Radiation Medicine

, Volume 24, Issue 9, pp 617–624 | Cite as

Evaluation of renal arteries in living renal donors: comparison between MDCT angiography and gadolinium-enhanced 3D MR angiography

  • Tonsok Kim
  • Takamichi Murakami
  • Satoru Takahashi
  • Masatoshi Hori
  • Shirou Takahara
  • Naotsugu Ichimaru
  • Akihiko Okuyama
  • Yoshifumi Narumi
  • Hironobu Nakamura
ORIGINAL ARTICLE

Abstract

Purpose

The purpose of this study was to clarify and compare the accuracy of contrast-enhanced computed tomography (CT) angiography using multidetector-row helical CT (MDCT angiography) and gadolinium-enhanced MR angiography using three-dimensional Fourier transformation gradient-echo sequence (3D MR angiography) for preoperative evaluation of renal arteries in living renal donors.

Materials and methods

A total of 42 living renal donor candidates underwent both MDCT angiography and 3D MR angiography before digital subtraction angiography (DSA). Each MDCT angiogram and 3D MR angiogram was prospectively interpreted, and the findings were compared with the DSA results.

Results

MDCT angiography identified all of the 12 supernumerary arteries detected by DSA, whereas 3D MR angiography identified only 8. MDCT angiography identified all of the 19 proximal arterial branches detected by DSA, whereas 3D MR angiography identified only 16.

Conclusion

A more accurate depiction of renal arteries in living renal donors can be achieved with MDCT angiography than with 3D MR angiography.

Key words

Kidney transplantation Living renal donor Renal artery CT angiography MR angiography 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Platt, JF, Ellis, JH, Korobkin, M, Reige, KA, Konnak, JW, Leichtman, AB 1996Potential renal donors: comparison of conventional imaging with helical CTRadiology19841923PubMedGoogle Scholar
  2. 2.
    Cochran, ST, Krasny, RM, Danovitch, GM, Rajfer, J, Barbaric, ZM, Wilkinson, A,  et al. 1997Helical CT angiography for examination of living renal donorsAJR Am J Roentgenol168156973PubMedGoogle Scholar
  3. 3.
    Platt, JF, Ellis, JH, Korobkin, M, Reige, K 1997Helical CT evaluation of potential kidney donors: findings in 154 subjectsAJR Am J Roentgenol169132530PubMedGoogle Scholar
  4. 4.
    Dachman, AH, Newmark, GM, Mitchell, MT, Woodle, ES 1998Helical CT examination of potential kidney donorsAJR Am J Roentgenol171193200PubMedGoogle Scholar
  5. 5.
    Kaynan, AM, Rozenblit, AM, Figueroa, KI, Hoffman, SD, Cynamon, J, Karwa, GL,  et al. 1999Use of spiral computerized tomography in lieu of angiography for preoperative assessment of living renal donorsJ Urol161176975PubMedCrossRefGoogle Scholar
  6. 6.
    Low, RN, Martinez, AG, Steinberg, SM, Alzate, GD, Kortman, KE, Bower, BB,  et al. 1998Potential renal transplant donors: evaluation with gadolinium-enhanced MR angiography and MR urographyRadiology20716572PubMedGoogle Scholar
  7. 7.
    Rubin, GD, Alfrey, EJ, Dake, MD, Semba, CP, Sommer, FG, Kuo, PC,  et al. 1995Assessment of living renal donors with spiral CTRadiology19545762PubMedGoogle Scholar
  8. 8.
    Adamis, MK, Goldszer, RC, Pulde, MF, Sax, EJ, Edelman, RR 1995Renal vasculature in potential renal transplant donors: comparison of MR imaging and digital subtraction angiographyRadiology19746772PubMedGoogle Scholar
  9. 9.
    Halpern, EJ, Mitchell, DG, Wechsler, RJ, Outwater, EK, Moritz, MJ, Wilson, GA 2000Preoperative evaluation of living renal donors: comparison of CT angiography and MR angiographyRadiology2164349PubMedGoogle Scholar
  10. 10.
    Hu, H, He, HD, Foley, WD, Fox, SH 2000Four multidetector-row helical CT: image quality and volume coverage speedRadiology2155562PubMedGoogle Scholar
  11. 11.
    Declaration of Helsinki: recommendations guiding physicians in biomedical research involving human subjects. Bull Pan Am Health Org 1990;24:606–9Google Scholar
  12. 12.
    Prince, MR, Narasimhan, DL, Stanley, JC, Chenevert, TL, Williams, DM, Marx, MV,  et al. 1995Breath-hold gadolinium-enhanced MR angiography of the abdominal aorta and its major branchesRadiology19778592PubMedGoogle Scholar
  13. 13.
    Lee, VS, Rofsky, NM, Krinsky, GA, Stemerman, DH, Weinreb, JC 1999Single-dose breath-hold gadolinium-enhanced three-dimensional MR angiography of the renal arteriesRadiology2116978PubMedGoogle Scholar
  14. 14.
    Strauser, GD, Stables, DP, Weil, R 1978Optimal technique of renal arteriography in living renal transplant donorsAJR Am J Roentgenol1318136PubMedGoogle Scholar
  15. 15.
    Flechner, SM, Sandler, CM, Houston, GK, Van Buren, CT, Lorber, MI, Kahan, BD 1985Living-related kidney donor evaluations using digital subtraction angiographyTransplantation406758PubMedCrossRefGoogle Scholar
  16. 16.
    Low, RN, Martinez, AG, Steinberg, SM, Alzate, GD, Kortman, KE, Bower, BB,  et al. 1998Potential renal transplant donors: evaluation with gadolinium-enhanced MR angiography and MR urographyRadiology20716572PubMedGoogle Scholar

Copyright information

© Japan Radiological Society 2006

Authors and Affiliations

  • Tonsok Kim
    • 1
  • Takamichi Murakami
    • 1
  • Satoru Takahashi
    • 2
  • Masatoshi Hori
    • 1
  • Shirou Takahara
    • 3
  • Naotsugu Ichimaru
    • 3
  • Akihiko Okuyama
    • 3
  • Yoshifumi Narumi
    • 2
  • Hironobu Nakamura
    • 1
  1. 1.Department of RadiologyOsaka University Graduate School of MedicineSuitaJapan
  2. 2.Department of Clinical Informative ImageologyOsaka University Graduate School of MedicineSuitaJapan
  3. 3.Department of UrologyOsaka University Graduate School of MedicineSuitaJapan

Personalised recommendations