The lack of organs for kidney transplantation is a growing concern. Expansion in organ supply has been proposed through the use of organs after circulatory death (DCD). However, many DCD grafts are discarded due to long warm ischemia times, and the absence of reliable measure of kidney viability. P MRI spectroscopy (pMRI) is a noninvasive method to detect high-energy phosphate metabolites, such as adenosine triphosphate (ATP). Thus, pMRI could predict kidney energy state, and its viability prior to transplantation.