020

Open Access 01-02-2020 | Magnetic Resonance Imaging | Research Article

Consensus-based technical recommendations for clinical translation of renal ASL MRI

Authors: Fabio Nery, Charlotte E. Buchanan, Anita A. Harteveld, Aghogho Odudu, Octavia Bane, Eleanor F. Cox, Katja Derlin, H. Michael Gach, Xavier Golay, Marcel Gutberlet, Christoffer Laustsen, Alexandra Ljimani, Ananth J. Madhuranthakam, Ivan Pedrosa, Pottumarthi V. Prasad, Philip M. Robson, Kanishka Sharma, Steven Sourbron, Manuel Taso, David L. Thomas, Danny J. J. Wang, Jeff L. Zhang, David C. Alsop, Sean B. Fain, Susan T. Francis, María A. Fernández-Seara

Published in: Magnetic Resonance Materials in Physics, Biology and Medicine | Issue 1/2020

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Abstract

Objectives

This study aimed at developing technical recommendations for the acquisition, processing and analysis of renal ASL data in the human kidney at 1.5 T and 3 T field strengths that can promote standardization of renal perfusion measurements and facilitate the comparability of results across scanners and in multi-centre clinical studies.

Methods

An international panel of 23 renal ASL experts followed a modified Delphi process, including on-line surveys and two in-person meetings, to formulate a series of consensus statements regarding patient preparation, hardware, acquisition protocol, analysis steps and data reporting.

Results

Fifty-nine statements achieved consensus, while agreement could not be reached on two statements related to patient preparation. As a default protocol, the panel recommends pseudo-continuous (PCASL) or flow-sensitive alternating inversion recovery (FAIR) labelling with a single-slice spin-echo EPI readout with background suppression and a simple but robust quantification model.

Discussion

This approach is considered robust and reproducible and can provide renal perfusion images of adequate quality and SNR for most applications. If extended kidney coverage is desirable, a 2D multislice readout is recommended. These recommendations are based on current available evidence and expert opinion. Nonetheless they are expected to be updated as more data become available, since the renal ASL literature is rapidly expanding.
Appendix
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Metadata
Title
Consensus-based technical recommendations for clinical translation of renal ASL MRI
Authors
Fabio Nery
Charlotte E. Buchanan
Anita A. Harteveld
Aghogho Odudu
Octavia Bane
Eleanor F. Cox
Katja Derlin
H. Michael Gach
Xavier Golay
Marcel Gutberlet
Christoffer Laustsen
Alexandra Ljimani
Ananth J. Madhuranthakam
Ivan Pedrosa
Pottumarthi V. Prasad
Philip M. Robson
Kanishka Sharma
Steven Sourbron
Manuel Taso
David L. Thomas
Danny J. J. Wang
Jeff L. Zhang
David C. Alsop
Sean B. Fain
Susan T. Francis
María A. Fernández-Seara
Publication date
01-02-2020
Publisher
Springer International Publishing
Published in
Magnetic Resonance Materials in Physics, Biology and Medicine / Issue 1/2020
Print ISSN: 0968-5243
Electronic ISSN: 1352-8661
DOI
https://doi.org/10.1007/s10334-019-00800-z

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