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Preoperative evaluation of live renal donors using multislice CT angiography
- Source :
- Clinical radiology. 60(7)
- Publication Year :
- 2004
-
Abstract
- AIM To determine the accuracy of multidetector row CT renal angiography in the preoperative evaluation of live kidney donors, and to identify potential pitfalls when reporting. METHODS Between July 1998 and June 2003, 74 consecutive live renal donors underwent contrast-enhanced multidetector row CT renal angiography before donor nephrectomy. The operative notes and radiological reports of all cases were reviewed retrospectively. Where a significant discrepancy was identified, the archived images were reviewed by two radiologists in the light of the intraoperative findings. RESULTS A total of 12 discrepancies were identified in 11 of the 74 cases (15%). In the preoperative CT angiography reports, 4 accessory arteries, 6 early-branching renal arteries, 1 duplicated renal vein and 1 accessory ureter were not identified; 9 of these were evident on review, but were not detected at the time of reporting. In 3 cases (1 accessory artery, the duplicated renal vein and the accessory ureter), the anomaly was not visible on review of the CT angiographic data, even with the benefit of hindsight. Surgical feedback during the study period resulted in modifications to CT technique and improved performance. CONCLUSION In the majority of cases, there was good correlation between preoperative CT renal angiography and operative findings. Most discrepancies were due either to an oversight by the reporting radiologist, or failure to fully appreciate the potential surgical significance of certain findings. Regular surgical feedback plays a valuable role in improving reporting accuracy and maintaining imaging standards.
- Subjects :
- Adult
Male
medicine.medical_specialty
medicine.medical_treatment
Sensitivity and Specificity
Renal Artery
Preoperative Care
medicine
Living Donors
Humans
Radiology, Nuclear Medicine and imaging
Multislice
Kidney transplantation
Aged
Retrospective Studies
Kidney
medicine.diagnostic_test
business.industry
General Medicine
Middle Aged
medicine.disease
Nephrectomy
Transplantation
medicine.anatomical_structure
Angiography
Female
Radiology
Renal vein
business
Tomography, X-Ray Computed
Artery
Subjects
Details
- ISSN :
- 00099260
- Volume :
- 60
- Issue :
- 7
- Database :
- OpenAIRE
- Journal :
- Clinical radiology
- Accession number :
- edsair.doi.dedup.....0fbacd5d50d3cc87d71f470a518fe916