Role of Multi Detector Computerized Tomography Angiography (MDCTA) in evaluation of renal vascular anomalies | ||
| Benha Medical Journal | ||
| Article 4, Volume 40, Special issue (Radiology), July and August 2023, Pages 32-48 PDF (1.22 M) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/bmfj.2022.108120.1515 | ||
| Authors | ||
| Mohamed Refat Al Afify* 1; Ahmed Farid Yousif2; Essam Ali Abo Bieh3; Hamada Mohamed Khater4 | ||
| 1Radiology specialist , Kafr El Sheikh Chest Hospital . | ||
| 2Professor of Radiodiagnosis , Faculty of Medicine, Benha University. | ||
| 3Fellow of Radiodiagnosis Urology and Nephrology center Mansoura University | ||
| 4Lecturer of Radiodiagnosis Faculty of Medicine, Benha University | ||
| Abstract | ||
| Background; Multidetector computed tomographic (MDCT) angiography has become a key imaging investigation for assessment of the renal vasculature challenging conventional angiography. Objective : assess the diagnostic performance and accuracy of multi-detector computed tomography angiography in evaluation of renal vascular abnormalities. Subjects and Methods: Prospective study included 95 patients ( 60 mеn аnd 35 wоmеn) evaluated by MDCT renal аngiоgrаphy , divided into four groups . First group are renal donors prepared for renal transplant , Second group are patients with history of suspected renal trauma or post percutaneous nephrolithetomy hematuria , Third group are patients suspected for renovascular hypertension . Fourth group are patients with renal masses assesed for preoperative angio-embolization & surgical guidance . . MDCTA findings were correlated with conventional angiography or operative findings. Results: MCT angiography results shows no significant statical deference compared with intraoperative findings in first group , as well as compared with conventional angiography regards detection of pseudoaneurysms in traumatic & post PCNL patients ( P VALUE > 0.05 ) in second group . In patients with suspected renovascular hypertension there was significant difference between renal artery doppler findings & MDCT angiography as well as conventional angiography ( P VALUE < 0.05 ) . MDCT Angiography has AUC of 0.973 ,Sensitivity 93.3% and Specificity 90% . Conclusion: We can conclude that, MDCT Renal angiography is an excellent imaging investigation because it is a fast and non invasive tool that provides detailed evaluation of normal renal vascular anatomy, variants & abnormalities . | ||
| Keywords | ||
| MDCT; Angiography; renal; vascular; anomalies | ||
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