综述解读 情报发生 2026-10-31 · 发布于 2026-11-01

多参数 MRI 纵向研究方案:活体肾移植供受者与肾功能老化标志物

来源:JMIR Res Protoc · PMID 42954158 · DOI 10.2196/97152 · 来源:IMA 知识库《文献层·文献监控卡片》2026-10-31 期 · 全文级(file_id dmlmcfQeUyzO,实际下载核验) · 全文已获取并通过归属校验

时间标签:数据日期 2026-10-31 · 生成时间 2026-11-01 05:30(Asia/Shanghai)| 检索窗口 PubMed edat 2026/10/28–2026/10/31 | 情报发生日期 2026-10-31

研究问题

Renal biopsy remains the reference standard for histological assessment of fibrosis; however, its invasive nature limits repeated assessment.;A major challenge in renal mpMRI research is the lack of standardized protocols for image acquisition, postprocessing, and analysis.;The primary objective of the multiparametric renal magnetic resonance imaging (MPRENAL) study is to evaluate the association between time-dependent changes in the corticomedullary T1 difference and progression of histologically determined fibrosis in KTRs, with further MRI measures examined in a fixed order specified in advance of analysis.

方法

This is a multicenter, prospective, longitudinal observational cohort study including LKDs, KTRs, and HCs.;Participants will undergo repeated assessments over a 24-month follow-up period.;As illustrated in , the study follows a longitudinal trajectory over 24 months for all 3 cohorts.;Following the baseline assessment, participants undergo follow-up visits at 3, 12, and 24 months.

核心结论

No analyses of the primary or secondary outcomes have been performed. ‖ 结论:These methodological limitations should be considered when interpreting associations among imaging biomarkers, histological findings, and functional outcomes in the present study.

局限

A key limitation of this study is the spatial mismatch between the focal needle biopsy samples and the cortical and medullary ROIs assessed by mpMRI.;An additional limitation relates to temporal alignment of baseline assessments in KTRs, as described in the Methods.;Associations involving baseline should therefore be interpreted with caution.

对本项目的价值

★☆☆☆☆ 代谢轴既干预敏感性最高,也是老药新用供给最充足的来源。

全文来源

PMC JATS 全文(正文 55,426 字符,已过标题/DOI 逐字归属校验)

原文题录

  • 英文标题:Multiparametric Magnetic Resonance Imaging in a Prospective Cohort of Living Kidney Donors, Recipients, and Healthy Controls and Correlations With Markers of Renal Function, Fibrosis, and Aging (MPRENAL): Protocol for a Longitudinal Observational Study.
  • 期刊与标识:JMIR Res Protoc · PMID 42954158 · DOI 10.2196/97152

C 级证据分级:C 级(预印本 / 观点评论,非原始研究)

本文属观点/评论类文献,不是原始研究。其论点依赖于作者对既有证据的梳理与判断,不构成新的实验证据。本站标注 C 级即为此意——阅读时请把它当作「领域内的思考框架」,而非「研究发现」。

关于本文的文献来源:本站依据 IMA 知识库「五刊监控·深度文献卡片」撰写,依据已获取的期刊全文(方法、样本量与结论已回到原文核对);未能获取全文的同批条目另行标注「摘要级」,全程未做任何数值推算补全。