Radiologic evaluation of the kidney transplant donor and recipient.
The kidney is the most common solid organ transplant globally and rates continue to climb, driven by the increasing prevalence of end stage renal disease (ESRD). Compounded by advancements in surgical techniques and immunosuppression leading to longer graft survival, radiologists evermore commonly e...
| Publicado en: | Abdominal Radiology Vol. 50; no. 1; pp. 272 - 290 |
|---|---|
| Autores principales: | , , , |
| Formato: | Journal Article |
| Publicado: |
Springer Nature
Jan2025
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=182152181&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 182152181 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 2366004X JT14 jtl: Abdominal Radiology issn: 2366004X maglogo: N pubinfo: dt: Jan2025 vid: 50 iid: 1 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 182152181 178351247 10.1007/s00261-024-04477-4 182152181 ppf: 272 ppct: 18 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Radiologic evaluation of the kidney transplant donor and recipient. aug: au: Goiffon, Reece J. Depetris, Jena Dageforde, Leigh Anne Kambadakone, Avinash affil: https://ror.org/03vek6s52 Department of Radiology, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, White 270, 02114-2696, Boston, MA, USA sug: ab: The kidney is the most common solid organ transplant globally and rates continue to climb, driven by the increasing prevalence of end stage renal disease (ESRD). Compounded by advancements in surgical techniques and immunosuppression leading to longer graft survival, radiologists evermore commonly evaluate kidney transplant patients and candidates, underscoring their role along the transplant process. Multiphase computed tomography (CT) with multiplanar and 3D reformatting is the primary method for evaluating renal donor candidates, detailing renal size, vascular/collecting system anatomy, and identifying significant pathologies such as renal vascular diseases and nephrolithiasis. Ultrasound is the preferred initial postoperative imaging modality for graft evaluation due to its low cost, accessibility, noninvasiveness, and lack of radiation. CT and magnetic resonance imaging (MRI) may be useful adjunctive imaging techniques in diagnosing transplant pathology when ultrasound alone is not diagnostic. Kidney transplant complications are categorized by an approximate timeline framework, aiding in differential diagnosis based on onset, duration, and severity and include perinephric fluid collections, graft compression, iatrogenic injuries, vascular compromise, graft rejection, and neoplastic processes. This review discusses imaging strategies and important findings along the transplant timeline, from donor assessment to long-term recipient complications. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|