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Renal infarct: Contrast‐enhanced power Doppler sonographic findings
Author(s) -
Yücel Cem,
Özdemir Hakan,
Akpek Sergin,
Gürel Kamil,
Kapucu L. Özlem,
Araç Mehmet
Publication year - 2001
Publication title -
journal of clinical ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.272
H-Index - 61
eISSN - 1097-0096
pISSN - 0091-2751
DOI - 10.1002/jcu.1026
Subject(s) - medicine , perfusion , kidney , radiology , contrast (vision) , infarction , angiography , ultrasound , power doppler , contrast enhanced ultrasound , parenchyma , nuclear medicine , pathology , myocardial infarction , cardiology , artificial intelligence , computer science
Abstract Power Doppler sonography (PDUS) is a promising technique for the diagnosis of renal infarcts. PDUS's efficacy may be enhanced by using sonographic contrast agents. We evaluated 3 cases of renal infarction using PDUS and the sonographic contrast agent Levovist. The findings were compared with those of other imaging modalities, such as scintigraphy, CT, and angiography. In case 1, PDUS showed a patent interlobar artery only in the lower part of the right kidney and no other perfusion of the right renal parenchyma. Contrast‐enhanced PDUS showed patchy areas of preserved perfusion in the lower and middle‐upper anterior portions of the kidney. In case 2, PDUS showed diffuse and patchy perfusion defects in the anterolateral portion of the right kidney. On contrast‐enhanced PDUS, no signal enhancement was seen in these areas, but the perfusion defects were better delineated. In case 3, PDUS showed no perfusion in the upper pole of the kidney; the nonperfused area extended to the posterior upper portion of the kidney but could not be distinguished from normal tissue. After injection of the contrast agent, there was no enhancement of the posterior extension of the upper pole infarct, but Doppler signals from the surrounding normal parenchyma were enhanced, so the area was more clearly demarcated. The administration of the contrast agent facilitated the visualization of the infarcts in all 3 cases. © 2001 John Wiley & Sons, Inc. J Clin Ultrasound 29:237–242, 2001.