首页|磁共振mapping技术定量在2型糖尿病患者早期肾功能评估中的应用

磁共振mapping技术定量在2型糖尿病患者早期肾功能评估中的应用

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目的 探讨磁共振mapping技术定量在2型糖尿病(T2DM)患者早期肾功能评估中的应用价值.方法 本文为病例对照研究.按照1∶1配对原则选取2021年5月至2022年7月诊治的18例轻度DN患者(eGFR>60mL/min·1.73m2)、18 例中度 DN 患者(eGFR 60~30 mL/min·1.73m2)、18例重度DN患者(eGFR<30mL/min·1.73m2,共计54例DN患者作为研究对象,设立为DN组,同期按照选取54例单纯2型糖尿病患者设立为对照组.对比T1值、T2值,采用ROC曲线模型诊断DN和预测DN患者肾功能的曲线下面积(AUC)、敏感度、特异度.结果 DN组的T1值、T2值高于对照组(P<0.05).重度组的T1值、T2值均高于轻度组和中度组(P<0.05).ROC曲线分析显示,T1值、T2值及综合参数诊断DN的AUC值分别为(0.801、0.809、0.840,P<0.05),敏感度分别为66.70%、63.00%、72.20%;特异度分别为85.20%、90.70%、88.90%.T1值、T2值及综合参数预测DN患者肾功能的AUC值分别为(0.782、0.770、0.824,P<0.05);敏感度分别为77.80%、55.60%、72.20%;特异度分别为72.20%、97.20%、86.10%.结论 磁共振mapping技术可定量评估2型糖尿病患者的肾功能,有助于早期发现DN.
Quantitative Application of Magnetic Resonance Mapping Technique in Early Renal Function Assessment of Patients with Type 2 Diabetes
Objective To investigate the quantitative application value of magnetic resonance mapping technique in early renal function assessment of patients with type 2 diabetes mellitus(T2DM).Methods This is a case-control study.Eighteen patients with mild DN(eGFR>60mL/min·1.73m2)and 18 patients with moderate DN(eGFR 60-30)were selected from May 2021 to July 2022 according to the 1∶1 pairing principle mL/min·1.73m2),18 patients with severe DN(eGFR<30mL/min·1.73m2,a total of 54 patients with DN were selected as the study object,and 54 patients with simple type 2 diabetes were selected as the control group during the same period.Comparing T1 and T2 values,the ROC curve model was used to diagnose DN and predict the AUC,sensitivity and specificity of renal function in patients with DN.Results The values of T1 and T2 in DN group were higher than those in T2DM group(P<0.05).The values of T1 and T2 in severe group were higher than those in mild and moderate groups(P<0.05).ROC curve analysis showed that the AUC values of T1,T2 and comprehensive parameters were(0.801,0.809,0.840,P<0.05),and the sensitivity were 66.70%,63.00%,72.20%,The specificity was 85.20%,90.70%and 88.90%.T1,T2 and combined parameters predicted the AUC values of renal function in DN patients(0.782,0.770,0.824,P<0.05),The sensitivity,respectively.Conclusion Magnetic resonance mapping can quantitatively evaluate renal function in patients with type 2 diabetes,which is helpful for early detection of DN.

Magnetic ResonanceQuantitative Relaxation TimeType 2 Diabetes MellitusDiabetic NephropathyRenal Function

刘清钊、骆旖旎、汪颖

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重庆市南岸区人民医院内三科(重庆 400060)

重庆市南岸区人民医院医学影像科(重庆 400060)

磁共振 弛豫时间定量 2型糖尿病 糖尿病肾病 肾功能

重庆市自然科学基金面上项目

cstc2019jcyjmsxmX0504

2024

中国CT和MRI杂志
北京大学深圳临床医学院 北京大学第一医院

中国CT和MRI杂志

CSTPCD
影响因子:1.578
ISSN:1672-5131
年,卷(期):2024.22(6)