Diffusion-weighted magnetic resonance imaging: a non-nephrotoxic prompt assessment of kidney involvement in IgG4-related disease Agnieszka A. Pozdzik,

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Diffusion-weighted magnetic resonance imaging: a non-nephrotoxic prompt assessment of kidney involvement in IgG4-related disease Agnieszka A. Pozdzik, Celso Matos, Sandrine Rorive, Isabelle Brocheriou, Myriam Delhaye, Joëlle L. Nortier Kidney International Volume 85, Issue 4, (April 2014) DOI: 10.1038/ki.2013.540 Copyright © 2014 International Society of Nephrology Terms and Conditions

Figure 1 Contribution of diffusion-weighted magnetic resonance imaging in the detection of the subclinical stage of IgG4-related acute TIN. (a) Color-coded map of T2-weighted and diffusion-weighted imaging displayed multiple bilateral areas of water movement restriction (red arrows) related to hypercellular content of the renal parenchyma associated with marked thickening of the anterior cortex. Areas of normal renal parenchyma (blue arrow) are also shown. The white arrow indicates ultrasound-guided biopsy of the right kidney. (b) Massive interstitial inflammation with extensive renal tubule destruction and apparently normal glomeruli. (Hematoxylin and eosin staining; original magnification × 400.) Kidney International 2014 85, DOI: (10.1038/ki.2013.540) Copyright © 2014 International Society of Nephrology Terms and Conditions