Radiologic assessment of renal disease
- W Charles O'Neill, MD
W Charles O'Neill, MD
- Professor of Medicine
- Emory University School of Medicine
- Section Editors
- Gary C Curhan, MD, ScD
Gary C Curhan, MD, ScD
- Section Editor — Chronic Kidney Disease
- Editor-in-Chief emeritus
- Harvard Medical School
- Jonathan B Kruskal, MD, PhD
Jonathan B Kruskal, MD, PhD
- Section Editor — Kidney Disease
- Professor of Radiology
- Harvard Medical School
A large number of radiologic studies are used to evaluate patients with renal disease. These tests are performed alone or in combination for the detection, diagnosis, and/or the evaluation of multiple conditions. They are most often used to assess urinary tract obstruction, kidney stones, renal cyst or mass, kidney size, disorders with characteristic radiographic findings, renal vascular diseases, and vesicoureteral reflux (VUR).
The more commonly used imaging studies include:
●Computed tomography (CT)
●Magnetic resonance imaging (MRI)
Subscribers log in hereLiterature review current through: Jul 2017. | This topic last updated: Dec 09, 2016.References
- Webb JA. Ultrasonography in the diagnosis of renal obstruction. BMJ 1990; 301:944.
- Bosniak MA. The small (less than or equal to 3.0 cm) renal parenchymal tumor: detection, diagnosis, and controversies. Radiology 1991; 179:307.
- Curry NS. Small renal masses (lesions smaller than 3 cm): imaging evaluation and management. AJR Am J Roentgenol 1995; 164:355.
- Moghazi S, Jones E, Schroepple J, et al. Correlation of renal histopathology with sonographic findings. Kidney Int 2005; 67:1515.
- Hashimoto J, Ito S. Central pulse pressure and aortic stiffness determine renal hemodynamics: pathophysiological implication for microalbuminuria in hypertension. Hypertension 2011; 58:839.
- Naesens M, Heylen L, Lerut E, et al. Intrarenal resistive index after renal transplantation. N Engl J Med 2013; 369:1797.
- Schell-Feith EA, Holscher HC, Zonderland HM, et al. Ultrasonographic features of nephrocalcinosis in preterm neonates. Br J Radiol 2000; 73:1185.
- Boyce AM, Shawker TH, Hill SC, et al. Ultrasound is superior to computed tomography for assessment of medullary nephrocalcinosis in hypoparathyroidism. J Clin Endocrinol Metab 2013; 98:989.
- O'Neill WC, Bardelli M, Yevzlin AS. Imaging for renovascular disease. Semin Nephrol 2011; 31:272.
- Kelcz F, Pozniak MA, Pirsch JD, Oberly TD. Pyramidal appearance and resistive index: insensitive and nonspecific sonographic indicators of renal transplant rejection. AJR Am J Roentgenol 1990; 155:531.
- Genkins SM, Sanfilippo FP, Carroll BA. Duplex Doppler sonography of renal transplants: lack of sensitivity and specificity in establishing pathologic diagnosis. AJR Am J Roentgenol 1989; 152:535.
- Clayman RV, Surya V, Miller RP, et al. Pursuit of the renal mass. Is ultrasound enough? Am J Med 1984; 77:218.
- Balow JE. Renal vasculitis. Kidney Int 1985; 27:954.
- RADIOLOGIC STUDIES
- - Doppler ultrasonography
- Computed tomography
- Magnetic resonance imaging
- Plain film of the abdomen
- Intravenous urogram
- Renal arteriography
- Selective renal arteriography and venography
- Voiding cystourethrography
- Radionuclide studies
- - Renal scans
- - Radionuclide cystogram
- Retrograde or anterograde pyelography