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Contrast Enhanced Ultrasound Compared with MRI and CT in the Evaluation of Post-Renal Transplant Complications

Renal transplantation (RT) is the treatment of choice for end-stage renal disease, significantly improving patients’ survival and quality of life. However, approximately 3–23% of patients encounter post-operative complications, and radiology plays a major role for their early detection and treatment...

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Autores principales: David, Emanuele, Del Gaudio, Giovanni, Drudi, Francesco Maria, Dolcetti, Vincenzo, Pacini, Patrizia, Granata, Antonio, Pretagostini, Renzo, Garofalo, Manuela, Basile, Antonio, Bellini, Maria Irene, D’Andrea, Vito, Scaglione, Mariano, Barr, Richard, Cantisani, Vito
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9326620/
https://www.ncbi.nlm.nih.gov/pubmed/35894008
http://dx.doi.org/10.3390/tomography8040143
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author David, Emanuele
Del Gaudio, Giovanni
Drudi, Francesco Maria
Dolcetti, Vincenzo
Pacini, Patrizia
Granata, Antonio
Pretagostini, Renzo
Garofalo, Manuela
Basile, Antonio
Bellini, Maria Irene
D’Andrea, Vito
Scaglione, Mariano
Barr, Richard
Cantisani, Vito
author_facet David, Emanuele
Del Gaudio, Giovanni
Drudi, Francesco Maria
Dolcetti, Vincenzo
Pacini, Patrizia
Granata, Antonio
Pretagostini, Renzo
Garofalo, Manuela
Basile, Antonio
Bellini, Maria Irene
D’Andrea, Vito
Scaglione, Mariano
Barr, Richard
Cantisani, Vito
author_sort David, Emanuele
collection PubMed
description Renal transplantation (RT) is the treatment of choice for end-stage renal disease, significantly improving patients’ survival and quality of life. However, approximately 3–23% of patients encounter post-operative complications, and radiology plays a major role for their early detection and treatment or follow-up planning. CT and MRI are excellent imaging modalities to evaluate renal transplant post-operative course; nevertheless, they are both associated with a high cost and low accessibility, as well as some contraindications, making them not feasible for all patients. In particular, gadolinium-based contrast can lead to the rare condition of nephrogenic systemic fibrosis, and iodine-based contrast can lead to contrast-induced nephropathy (CIN). CT also exposes the patients who may require multiple examinations to ionizing radiation. Therefore, considering the overall advantages and disadvantages, contrast-enhanced ultrasound (CEUS) is presently considered an effective first-line imaging modality for post-operative early and long-term follow-up in RT, reducing the need for biopsies and providing adequate guidance for drainage procedures. Hence, this paper aims to review the updated knowledge on CEUS compared with CT and MRI for the evaluation of RT renal transplant complications; advantages, limitations, and possible recommendations are provided.
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spelling pubmed-93266202022-07-28 Contrast Enhanced Ultrasound Compared with MRI and CT in the Evaluation of Post-Renal Transplant Complications David, Emanuele Del Gaudio, Giovanni Drudi, Francesco Maria Dolcetti, Vincenzo Pacini, Patrizia Granata, Antonio Pretagostini, Renzo Garofalo, Manuela Basile, Antonio Bellini, Maria Irene D’Andrea, Vito Scaglione, Mariano Barr, Richard Cantisani, Vito Tomography Review Renal transplantation (RT) is the treatment of choice for end-stage renal disease, significantly improving patients’ survival and quality of life. However, approximately 3–23% of patients encounter post-operative complications, and radiology plays a major role for their early detection and treatment or follow-up planning. CT and MRI are excellent imaging modalities to evaluate renal transplant post-operative course; nevertheless, they are both associated with a high cost and low accessibility, as well as some contraindications, making them not feasible for all patients. In particular, gadolinium-based contrast can lead to the rare condition of nephrogenic systemic fibrosis, and iodine-based contrast can lead to contrast-induced nephropathy (CIN). CT also exposes the patients who may require multiple examinations to ionizing radiation. Therefore, considering the overall advantages and disadvantages, contrast-enhanced ultrasound (CEUS) is presently considered an effective first-line imaging modality for post-operative early and long-term follow-up in RT, reducing the need for biopsies and providing adequate guidance for drainage procedures. Hence, this paper aims to review the updated knowledge on CEUS compared with CT and MRI for the evaluation of RT renal transplant complications; advantages, limitations, and possible recommendations are provided. MDPI 2022-06-28 /pmc/articles/PMC9326620/ /pubmed/35894008 http://dx.doi.org/10.3390/tomography8040143 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
David, Emanuele
Del Gaudio, Giovanni
Drudi, Francesco Maria
Dolcetti, Vincenzo
Pacini, Patrizia
Granata, Antonio
Pretagostini, Renzo
Garofalo, Manuela
Basile, Antonio
Bellini, Maria Irene
D’Andrea, Vito
Scaglione, Mariano
Barr, Richard
Cantisani, Vito
Contrast Enhanced Ultrasound Compared with MRI and CT in the Evaluation of Post-Renal Transplant Complications
title Contrast Enhanced Ultrasound Compared with MRI and CT in the Evaluation of Post-Renal Transplant Complications
title_full Contrast Enhanced Ultrasound Compared with MRI and CT in the Evaluation of Post-Renal Transplant Complications
title_fullStr Contrast Enhanced Ultrasound Compared with MRI and CT in the Evaluation of Post-Renal Transplant Complications
title_full_unstemmed Contrast Enhanced Ultrasound Compared with MRI and CT in the Evaluation of Post-Renal Transplant Complications
title_short Contrast Enhanced Ultrasound Compared with MRI and CT in the Evaluation of Post-Renal Transplant Complications
title_sort contrast enhanced ultrasound compared with mri and ct in the evaluation of post-renal transplant complications
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9326620/
https://www.ncbi.nlm.nih.gov/pubmed/35894008
http://dx.doi.org/10.3390/tomography8040143
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