Quantitative T2* magnetic resonance imaging for renal iron overload assessment: normal values by age and sex

Abdom Imaging. 2015 Aug;40(6):1700-4. doi: 10.1007/s00261-015-0395-y.

Abstract

Purpose: Few studies of renal iron content have been performed with multiecho gradient-echo (ME-GRE) T2* magnetic resonance imaging (MRI). We assessed the feasibility and reproducibility of ME-GRE T2* MRI for measuring regional and global renal T2* values, and established the lower limits of normal in healthy subjects, also correlating the measured values with age and sex.

Methods: Twenty consecutive healthy subjects (13 men and 7 women, mean age 29.1 ± 7.2 years, range 19-42 years) underwent MRI examinations using a 1.5 T magnet and an ME-GRE T2* sequence. For each kidney, T2* was measured in anterior, posterolateral, and posteromedial renal parenchymal regions. The mean T2* value was calculated as the average of the two kidneys T2* values.

Results: For the mean kidney T2* value, the coefficients of variation for intra- and inter-operator reproducibility were 1.76% and 6.23%, respectively. The lower limit of normal for the mean kidney T2* value was 31 ms (median 51.39 ± 10.09). There was no significant difference between left and right kidney T2* values (p = 0.578). No significant correlation was found between T2* values and subjects' age or sex.

Conclusions: Renal ME-GRE T2* appears to be a feasible and reproducible technique. The renal T2* values showed no dependence on sex or age.

MeSH terms

  • Adult
  • Age Factors
  • Feasibility Studies
  • Female
  • Humans
  • Image Enhancement
  • Iron Overload / diagnosis*
  • Kidney / pathology*
  • Magnetic Resonance Imaging*
  • Male
  • Observer Variation
  • Reproducibility of Results
  • Sensitivity and Specificity
  • Sex Factors
  • Young Adult