This poster was originally presented at the SERAM 2012 meeting, May 24-28, in Granada/ES. Este póster ha sido presentado originalmente en el congreso de la SERAM 2012, 24-28 de mayo, en Granada/ES.
www.seram.es
Type:
Presentación Electrónica Educativa
Keywords:
Transplantation, Ultrasound, CT, MR, Kidney, Abdomen
Authors:
J. Blay Beltran1, L. Requeni Monfort1, C. Fonfria1, M. Atarés Huerta1, G. Martín Benítez2, J. vizuete del rio1; 1Valencia/ES, 2Alcoy/ES
DOI:
10.1594/seram2012/S-0977
Conclusiones
La ecografía,
incluyendo el Doppler color,
el Duplex y la CEUS,
es la técnica diagnóstica no invasiva más útil en el seguimiento del trasplante rena.
Podemos utilizar la TC y la RM como técnicas alternativas en los casos de falta de correlación clínico-radiológica. La RM es superior al TC debido a que evita la radiación ionizante,
por la posibilidad de utilizar secuencias de RM funcional,
evitar y porque el riesgo de nefropatía inducida por contraste en pacientes con baja tasa de filtración glomerular es superior a la fibrosis sistémica neurogénica por gadolinio.
Las complicaciones parenquimatosas (necrosis tubular aguda y en especial el rechazo agudo) son el principal desafío para los estudios de imagen,
y es en estas complicaciones,
donde se centra la investigación con las nuevas técnicas (CEUS y secuencias funcionales de RM),
por lo que en un futuro podríamos evitar la biopsia para diagnosticarlas.
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