COMPARISON OF DUPLEX SONOGRAPHY AND COLOR DOPPLER IMAGING IN RENAL-ALLOGRAFT EVALUATION - A PROSPECTIVE-STUDY

被引:8
作者
MOSTBECK, GH
REICHHALTER, C
STOCKENHUBER, F
POKIESER, P
MALLEK, R
WALTER, R
TSCHOLAKOFF, D
机构
[1] Division of Radiology, First Medical Clinic, University of Vienna Hospital, Vienna
[2] Division of Nephrology, First Medical Clinic, University of Vienna Hospital, Vienna
关键词
Doppler; color; Renal transplant; evaluation; Ultrasound study; Duplex;
D O I
10.1016/0720-048X(90)90139-3
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
A prospective study compared the diagnostic capability of quantitative Duplex sonography (DS) and color Doppler imaging (CDI) in 49 consecutive patients with 50 renal allografts. Sixty five DS examinations and 65 CDI examinations were performed by two independent investigators on two different machines on the same day. The resistive index (RI) was calculated and the color flow of renal arteries was observed up to the arcuate arteries. There was good correlation of RI values obtained by DS and CDI at all vascular sites. Thirty one allografts were functioning stably and 19 were in a state of dysfunction, defined by histology (n = 17). Forty allografts presented with a RI < 0.9 and normal color flow. All five allografts with a pathologic RI ≥ 0.9 showed abnormal color flow (missing flow in arcuate and/or interlobar arteries). Five allografts had a RI < 0.9 but abnormal color flow, possibly due to atrial fibrillation, hypertension, heart failure or a combination of these. A normal color flow pattern excludes severe vascular compromise to the allograft. In addition, CDI revealed three biopsy-related vascular lesions; two of them had been missed by DS. © 1990.
引用
收藏
页码:201 / 207
页数:7
相关论文
共 18 条
[11]  
Middleton, Foley, Lawson, Color flow Doppler imaging of carotid artery abnormalities, American Journal of Roentgenology, 150, pp. 419-425, (1988)
[12]  
Schwaighofer, Hubsch, Kovarik, Fruhwald, Kainberger, Barton, Farbcodierte Dopplersonographie bei Nierentransplantaten, RöFo, 149, pp. 193-196, (1988)
[13]  
Fobbe, Schudrowitsch, Dietzel, Wolf, Verlaufskontrollen von Nierentransplantaten mit der farbkodierten Duplexsonographie, RöFo, 150, pp. 76-79, (1989)
[14]  
Ulrich, Morphologie von Nierentransplantaten unter Berücksichtigung von Cyclosporineffekten und Virusinfektionen, (1987)
[15]  
Jacobs, Grant, Schellinger, Byrd, Richardson, Cohan, Duplex carotid sonography: criteria for stenosis, accuracy and pitfalls, Radiology, 154, pp. 385-391, (1985)
[16]  
Textor, Renal hemodynamics in hypertension, Am J Kidney Dis, 10-11, pp. 24-29, (1987)
[17]  
Ekelund, Lindholm, Arteriovenous fistulae following percutaneous renal biopsy, Acta Radiol. (Diagn.), 11, pp. 38-48, (1971)
[18]  
Ekelund, Arteriovenous fistulae secondary to renal biopsy, Acta Radiol. (Diagn.), 10, pp. 218-224, (1970)