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Imaging features of gray-scale and contrast-enhanced color Doppler US for the differentiation of transient renal arterial ischemia and arterial infarction

Cited 2 time in Web of Science Cited 4 time in Scopus
Authors
Kim, Seung Hyup; Moon, Min Hoan; Jung, Sung Il; Park, Byung Kwan
Issue Date
2005-10-08
Publisher
The Korean Radiological Society
Citation
Korean J Radiol 2005;6:179-184
Keywords
Infarction/*ultrasonographyIschemia/*ultrasonographyKidney/*blood supply
Description
No publisher copyright information found in the SHERPA/RoMEO list.
Abstract
OBJECTIVE: To characterize the imaging features on gray-scale and contrast-enhanced color Doppler US images which differentiate renal ischemia from renal infarction. MATERIALS AND METHODS: The segmental renal arteries of eight healthy rabbits were surgically ligated. In four of these rabbits, the ligated renal artery was released 60 minutes after arterial occlusion to cause transient ischemia. In the remaining four rabbits, the arterial ligation was retained to cause a permanent infarction. The gray-scale and contrast-enhanced color Doppler US imaging features of the involved renal parenchyma of both ischemia and infarction groups were compared with respect to the presence or absence of parenchymal swelling, echogenicity changes, tissue loss and perfusion defects. RESULTS: Parenchyma swelling, echogenic changes, tissue loss and perfusion defects were found to be more extensive in the infarction than the ischemia group. The hyperechoic areas reperfused with blood flow recovered normal echogenicity and perfusion, whereas the hyperechoic areas without reperfusion became renal infarcts. CONCLUSION: Gray-scale and contrast-enhanced color Doppler US showed that the hyperechoic areas with reperfusion may reverse to normal parenchyma and allow the differentiation of renal ischemia from renal infarction.
ISSN
1229-6929 (Print)
2005-8330 (Electronic)
Language
English
URI
http://www.kjronline.org/DOIx.php?id=10.3348/kjr.2005.6.3.179

http://hdl.handle.net/10371/10002
DOI
https://doi.org/10.3348/kjr.2005.6.3.179
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College of Medicine/School of Medicine (의과대학/대학원)Radiology (영상의학전공)Journal Papers (저널논문_영상의학전공)
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