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 |
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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. |
doi_str_mv | 10.1007/s00261-017-1307-0 |
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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.</description><identifier>ISSN: 2366-004X</identifier><identifier>EISSN: 2366-0058</identifier><identifier>DOI: 10.1007/s00261-017-1307-0</identifier><identifier>PMID: 28856401</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>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</subject><ispartof>Abdominal imaging, 2018-04, Vol.43 (4), p.880-898</ispartof><rights>Springer Science+Business Media, LLC 2017</rights><rights>Abdominal Radiology is a copyright of Springer, (2017). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c438t-eb7c91bfb33962cc7cdca3800456f7a318870288bb9efd2fcd0833e3a1a09a733</citedby><cites>FETCH-LOGICAL-c438t-eb7c91bfb33962cc7cdca3800456f7a318870288bb9efd2fcd0833e3a1a09a733</cites><orcidid>0000-0003-4575-3471</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00261-017-1307-0$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00261-017-1307-0$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28856401$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kazmierski, Brittany</creatorcontrib><creatorcontrib>Deurdulian, Corinne</creatorcontrib><creatorcontrib>Tchelepi, Hisham</creatorcontrib><creatorcontrib>Grant, Edward G.</creatorcontrib><title>Applications of contrast-enhanced ultrasound in the kidney</title><title>Abdominal imaging</title><addtitle>Abdom Radiol</addtitle><addtitle>Abdom Radiol (NY)</addtitle><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.</description><subject>Biopsy</subject><subject>Computed tomography</subject><subject>Contrast Media - administration & dosage</subject><subject>Cysts</subject><subject>Diagnosis, Differential</subject><subject>Diagnostic systems</subject><subject>Gastroenterology</subject><subject>Hepatology</subject><subject>Humans</subject><subject>Image-Guided Biopsy</subject><subject>Imaging</subject><subject>Incidental Findings</subject><subject>Ionizing radiation</subject><subject>Kidney cancer</subject><subject>Kidney Diseases - diagnostic imaging</subject><subject>Kidney Diseases - pathology</subject><subject>Kidney Diseases - therapy</subject><subject>Kidney Transplantation</subject><subject>Lesions</subject><subject>Magnetic resonance imaging</subject><subject>Medical imaging</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>NMR</subject><subject>Nuclear magnetic resonance</subject><subject>Pictorial Essay</subject><subject>Radiology</subject><subject>Renal cell carcinoma</subject><subject>Therapeutic applications</subject><subject>Ultrasonic imaging</subject><subject>Ultrasonography - 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Academic</collection><jtitle>Abdominal imaging</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kazmierski, Brittany</au><au>Deurdulian, Corinne</au><au>Tchelepi, Hisham</au><au>Grant, Edward G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Applications of contrast-enhanced ultrasound in the kidney</atitle><jtitle>Abdominal imaging</jtitle><stitle>Abdom Radiol</stitle><addtitle>Abdom Radiol (NY)</addtitle><date>2018-04-01</date><risdate>2018</risdate><volume>43</volume><issue>4</issue><spage>880</spage><epage>898</epage><pages>880-898</pages><issn>2366-004X</issn><eissn>2366-0058</eissn><abstract>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.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>28856401</pmid><doi>10.1007/s00261-017-1307-0</doi><tpages>19</tpages><orcidid>https://orcid.org/0000-0003-4575-3471</orcidid></addata></record> |
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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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