Preoperative Multi-Detector Computed Tomography in Kidney Donors; Quantitative Data Report from Operation Rooms
| Author | Nariman Nezami | en |
| Author | Mohammad Naghavi-Behzad | en |
| Author | Reza Piri | en |
| Author | Behzad Salari | en |
| Author | Steve Hool | en |
| Author | Mohammad Khalid Mojadidi | en |
| Author | Sona Ghorashi | en |
| Author | Mohammad Kazem Tarzamni | en |
| Author | Bijan Bijan | en |
| Orcid | Mohammad Naghavi-Behzad [0000-0002-6761-8126] | en |
| Orcid | Mohammad Kazem Tarzamni [0000-0002-8226-1014] | en |
| Issued Date | 2018-10-31 | en |
| Abstract | Background: Multi-detector computed tomography (MDCT) angiography is a non-invasive imaging modality, and is replacing the invasive conventional angiography in preoperative studies of vascular anatomy. Objectives: To determine the accuracy of MDCT in diagnosis of the renal arterial and venous anatomy, urinary collecting system and kidney anatomy itself in living kidney donors. Patients and Methods: In the present prospective single-center study, 134 potential kidney donors (age: 25.65 ± 3.37 years) underwent MDCT and MDCT angiography in a single center (Aug 2012 - Oct 2013). The bolus tracking method was used. Arterial and venous anatomical variations and kidney size were assessed and compared with the surgical findings. Results: MDCT angiography revealed renal arteries, their branching with 100% sensitivity, specificity, positive and negative predictive values. In addition, the sensitivity, specificity, positive predictive value and negative predictive value for MDCT angiography were 85.71%, 100%, 100% and 99.14%, respectively, in diagnosis of venous branching pattern. There is direct linear correlation between MDCT angiography and surgical findings in measuring arterial length and diameter, and kidney size (All P values < 0.001). Only one patient had ureteral duplication. Conclusion: MDCT determines the renal vascular and urinary collecting system anatomy, and kidney characteristics with almost 100% accuracy in kidney donors. | en |
| DOI | https://doi.org/10.5812/iranjradiol.59025 | en |
| Keyword | Computed Tomography | en |
| Keyword | Angiography | en |
| Keyword | Kidney | en |
| Keyword | Artery | en |
| Publisher | Brieflands | en |
| Title | Preoperative Multi-Detector Computed Tomography in Kidney Donors; Quantitative Data Report from Operation Rooms | en |
| Type | Research Article | en |