Research progress in functional magnetic resonance imaging assessment of lupus nephritis kidney injury

Lupus. 2023 Sep;32(10):1143-1154. doi: 10.1177/09612033231193790. Epub 2023 Aug 9.

Abstract

Lupus nephritis is one of the most common and severe complications of systemic lupus erythematosus and is also a major predictor of poor prognosis and mortality. Lupus nephritis has the characteristics of insidious onset, complex pathological types, rapid progression of organ damage, and easy recurrence. Currently, kidney damage in lupus nephritis is usually assessed based on urine analysis, renal biopsy, and glomerular filtration rates. However, they all have certain limitations, making it difficult to diagnose lupus nephritis early and assess its severity and progression. With the rapid development of functional magnetic resonance, multiple functional imaging techniques are expected to provide more useful information for the pathophysiological development, early diagnosis, progression, prognosis, and renal function evaluation of lupus nephritis. This article reviews the principle of multiple functional magnetic resonance imaging and the research status of evaluating renal function in lupus nephritis.

Keywords: Systemic lupus erythematosus; functional magnetic resonance imaging; kidney; lupus nephritis; renal biopsy; renal function.

Publication types

  • Review

MeSH terms

  • Biopsy
  • Humans
  • Kidney / pathology
  • Lupus Erythematosus, Systemic* / complications
  • Lupus Nephritis* / diagnosis
  • Magnetic Resonance Imaging
  • Prognosis