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Comparison of CT angiography with MR angiography in the preoperative assessment of living kidney donors

Gluecker, T. M. and Mayr, M. and Schwarz, J. and Bilecen, D. and Voegele, T. and Steiger, J. and Bachmann, A. and Bongartz, G.. (2008) Comparison of CT angiography with MR angiography in the preoperative assessment of living kidney donors. Transplantation, Vol. 86. pp. 1249-1256.

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Official URL: http://edoc.unibas.ch/dok/A6002793

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Abstract

BACKGROUND: The aim of the study was to prospectively compare the diagnostic performance of CT angiography (CTA) with MR angiography (MRA) in the preoperative assessment of living renal donors. METHODS: Forty-eight potential living renal donors (mean 51 years, 29-67 years) underwent multislice CTA and gadolinium-enhanced MRA. Six potential donors were excluded. Forty-two donors underwent minimal invasive retroperitoneoscopic nephrectomy (left 36, right 6) and their datasets available for analysis independently performed by two blinded radiologists. The surgical status served as gold standard. RESULTS: In 42 donors (84 kidneys), CTA identified 63 kidneys with 1 artery (MRI 61), 19 with 2 arteries (MRI 20), one with three arteries (MRI 2), and one with four arteries (MRI 1). Considering only the side with the surgical status available for verification, both CT and MRI correctly characterized 35 of 36 donors with a single renal artery and five of six with one supernumerary artery. Two false positives were two arteries suggested as supernumerary both in CT and MRI not confirmed during surgery. CTA and MRA both correctly identified three accessory renal veins in two donors. CONCLUSION: CTA and MRA had the same accuracy for characterization of renal vasculature in the preoperative assessment of living renal donors.
Faculties and Departments:03 Faculty of Medicine > Bereich Operative Fächer (Klinik) > Innere Organe > Urologie USB (Bachmann)
03 Faculty of Medicine > Departement Klinische Forschung > Bereich Operative Fächer (Klinik) > Innere Organe > Urologie USB (Bachmann)
03 Faculty of Medicine > Bereich Querschnittsfächer (Klinik) > Radiologie USB
03 Faculty of Medicine > Departement Klinische Forschung > Bereich Querschnittsfächer (Klinik) > Radiologie USB
03 Faculty of Medicine > Bereich Querschnittsfächer (Klinik) > Ehemalige Einheiten Querschnittsfächer (Klinik) > Medizinische Radiologie (Steinbrich)
03 Faculty of Medicine > Departement Klinische Forschung > Bereich Querschnittsfächer (Klinik) > Ehemalige Einheiten Querschnittsfächer (Klinik) > Medizinische Radiologie (Steinbrich)
03 Faculty of Medicine > Departement Biomedizin > Former Units at DBM > Transplantation Immunology and Nephrology (Palmer/Steiger)
UniBasel Contributors:Steiger, Jürg U. and Bongartz, Georg and Bilecen, Deniz and Bachmann, Alexander and Glücker, Thomas M.
Item Type:Article, refereed
Article Subtype:Research Article
Bibsysno:Link to catalogue
Publisher:Lippincott Williams & Wilkins
ISSN:0041-1337
Note:Publication type according to Uni Basel Research Database: Journal article
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Last Modified:08 Nov 2012 16:22
Deposited On:08 Nov 2012 16:11

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