We use multi-parametric renal MRI to assess structural and haemodynamic changes in CKD patients and assess these changes after one and two years to investigate the ability of MRI measures to predict and monitor progression of CKD. At baseline, higher renal cortex T1 and a reduction in renal cortex perfusion are associated with subsequent progression of CKD over 2 years suggesting that these MRI parameters may be predictors of progression. Renal cortex T1 and total kidney volume changed more in ‘progressors’ than in ‘stable’ participants over time compared to baseline suggesting these to be useful MRI measures to monitor progression.
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