Renal Relevant Radiology: Use of Ultrasonography in Patients with AKI
Renal Relevant Radiology: Use of Ultrasonography in Patients with AKI
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DOI：
10.2215/cjn.04840513
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发表时间：
2014-02-07
影响因子：
9.8
通讯作者：
Cadnapaphornchai, Melissa A.
中科院分区：
文献类型：
--
作者：
Faubel, Sarah;Patel, Nayana U.;Cadnapaphornchai, Melissa A.
根据美国放射学会适当性标准，肾脏多普勒超声检查是评估阿基最适当的影像学检查，具有最高的推荐级别。不幸的是，肾脏科医生很少专门培训超声技术和解释，并从肾脏超声检查获得的重要临床信息可能不会被欣赏。在这篇综述中，将讨论灰阶超声在评估阿基患者中的优势和局限性，并注意其在以下方面的应用：（1）评估阿基的内在原因，（2）区分急性和慢性肾脏疾病，以及（3）检测梗阻。将对多普勒成像和阻力指数在阿基患者中的应用进行综述，重点关注其用于（1）预测阿基的发展，（2）预测阿基的预后，以及（3）区分肾前性氮质血症和内源性阿基。最后，将回顾超声检查在阿基中的儿科应用。
As judged by the American College of Radiology Appropriateness Criteria, renal Doppler ultrasonography is the most appropriate imaging test in the evaluation of AKI and has the highest level of recommendation. Unfortunately, nephrologists are rarely specifically trained in ultrasonography technique and interpretation, and important clinical information obtained from renal ultrasonography may not be appreciated. In this review, the strengths and limitations of grayscale ultrasonography in the evaluation of patients with AKI will be discussed with attention to its use for (1) assessment of intrinsic causes of AKI, (2) distinguishing acute from chronic kidney diseases, and (3) detection of obstruction. The use of Doppler imaging and the resistive index in patients with AKI will be reviewed with attention to its use for (1) predicting the development of AKI, (2) predicting the prognosis of AKI, and (3) distinguishing prerenal azotemia from intrinsic AKI. Finally, pediatric considerations in the use of ultrasonography in AKI will be reviewed.