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Renal Imaging in Acute Kidney Injury

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Acute Nephrology for the Critical Care Physician

Abstract

Acute kidney injury (AKI) is a common issue in hospitalized patients, especially in critically ill patients or in the perioperative setting. Because AKI has been associated with an increased risk of mortality and high costs, strategies to decrease its incidence or hasten recovery are mandatory. Among strategies to prevent AKI or to limit its progression, treatment of the aetiology and correction of contributors such as nephrotoxic or hemodynamic optimization are central. In this line, renal imaging plays a key role both in identifying the causal mechanism of the syndrome and, more recently, in evaluating renal hemodynamics. While excessive fluid loading may be associated with important side effects and a positive fluid balance with a poor clinical outcome, development of tools to better estimate renal perfusion in response to treatment appears of paramount importance. Tools have been developed to assess kidney perfusion or renal vasculature. In this chapter, we describe different renal imaging tools used to assess the cause of kidney failure and clinical value to image the kidney. We also discuss techniques to assess renal perfusion and function.

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Author information

Authors and Affiliations

  1. Department of Anesthesiology and Critical Care, Hôpital Européen Georges Pompidou Assistance Publique- Hopitaux de Paris, 20 Rue Leblanc, Paris, 75015, France

    Matthieu M. Legrand

  2. Medical Intensive Care Unit, Hôpital Saint Louis, 1 Avenue Claude Vellefaux, Paris, 75010, France

    Michael Darmon

Authors
  1. Matthieu M. Legrand
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  2. Michael Darmon
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Correspondence to Matthieu M. Legrand .

Editor information

Editors and Affiliations

  1. Department of Intensive Care, VU University Hospital, Amsterdam, The Netherlands

    Heleen M. Oudemans-van Straaten

  2. Department of Intensive Care Medicine, Anaesthesia Critical Care Collaborative, Research Group (SPACeR) and Faculty of Health Care Sciences, Royal Surrey County Hospital NHS, Foundation Trust, Surrey Perioperative, University of Surrey, Guildford, United Kingdom

    Lui G. Forni

  3. Department of Intensive Care, Erasmus Medical Center, Rotterdam, The Netherlands

    A.B. Johan Groeneveld

  4. Department of Critical Care Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada

    Sean M. Bagshaw

  5. Division of Intensive Care and Emergency Medicine, Department of General Internal Medicine, Medical University Innsbruck, Anichstrasse, Innsbruck, Austria

    Michael Joannidis

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Legrand, M.M., Darmon, M. (2015). Renal Imaging in Acute Kidney Injury. In: Oudemans-van Straaten, H., Forni, L., Groeneveld, A., Bagshaw, S., Joannidis, M. (eds) Acute Nephrology for the Critical Care Physician. Springer, Cham. https://doi.org/10.1007/978-3-319-17389-4_10

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  • DOI: https://doi.org/10.1007/978-3-319-17389-4_10

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-17388-7

  • Online ISBN: 978-3-319-17389-4

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