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Diagnostic of chronic kidney disease and renal transplant pathologies through the direct and kidney-wide mapping of microvascular anomalies with sensing-volumetric Ultrasound Localization Microscopy

Project description

3D ultrasound for healthier kidney transplants

Treatment of chronic kidney disease often requires renal transplants. Unfortunately, current methods, like biopsies, are impractical for routine monitoring. Ultrasound localisation microscopy (ULM) and sensing-ULM (sULM) provide insights into kidney microcirculation. However, sULM’s 2D visualisation of glomeruli is limited. The ERC-funded KidneyScope project will advance a sensing-volumetric ULM (3D) technique that could transform renal transplant management by offering a non-invasive, portable solution for monitoring vascular health and detecting early graft dysfunction. The project will combine volumetric ULM with glomerular insights to provide high-resolution assessments of renal microcirculation. It will build on previous ERC projects like ResolveStroke and StrokeMonitor.

Objective

Chronic kidney disease (CKD) is a major global health issue, with peripheral kidney microvascular damage being a hallmark feature that is challenging to assess and often requires renal transplant. Current diagnostic methods for monitoring microvascular complications in renal grafts, such as biopsies, lack the practicality needed for regular assessment.
Ultrasound localization microscopy (ULM) and sensing-ULM (sULM) present a promising approach, providing detailed metrics on the microvascular network. We have demonstrated that sULM can visualize glomeruli in a patient's kidney in 2D by observing the peculiar swirling behavior of clinically common microbubbles within them. Such a technique could be used to characterize the kidney's microcirculation and its modifications by pathologies like CKD, but was severely impaired by its planar character.
A sensing-volumetric-ULM, 3D, technique could transform renal transplant management by offering a non-invasive, portable solution to monitor vascular health and detect early graft dysfunction in entire kidneys at the microscale. This innovation builds on the ERC Cog ResolveStroke and ERC POC StrokeMonitor projects. The KidneyScope project, combining volumetric ULM and this glomerular insight, represents a promising approach to address the urgent need for high-resolution renal microcirculation assessment.

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HORIZON-ERC-POC - HORIZON ERC Proof of Concept Grants

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Call for proposal

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(opens in new window) ERC-2024-POC

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Host institution

CENTRE NATIONAL DE LA RECHERCHE SCIENTIFIQUE CNRS
Net EU contribution

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€ 106 250,00
Address
RUE MICHEL ANGE 3
75794 PARIS
France

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Region
Ile-de-France Ile-de-France Paris
Activity type
Research Organisations
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Beneficiaries (2)

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