Contrast-enhanced Ultrasound in the Diagnosis of Kidney Diseases

Carlos Nicolau 1 Laura Buñesch 1 Rafael Salvador 1 Blanca Paño 1 Iban Aldecoa 2 Carme Mallofré 2 Carmen Sebastiá 1
1Radiology, Hospital Clinic
2Pathology, Hospital Clinic

The dynamic enhancement behavior after contrast agent administration is one of the most important features for the imaging characterization of kidney diseases. The enhancement pattern depends on the macro- and microvasculature, and it correlates with specific pathologic features. Contrast-enhanced Ultrasound (CEUS) allows depiction of the kidney vasculature. This review focuses on the pathologic findings that help understand the different behavior on CEUS of the most common renal diseases. We will review:

1.       - Physiology of the enhancement behavior using CEUS in the normal kidney.

2.     -  The enhancement patterns of kidney diseases, including inflammatory, vascular and oncologic diseases.

3.      - Correlation of kidney diseases with their histological and hemodynamic features.









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