Noninvasive assessment of renal artery stenosis: Current imaging protocols and future directions in ultrasonography

Riccardo Lencioni, Stefania Pinto, Vinicio Napoli, Carlo Bartolozzi

Research output: Contribution to journalArticle

12 Scopus citations

Abstract

Doppler ultrasound is one of many modalities that have been evaluated for the detection of renal artery stenosis. The lack of standardization in examination protocols and diagnostic criteria, as well as the wide differences in reported accuracy among different laboratories have, however, prevented universal acceptance of this technique as a reliable screening test for renal artery stenosis. The recent introduction of ultrasound contrast agents has substantially expanded the potential of color Doppler ultrasound. The use of microbubble echo-enhancers in combination with harmonic Doppler imaging has been shown to improve diagnostic confidence by improving the operator's ability to visualize the renal arteries, and to significantly reduce the number of equivocal examinations. Moreover, contrast-enhanced Doppler ultrasound can provide functional information through analysis of renal time-intensity wash in/wash out curves. State-of-the-art contrast- enhanced Doppler ultrasound seems to have the potential to become a useful screening test for patients at risk from renovascular hypertension.

Original languageEnglish (US)
Pages (from-to)S95-S100
JournalJournal of computer assisted tomography
Volume23
Issue numberSUPPL.
DOIs
StatePublished - Nov 1999

Keywords

  • Renal artery stenosis
  • Ultrasonography
  • Ultrasound contrast agents

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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