Type:
Educational Exhibit
Keywords:
Kidney, CT, Structured reporting, Decision analysis, Transplantation
Authors:
S. Horta1, R. Gianordoli1, M. H. Verussa1, B. A. Vento2, M. FUKUMOTO3, F. Yamauchi3, F. M. A. Coelho4, H. MUNIZ LEAO FILHO1, P. Viana1; 1São Paulo/BR, 2Belo Horizonte, MG/BR, 3SAO PAULO/BR, 4São Paulo, São Paulo/BR
DOI:
10.26044/ecr2019/C-2311
Background
The last decades have shown a significant rise in the number of patients affected by chronic kidney disease (CKD).
The estimated incidence rate of 7% per year in developed countries can be explained by the aging population and the global epidemic of type 2 diabetes mellitus.
Given the progressive nature of CKD,
there has been an increase in the number of patients affected by end-stage renal disease (ESRD),
consequently magnifying the demand for replacement therapies such as dialysis and transplantation.
According to the National Kidney Foundation,
17,107 kidney transplants took place in the US in 2014 and 5,537 came from living donors.
The ideal option for a kidney transplant is an organ harvested from a living donor through laparoscopic nephrectomy.
However,
this choice imposes challenges due to the limited surgical visual field,
demanding prior anatomic knowledge from the surgeon.
The most accurate and least invasive method for a complete characterization of donor anatomy is multidetector computed tomography (MDCT) imaging.
Every hospital with a kidney transplant service must have a radiology team trained in the structured reporting of potential donors,
which will be crucial to the adequate selection of donors and to a successful surgery.