Renal diffusion tensor imaging (DTI) is a promising, non-invasive biomarker for kidney function. Cortical and medullary fractional anisotropy (FA) and mean diffusivity (MD) correlates with early microstructural and functional changes in kidney diseases. However, reliability of DTI metrics is affected by artifacts. The ideal renal DTI sequence for robust and reproducible measurements remains under investigation. We report on a prototype for small field-of-view (FOV) DTI incorporating 2D selective and rotated RF excitation and automatic motion correction to minimize artifacts in 9 diabetic patients and 9 controls, demonstrating high inter-reader agreement for measured FA and MD and high image quality.
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