Fractional anisotropy (FA) and mean diffusivity (MD) derived from diffusion tensor imaging (DTI) are promising for assessing subclinical changes in diabetic kidney disease (DKD). However, renal echo planar DTI can be challenging due to susceptibility artefacts, which can be mitigated by a small field of view (FOV) 2D spatially selective RF excitation. We report initial experience at 3T in 9 controls and 4 diabetic patients, finding high inter-reader agreement for cortical and medullary FA and MD, and significantly lower medullary and cortical FA in patients compared to controls. Small FOV DTI is a feasible non-invasive method of DKD assessment/ monitoring.
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