Prospective study comparing three-dimensional computed tomography and magnetic resonance imaging for evaluating the renal vascular anatomy in potential living renal donors
Open accessAbstract
OBJECTIVE: To prospectively compare the accuracy of multislice spiral computed tomographic angiography (CTA) and magnetic resonance angiography (MRA) in evaluating the renal vascular anatomy in potential living renal donors. SUBJECTS AND METHODS: Thirty-one donors underwent multislice spiral CTA and gadolinium-enhanced MRA. In addition to axial images, multiplanar reconstruction and maximum intensity projections were used to display the renal vascular anatomy. Twenty-four donors had a left laparoscopic donor nephrectomy (LDN), whereas seven had right open donor nephrectomy (ODN); LDN was only considered if the renal vascular anatomy was favourable on the left. CTA and MRA images were analysed by two radiologists independently. The radiological and surgical findings were correlated after the surgery. RESULTS: CTA showed 33 arteries and 32 veins (100% sensitivity) whereas MRA showed 32 arteries and 31 veins (97% sensitivity). CTA detected all five accessory renal arteries whereas MRA only detected one. CTA also identified all three accessory renal veins whereas MRA identified two. CTA had a sensitivity of 97% and 47% for left lumbar and left gonadal veins, whereas MRA had a sensitivity of 74% and 46%, respectively. CONCLUSION: Multislice spiral CTA with three-dimensional reconstruction was more accurate than MRA for both renal arterial and venous anatomy.
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CT angiography is generally superior to contrast-enhanced MR angiography with regard to renal arteries.
“CT angiography is generally shown to be superior to contrast-enhanced MR angiography with regard to the renal arteries [79].”
From Revascularization Strategies for Acute and Chronic Mesenteric Ischemia: A Narrative Review (2024) · cites this paper as [79]
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- Authors
- Bhatti, A. A., Chugtai, A., Haslam, P., Talbot, D., Rix, D. A., & Soomro, N. A.
- Affiliations
- Freeman Hospital (GB)
- Corresponding author
- Soomro, Naeem A.
- Venue
- BJU International
- Publisher
- Wiley
- Published
- 2005-10-13
- Volume
- 96
- Issue
- 7
- Pages
- 1105-1108
- ISSN
- 1464-4096 (ISSN-L)
- 1464-410X
- OpenAlex
- W2032164536
- Cited by
- 58
- References
- 15
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 2 · 2023: 2 · 2021: 1 · 2020: 2 · 2019: 2 · 2018: 2 · 2016: 5 · 2015: 3 · 2014: 4 · 2013: 3 · 2012: 3
- FWCI
- 5.57
- Type
- journal article
- Language
- en
- Open access
- green
- doi.org
- Locations
- British Journal of Urology (publishedVersion)
- PubMed (publishedVersion)
- Newcastle University ePrints (Newcastle Univesity)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Organ Donation and Transplantation
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Renal and Vascular Pathologies
- Physical Sciences › Engineering › Biomedical Engineering › Anatomy and Medical Technology
- Keywords
- living kidney donors, renal vascular anatomy, CT angiography, magnetic resonance angiography, donor nephrectomy, accessory renal artery, lumbar veins, gonadal vein, diagnostic accuracy, 3D reconstruction
- MeSH terms
- Humans, Kidney, Prospective Studies, Renal Artery, Renal Veins, Sensitivity and Specificity, Tomography, X-Ray Computed, Kidney Transplantation, Magnetic Resonance Angiography, Living Donors, Imaging, Three-Dimensional, Donor Selection
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