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Real‐time contrast‐enhanced sonography in renal transplant recipients
Author(s) -
Schwenger Vedat,
Hinkel UlrichPaul,
Nahm AnnaMaria,
Morath Christian,
Zeier Martin
Publication year - 2006
Publication title -
clinical transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.918
H-Index - 76
eISSN - 1399-0012
pISSN - 0902-0063
DOI - 10.1111/j.1399-0012.2006.00600.x
Subject(s) - medicine , chronic allograft nephropathy , perfusion , radiology , nephropathy , kidney , kidney transplantation , biopsy , transplantation , kidney disease , ultrasonography , surgery , diabetes mellitus , endocrinology
Conventional colour Doppler ultrasonography (CDUS) is a well‐established and the most frequently used imaging procedure to diagnose kidney allograft dysfunction. Unfortunately, this technique is limited to the estimation of the allograft perfusion in large arteries. Early diagnosis of vascular damage, i.e., chronic allograft nephropathy is essential for an early therapeutic intervention. CDUS is still limited in interpreting vascular integrity. In contrast‐enhanced sonography (CES) is a feasible technique for quantitative analysis of kidney perfusion and early diagnosis of biopsy proven chronic allograft nephropathy. CES does not provide only quantitative information on microvascular perfusion of the renal allografts but also represents improved diagnostic significance compared with CDUS for the detection of chronic allograft nephropathy.