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Noncontrast enhanced magnetic resonance angiography is comparable to color Doppler ultrasound for screening for renal artery stenosis, but is faster and shows more segments Cover

Noncontrast enhanced magnetic resonance angiography is comparable to color Doppler ultrasound for screening for renal artery stenosis, but is faster and shows more segments

Open Access
|Jan 2017

Figures & Tables

Figure 1

Severe bilateral renal artery stenosis was diagnosed in an 80-year-old patient. Arrow heads and arrows show severe renal artery stenosis at the proximal right and left main renal arteries in both contrast-enhanced magnetic resonance angiography (MRA) (A) and noncontrast enhanced MRA (B). Color Doppler ultrasound of right and left main renal arteries (C and D) showed aliasing color and high peak systolic velocities, indicating severe renal artery stenosis.
Severe bilateral renal artery stenosis was diagnosed in an 80-year-old patient. Arrow heads and arrows show severe renal artery stenosis at the proximal right and left main renal arteries in both contrast-enhanced magnetic resonance angiography (MRA) (A) and noncontrast enhanced MRA (B). Color Doppler ultrasound of right and left main renal arteries (C and D) showed aliasing color and high peak systolic velocities, indicating severe renal artery stenosis.

Diagnostic criteria for the degree of renal artery stenosis [9]

Normal<50% stenosis≥50% stenosis
Peak systolic velocity (cm/s)<100100-179≥180
Peak systolic velocity ratio of renal artery/aorta≤3.3≤3.3>3.3
Damping waveform of intrarenal artery or acceleration time >0.07 secondsNoNoYes

Color Doppler ultrasound and contrast-enhanced magnetic resonance angiography determination of the degree of renal artery stenosis per segment

CDUS\CE–MRANormal<50% stenosis≥50% stenosisTotal
Normal24730250
<50% stenosis1012
≥50% stenosis2046
Total25035258

Noncontrast-enhanced magnetic resonance angiography (NC-MRA) and contrast-enhanced magnetic resonance angiography determination of the degree of renal artery stenosis per segment analysis

NC-MRA\CE–MRANormal<50% stenosis50% stenosisTotal
Normal27230275
<50% stenosis0000
≥50% stenosis32611
Total27556286
DOI: https://doi.org/10.5372/1905-7415.0903.406 | Journal eISSN: 1875-855X | Journal ISSN: 1905-7415
Language: English
Page range: 373 - 378
Published on: Jan 31, 2017
Published by: Chulalongkorn University
In partnership with: Paradigm Publishing Services
Publication frequency: 6 issues per year

© 2017 Siripat Saejeung, Kawalee Sasiwimolphan, Laddawan Vajragupta, Somjai Wangsuphachart, Monravee Tumkosit, published by Chulalongkorn University
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.