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Magnetic resonance (MR) imaging was used in 40 renal transplant recipients to determine whether this modality can enable distinction of acute tubular necrosis (ATN) and acute rejection by means of corticomedullary differentiation (CMD). Each patient underwent initial MR imaging after allograft renal transplantation. Twenty-nine of these 40 patients (72%) also underwent subsequent follow-up MR imaging. Seventeen studies were obtained during episodes of ATN; 12 of these studies (71%) showed poor CMD. Eleven studies were obtained during episodes of acute rejection; eight of these studies (73%) showed poor CMD. In addition, six of seven studies (86%) showing various combinations of renal disease (ATN, acute rejection, chronic rejection, and cyclosporine toxicity) also showed poor CMD. Loss of CMD is reversible after improvement of ATN and acute rejection. Because loss of CMD is a nonspecific though sensitive sign reflecting renal transplant dysfunction, MR imaging is of limited value in the differentiation of ATN from acute rejection.
J T Liou, and
J K Lee, and
J P Heiken, and
W G Totty, and
P L Molina, and
W M Flye
March 2009,
Journal of forensic sciences,
J T Liou, and
J K Lee, and
J P Heiken, and
W G Totty, and
P L Molina, and
W M Flye
July 1986,
Radiology,
J T Liou, and
J K Lee, and
J P Heiken, and
W G Totty, and
P L Molina, and
W M Flye
October 1978,
Seminars in roentgenology,
J T Liou, and
J K Lee, and
J P Heiken, and
W G Totty, and
P L Molina, and
W M Flye
January 1979,
International urology and nephrology,
J T Liou, and
J K Lee, and
J P Heiken, and
W G Totty, and
P L Molina, and
W M Flye
August 1994,
Transplantation proceedings,
J T Liou, and
J K Lee, and
J P Heiken, and
W G Totty, and
P L Molina, and
W M Flye
August 1996,
JPMA. The Journal of the Pakistan Medical Association,
J T Liou, and
J K Lee, and
J P Heiken, and
W G Totty, and
P L Molina, and
W M Flye
May 1998,
Hinyokika kiyo. Acta urologica Japonica,
J T Liou, and
J K Lee, and
J P Heiken, and
W G Totty, and
P L Molina, and
W M Flye
December 2004,
Transplantation proceedings,
J T Liou, and
J K Lee, and
J P Heiken, and
W G Totty, and
P L Molina, and
W M Flye
April 1977,
AJR. American journal of roentgenology,
J T Liou, and
J K Lee, and
J P Heiken, and
W G Totty, and
P L Molina, and
W M Flye
January 2001,
Acta radiologica (Stockholm, Sweden : 1987),
