ArticleKidney international reports2026
Prospective Study of Multiparametric Renal MRI for CKD Progression (AFiRM).
Article in Kidney international reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04238299 (Application of Functional Renal MRI to Improve Assessment of Chronic Kidney Disease), which is not on this map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Application of Functional Renal MRI to Improve Assessment of Chronic Kidney Disease
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Authors and funding
22 authors.
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Abstract
Introduction: Chronic kidney disease (CKD) has major population health implications, but current imaging approaches provide limited pathophysiological insights. We designed a study to evaluate renal multiparametric magnetic resonance imaging (MRI; mpMRI) as a tool to improve diagnosis, risk stratification, disease monitoring, and therapeutic decision-making in CKD. Methods: The application of functional renal MRI to improve assessment of CKD (AFiRM study; NCT04238299) is a multicenter, prospective, observational cohort study in people with CKD. Participants underwent renal mpMRI using the harmonized cross-vendor UK Renal Imaging Network: MRI Acquisition and Processing Standardization (UKRIN-MAPS) protocol at baseline and at 2-years. Clinical data are collected annually for 4 years with kidney failure outcomes assessed at 10 years. Primary objectives are to determine associations between MRI measures of kidney morphology, inflammation, fibrosis, perfusion, and oxygenation with CKD progression, and to quantify longitudinal changes in mpMRI measures. A biopsy substudy compares mpMRI measures with histology to explore mechanistic processes including fibrosis. Results: Across 9 centers, 420 participants (biopsy substudy Conclusion: The AFiRM study has established a representative CKD cohort undergoing advanced renal mpMRI with long-term follow-up. This is an important resource to study how renal MRI measures and their longitudinal changes relate to CKD severity and progression.
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Registered trials
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