Applications of contrast-enhanced ultrasound in the kidney

Incidental discovery of renal lesions on cross-sectional imaging studies performed for other indications is not uncommon. With the increased reliance on medical imaging, the number of incidentally detected renal lesions has also grown over time. While simple cysts account for the majority of these l...

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Veröffentlicht in:Abdominal imaging 2018-04, Vol.43 (4), p.880-898
Hauptverfasser: Kazmierski, Brittany, Deurdulian, Corinne, Tchelepi, Hisham, Grant, Edward G.
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container_issue 4
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container_title Abdominal imaging
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creator Kazmierski, Brittany
Deurdulian, Corinne
Tchelepi, Hisham
Grant, Edward G.
description Incidental discovery of renal lesions on cross-sectional imaging studies performed for other indications is not uncommon. With the increased reliance on medical imaging, the number of incidentally detected renal lesions has also grown over time. While simple cysts account for the majority of these lesions, the presence of complex features within a cystic lesion, such as septations and solid components, can present a confusing picture. Solid lesions, too, can be indeterminate, and distinguishing between benign solid masses (like lipid-poor angiomyolipomas and oncocytomas) and renal cell carcinoma affects patient management and can prevent unnecessary interventions. Indeterminate renal lesions are traditionally further characterized by multiphase imaging, such as contrast-enhanced computed tomography and magnetic resonance imaging. Contrast-enhanced ultrasound (CEUS) is a new, relatively inexpensive technique that has become increasingly employed in the diagnostic workup of indeterminate renal lesions. With its lack of nephrotoxicity, the absence of ionizing radiation, and the ability to evaluate the enhancement pattern of renal lesions quickly and in real-time, CEUS has unique advantages over traditional imaging modalities. This article provides an overview of the current clinical applications of CEUS in characterizing renal lesions, both cystic and solid. Additional applications of CEUS in the kidney, including its roles in renal transplant evaluation and guidance for percutaneous biopsy, will also be briefly discussed.
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subjects Biopsy
Computed tomography
Contrast Media - administration & dosage
Cysts
Diagnosis, Differential
Diagnostic systems
Gastroenterology
Hepatology
Humans
Image-Guided Biopsy
Imaging
Incidental Findings
Ionizing radiation
Kidney cancer
Kidney Diseases - diagnostic imaging
Kidney Diseases - pathology
Kidney Diseases - therapy
Kidney Transplantation
Lesions
Magnetic resonance imaging
Medical imaging
Medicine
Medicine & Public Health
NMR
Nuclear magnetic resonance
Pictorial Essay
Radiology
Renal cell carcinoma
Therapeutic applications
Ultrasonic imaging
Ultrasonography - methods
Ultrasound
title Applications of contrast-enhanced ultrasound in the kidney
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