Value of contrast-enhanced ultrasound for diagnosis and follow-up of renal artery stenosis in patients with chronic kidney disease
Objective To evaluate whether contrast-enhanced ultrasound (CEUS) is an accurate, non-nephrotoxic diagnostic method and follow-up tool for use in patients with chronic kidney disease (CKD) and renal artery stenosis (RAS). Methods In this prospective and monocentric study, we compared the sensitivity...
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| Veröffentlicht in: | Abdominal imaging 2022-05, Vol.47 (5), p.1853-1861 |
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| creator | Li, Tianhui Mao, Yonghui Zhao, Ban Wang, Haitao Ren, Junhong Ma, Na Wang, Siyu |
| description | Objective
To evaluate whether contrast-enhanced ultrasound (CEUS) is an accurate, non-nephrotoxic diagnostic method and follow-up tool for use in patients with chronic kidney disease (CKD) and renal artery stenosis (RAS).
Methods
In this prospective and monocentric study, we compared the sensitivity and specificity of CEUS for the diagnosis of RAS in CKD patients, using digital subtraction angiography (DSA) or computed tomographic angiography (CTA) as the gold standard methods. Further, the value of CEUS for distinguishing restenosis from other diseases was assessed. The ultrasound physicians conducted the examinations and served as the CEUS report readers who were blinded to the DSA or CTA results.
Results
Patients with RAS (
n
= 60) were enrolled. Average patient age was 64.4 ± 18.0 years and median estimated glomerular filtration rate was 66.1 mL/min/1.73 m
2
. CEUS was used to image 94 stenotic renal arteries and DSA- or CTA-verified stenosis was present in 96 renal arteries. The kappa value for CEUS was 0.776 (
P
|
| doi_str_mv | 10.1007/s00261-022-03457-w |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2636155161</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2654825219</sourcerecordid><originalsourceid>FETCH-LOGICAL-c375t-6f9106d3c49b6da437bfb415a789073132b0db2c9555caaccb3252a88858db153</originalsourceid><addsrcrecordid>eNp9kU1PHSEUhklTU436B7poSNx0g-VjYGaWjdG2iYmb6pYwwHixc-GWw-Tmbv3l5TpWTRddQQ7P-5yQF6GPjJ4zStsvQClXjFDOCRWNbMn2HTriQilCqezev7kfolOAB0opU5IxLj-gQyF501LFjtDjnZlmj9OIbYolGyjEx5WJ1js8T_tBmqPDY8rYBXMfEwTA5mkyTWlL5s0-m300Eza5-LzDUPyChYg3pgQfC-BtKCtsVznFYPGv4KLfVSF4A_4EHYxmAn_6fB6j26vLnxffyfXNtx8XX6-JFa0sRI09o8oJ2_SDcqYR7TAODZOm7XraCib4QN3AbS-ltMZYOwguuem6TnZuYFIco8-Ld5PT79lD0esA1k-TiT7NoLkSiknJFKvo2T_oQ5pz_eOekk1XxayvFF8omxNA9qPe5LA2eacZ1fuS9FKSriXpp5L0toY-PavnYe3dS-RvJRUQCwD1Kd77_Lr7P9o_su2ehw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2654825219</pqid></control><display><type>article</type><title>Value of contrast-enhanced ultrasound for diagnosis and follow-up of renal artery stenosis in patients with chronic kidney disease</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Li, Tianhui ; Mao, Yonghui ; Zhao, Ban ; Wang, Haitao ; Ren, Junhong ; Ma, Na ; Wang, Siyu</creator><creatorcontrib>Li, Tianhui ; Mao, Yonghui ; Zhao, Ban ; Wang, Haitao ; Ren, Junhong ; Ma, Na ; Wang, Siyu</creatorcontrib><description>Objective
To evaluate whether contrast-enhanced ultrasound (CEUS) is an accurate, non-nephrotoxic diagnostic method and follow-up tool for use in patients with chronic kidney disease (CKD) and renal artery stenosis (RAS).
Methods
In this prospective and monocentric study, we compared the sensitivity and specificity of CEUS for the diagnosis of RAS in CKD patients, using digital subtraction angiography (DSA) or computed tomographic angiography (CTA) as the gold standard methods. Further, the value of CEUS for distinguishing restenosis from other diseases was assessed. The ultrasound physicians conducted the examinations and served as the CEUS report readers who were blinded to the DSA or CTA results.
Results
Patients with RAS (
n
= 60) were enrolled. Average patient age was 64.4 ± 18.0 years and median estimated glomerular filtration rate was 66.1 mL/min/1.73 m
2
. CEUS was used to image 94 stenotic renal arteries and DSA- or CTA-verified stenosis was present in 96 renal arteries. The kappa value for CEUS was 0.776 (
P
< 0.001), with an accuracy of 92.5%, a sensitivity of 94.7%, and a specificity of 84.0%. The accuracy of CEUS was the same for the diagnosis of the CKD3b–5 group as for the CKD1–3a group (100% vs. 87.5%,
P
= 0.148). There was no difference in CEUS accuracy for the diagnosis of Takayasu RAS compared with atherosclerotic RAS (95.8% vs. 91.7%,
P
= 0.795). Twenty-nine CEUS examinations were performed to follow in-stent restenosis or progression of RAS, with a median follow-up time of 5.0 months (range 1.0–20.0). Two cases of in-stent restenosis in patients suffering from deteriorating kidney function and recurrent hypertension were examined by CEUS.
Conclusion
CEUS examination is a credible alternative for diagnosing moderate and severe RAS in patients with CKD, and is a reliable tool for follow-up surveillance after renal artery revascularization treatment. It shouldn’t be thought as a color-coded duplex ultrasonography rescue in these patients.</description><identifier>ISSN: 2366-0058</identifier><identifier>ISSN: 2366-004X</identifier><identifier>EISSN: 2366-0058</identifier><identifier>DOI: 10.1007/s00261-022-03457-w</identifier><identifier>PMID: 35247061</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Abdomen ; Accuracy ; Aged ; Aged, 80 and over ; Angiography ; Angiography, Digital Subtraction ; Arteries ; Arteriosclerosis ; Atherosclerosis ; Bladder ; Computed tomography ; Contrast Media ; Coronary Restenosis ; Diagnosis ; Female ; Follow-Up Studies ; Gastroenterology ; Glomerular filtration rate ; Hepatology ; Humans ; Hypertension ; Imaging ; Implants ; Kidney diseases ; Kidneys ; Male ; Medical diagnosis ; Medical imaging ; Medicine ; Medicine & Public Health ; Middle Aged ; Patients ; Physicians ; Prospective Studies ; Radiology ; Renal artery ; Renal Artery Obstruction - complications ; Renal Artery Obstruction - diagnostic imaging ; Renal Insufficiency, Chronic ; Restenosis ; Retroperitoneum ; Sensitivity ; Stents ; Takayasu's disease ; Ultrasonic imaging ; Ultrasonography - methods ; Ultrasound ; Ureters</subject><ispartof>Abdominal imaging, 2022-05, Vol.47 (5), p.1853-1861</ispartof><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2022</rights><rights>2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.</rights><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2022.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-6f9106d3c49b6da437bfb415a789073132b0db2c9555caaccb3252a88858db153</citedby><cites>FETCH-LOGICAL-c375t-6f9106d3c49b6da437bfb415a789073132b0db2c9555caaccb3252a88858db153</cites><orcidid>0000-0003-0387-729X</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/s00261-022-03457-w$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00261-022-03457-w$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27922,27923,41486,42555,51317</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35247061$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Li, Tianhui</creatorcontrib><creatorcontrib>Mao, Yonghui</creatorcontrib><creatorcontrib>Zhao, Ban</creatorcontrib><creatorcontrib>Wang, Haitao</creatorcontrib><creatorcontrib>Ren, Junhong</creatorcontrib><creatorcontrib>Ma, Na</creatorcontrib><creatorcontrib>Wang, Siyu</creatorcontrib><title>Value of contrast-enhanced ultrasound for diagnosis and follow-up of renal artery stenosis in patients with chronic kidney disease</title><title>Abdominal imaging</title><addtitle>Abdom Radiol</addtitle><addtitle>Abdom Radiol (NY)</addtitle><description>Objective
To evaluate whether contrast-enhanced ultrasound (CEUS) is an accurate, non-nephrotoxic diagnostic method and follow-up tool for use in patients with chronic kidney disease (CKD) and renal artery stenosis (RAS).
Methods
In this prospective and monocentric study, we compared the sensitivity and specificity of CEUS for the diagnosis of RAS in CKD patients, using digital subtraction angiography (DSA) or computed tomographic angiography (CTA) as the gold standard methods. Further, the value of CEUS for distinguishing restenosis from other diseases was assessed. The ultrasound physicians conducted the examinations and served as the CEUS report readers who were blinded to the DSA or CTA results.
Results
Patients with RAS (
n
= 60) were enrolled. Average patient age was 64.4 ± 18.0 years and median estimated glomerular filtration rate was 66.1 mL/min/1.73 m
2
. CEUS was used to image 94 stenotic renal arteries and DSA- or CTA-verified stenosis was present in 96 renal arteries. The kappa value for CEUS was 0.776 (
P
< 0.001), with an accuracy of 92.5%, a sensitivity of 94.7%, and a specificity of 84.0%. The accuracy of CEUS was the same for the diagnosis of the CKD3b–5 group as for the CKD1–3a group (100% vs. 87.5%,
P
= 0.148). There was no difference in CEUS accuracy for the diagnosis of Takayasu RAS compared with atherosclerotic RAS (95.8% vs. 91.7%,
P
= 0.795). Twenty-nine CEUS examinations were performed to follow in-stent restenosis or progression of RAS, with a median follow-up time of 5.0 months (range 1.0–20.0). Two cases of in-stent restenosis in patients suffering from deteriorating kidney function and recurrent hypertension were examined by CEUS.
Conclusion
CEUS examination is a credible alternative for diagnosing moderate and severe RAS in patients with CKD, and is a reliable tool for follow-up surveillance after renal artery revascularization treatment. It shouldn’t be thought as a color-coded duplex ultrasonography rescue in these patients.</description><subject>Abdomen</subject><subject>Accuracy</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Angiography</subject><subject>Angiography, Digital Subtraction</subject><subject>Arteries</subject><subject>Arteriosclerosis</subject><subject>Atherosclerosis</subject><subject>Bladder</subject><subject>Computed tomography</subject><subject>Contrast Media</subject><subject>Coronary Restenosis</subject><subject>Diagnosis</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Gastroenterology</subject><subject>Glomerular filtration rate</subject><subject>Hepatology</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Imaging</subject><subject>Implants</subject><subject>Kidney diseases</subject><subject>Kidneys</subject><subject>Male</subject><subject>Medical diagnosis</subject><subject>Medical imaging</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Patients</subject><subject>Physicians</subject><subject>Prospective Studies</subject><subject>Radiology</subject><subject>Renal artery</subject><subject>Renal Artery Obstruction - complications</subject><subject>Renal Artery Obstruction - diagnostic imaging</subject><subject>Renal Insufficiency, Chronic</subject><subject>Restenosis</subject><subject>Retroperitoneum</subject><subject>Sensitivity</subject><subject>Stents</subject><subject>Takayasu's disease</subject><subject>Ultrasonic imaging</subject><subject>Ultrasonography - methods</subject><subject>Ultrasound</subject><subject>Ureters</subject><issn>2366-0058</issn><issn>2366-004X</issn><issn>2366-0058</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp9kU1PHSEUhklTU436B7poSNx0g-VjYGaWjdG2iYmb6pYwwHixc-GWw-Tmbv3l5TpWTRddQQ7P-5yQF6GPjJ4zStsvQClXjFDOCRWNbMn2HTriQilCqezev7kfolOAB0opU5IxLj-gQyF501LFjtDjnZlmj9OIbYolGyjEx5WJ1js8T_tBmqPDY8rYBXMfEwTA5mkyTWlL5s0-m300Eza5-LzDUPyChYg3pgQfC-BtKCtsVznFYPGv4KLfVSF4A_4EHYxmAn_6fB6j26vLnxffyfXNtx8XX6-JFa0sRI09o8oJ2_SDcqYR7TAODZOm7XraCib4QN3AbS-ltMZYOwguuem6TnZuYFIco8-Ld5PT79lD0esA1k-TiT7NoLkSiknJFKvo2T_oQ5pz_eOekk1XxayvFF8omxNA9qPe5LA2eacZ1fuS9FKSriXpp5L0toY-PavnYe3dS-RvJRUQCwD1Kd77_Lr7P9o_su2ehw</recordid><startdate>20220501</startdate><enddate>20220501</enddate><creator>Li, Tianhui</creator><creator>Mao, Yonghui</creator><creator>Zhao, Ban</creator><creator>Wang, Haitao</creator><creator>Ren, Junhong</creator><creator>Ma, Na</creator><creator>Wang, Siyu</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>JQ2</scope><scope>K7-</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>M7Z</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-0387-729X</orcidid></search><sort><creationdate>20220501</creationdate><title>Value of contrast-enhanced ultrasound for diagnosis and follow-up of renal artery stenosis in patients with chronic kidney disease</title><author>Li, Tianhui ; Mao, Yonghui ; Zhao, Ban ; Wang, Haitao ; Ren, Junhong ; Ma, Na ; Wang, Siyu</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-6f9106d3c49b6da437bfb415a789073132b0db2c9555caaccb3252a88858db153</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Abdomen</topic><topic>Accuracy</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Angiography</topic><topic>Angiography, Digital Subtraction</topic><topic>Arteries</topic><topic>Arteriosclerosis</topic><topic>Atherosclerosis</topic><topic>Bladder</topic><topic>Computed tomography</topic><topic>Contrast Media</topic><topic>Coronary Restenosis</topic><topic>Diagnosis</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Gastroenterology</topic><topic>Glomerular filtration rate</topic><topic>Hepatology</topic><topic>Humans</topic><topic>Hypertension</topic><topic>Imaging</topic><topic>Implants</topic><topic>Kidney diseases</topic><topic>Kidneys</topic><topic>Male</topic><topic>Medical diagnosis</topic><topic>Medical imaging</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Patients</topic><topic>Physicians</topic><topic>Prospective Studies</topic><topic>Radiology</topic><topic>Renal artery</topic><topic>Renal Artery Obstruction - complications</topic><topic>Renal Artery Obstruction - diagnostic imaging</topic><topic>Renal Insufficiency, Chronic</topic><topic>Restenosis</topic><topic>Retroperitoneum</topic><topic>Sensitivity</topic><topic>Stents</topic><topic>Takayasu's disease</topic><topic>Ultrasonic imaging</topic><topic>Ultrasonography - methods</topic><topic>Ultrasound</topic><topic>Ureters</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Li, Tianhui</creatorcontrib><creatorcontrib>Mao, Yonghui</creatorcontrib><creatorcontrib>Zhao, Ban</creatorcontrib><creatorcontrib>Wang, Haitao</creatorcontrib><creatorcontrib>Ren, Junhong</creatorcontrib><creatorcontrib>Ma, Na</creatorcontrib><creatorcontrib>Wang, Siyu</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Computer Science Collection</collection><collection>Computer Science Database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biological Science Database</collection><collection>Biochemistry Abstracts 1</collection><collection>Nursing & Allied Health Premium</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Abdominal imaging</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Li, Tianhui</au><au>Mao, Yonghui</au><au>Zhao, Ban</au><au>Wang, Haitao</au><au>Ren, Junhong</au><au>Ma, Na</au><au>Wang, Siyu</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Value of contrast-enhanced ultrasound for diagnosis and follow-up of renal artery stenosis in patients with chronic kidney disease</atitle><jtitle>Abdominal imaging</jtitle><stitle>Abdom Radiol</stitle><addtitle>Abdom Radiol (NY)</addtitle><date>2022-05-01</date><risdate>2022</risdate><volume>47</volume><issue>5</issue><spage>1853</spage><epage>1861</epage><pages>1853-1861</pages><issn>2366-0058</issn><issn>2366-004X</issn><eissn>2366-0058</eissn><abstract>Objective
To evaluate whether contrast-enhanced ultrasound (CEUS) is an accurate, non-nephrotoxic diagnostic method and follow-up tool for use in patients with chronic kidney disease (CKD) and renal artery stenosis (RAS).
Methods
In this prospective and monocentric study, we compared the sensitivity and specificity of CEUS for the diagnosis of RAS in CKD patients, using digital subtraction angiography (DSA) or computed tomographic angiography (CTA) as the gold standard methods. Further, the value of CEUS for distinguishing restenosis from other diseases was assessed. The ultrasound physicians conducted the examinations and served as the CEUS report readers who were blinded to the DSA or CTA results.
Results
Patients with RAS (
n
= 60) were enrolled. Average patient age was 64.4 ± 18.0 years and median estimated glomerular filtration rate was 66.1 mL/min/1.73 m
2
. CEUS was used to image 94 stenotic renal arteries and DSA- or CTA-verified stenosis was present in 96 renal arteries. The kappa value for CEUS was 0.776 (
P
< 0.001), with an accuracy of 92.5%, a sensitivity of 94.7%, and a specificity of 84.0%. The accuracy of CEUS was the same for the diagnosis of the CKD3b–5 group as for the CKD1–3a group (100% vs. 87.5%,
P
= 0.148). There was no difference in CEUS accuracy for the diagnosis of Takayasu RAS compared with atherosclerotic RAS (95.8% vs. 91.7%,
P
= 0.795). Twenty-nine CEUS examinations were performed to follow in-stent restenosis or progression of RAS, with a median follow-up time of 5.0 months (range 1.0–20.0). Two cases of in-stent restenosis in patients suffering from deteriorating kidney function and recurrent hypertension were examined by CEUS.
Conclusion
CEUS examination is a credible alternative for diagnosing moderate and severe RAS in patients with CKD, and is a reliable tool for follow-up surveillance after renal artery revascularization treatment. It shouldn’t be thought as a color-coded duplex ultrasonography rescue in these patients.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>35247061</pmid><doi>10.1007/s00261-022-03457-w</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0003-0387-729X</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 2366-0058 |
| ispartof | Abdominal imaging, 2022-05, Vol.47 (5), p.1853-1861 |
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| language | eng |
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| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Abdomen Accuracy Aged Aged, 80 and over Angiography Angiography, Digital Subtraction Arteries Arteriosclerosis Atherosclerosis Bladder Computed tomography Contrast Media Coronary Restenosis Diagnosis Female Follow-Up Studies Gastroenterology Glomerular filtration rate Hepatology Humans Hypertension Imaging Implants Kidney diseases Kidneys Male Medical diagnosis Medical imaging Medicine Medicine & Public Health Middle Aged Patients Physicians Prospective Studies Radiology Renal artery Renal Artery Obstruction - complications Renal Artery Obstruction - diagnostic imaging Renal Insufficiency, Chronic Restenosis Retroperitoneum Sensitivity Stents Takayasu's disease Ultrasonic imaging Ultrasonography - methods Ultrasound Ureters |
| title | Value of contrast-enhanced ultrasound for diagnosis and follow-up of renal artery stenosis in patients with chronic kidney disease |
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