Polycystic kidney disease MRI: Difference between revisions

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{{Polycystic kidney disease}}
{{Polycystic kidney disease}}
{{CMG}}; {{AE}} {{AN}}
{{CMG}}; {{AE}} {{MKA}} {{AN}}


==Overview==
==Overview==
[[Magnetic resonance imaging]] can be used to identify [[cysts]] smaller than 1 cm and to differentiate complex from simple [[cysts]] without contrast or [[radiation]] exposure. [[Renal]] [[MRI]] may be helpful in the diagnosis of polycystic kidney disease. Findings on MRI diagnostic of polycystic kidney disease include, T2 weighted images show enlarged [[kidneys]] with multiple [[cysts]], normal [[parenchyma]] is absent, presence of fluid/fluid interface, wall thickening, hypointense signals in T2-weighted and DWI images, and hyperintense signals in T1-weighted images. 
==MRI==
==MRI==
*It is more sensitive than [[CT]] scan and [[ultrasound]], but not used routinely as it is an expensive diagnostic modality <ref name="pmid8542471">{{cite journal |author=Nishi T |title=Magnetic resonance imaging of autosomal recessive polycystic kidney disease in utero |journal=[[Journal of Obstetrics and Gynaecology (Tokyo, Japan)]] |volume=21 |issue=5 |pages=471–4 |year=1995 |month=October |pmid=8542471 |doi= |url=}}</ref>
[[Renal]] MRI may be helpful in the diagnosis of polycystic kidney disease. Findings on MRI diagnostic of polycystic kidney disease include:<ref name="pmid27733888">{{cite journal |vauthors=Gradzik M, Niemczyk M, Gołębiowski M, Pączek L |title=Diagnostic Imaging of Autosomal Dominant Polycystic Kidney Disease |journal=Pol J Radiol |volume=81 |issue= |pages=441–453 |date=2016 |pmid=27733888 |pmc=5031169 |doi=10.12659/PJR.894482 |url=}}</ref>
*T2 weighted images show enlarged [[kidneys]] with multiple [[cysts]]
*Normal [[parenchyma]] is absent
*Presence of fluid/fluid interface
*Wall thickening
*Hypointense signals in T2-weighted and DWI images
*Hyperintense signals in T1-weighted images
 
Note:
*When compared with [[ultrasonography]], [[MRI]] is able to indentify a greater number of simple [[renal]] [[cysts]] because of its superior [[sensitivity]] for [[cysts]] <1 cm. <ref name="pmid11719656">{{cite journal| author=Nascimento AB, Mitchell DG, Zhang XM, Kamishima T, Parker L, Holland GA| title=Rapid MR imaging detection of renal cysts: age-based standards. | journal=Radiology | year= 2001 | volume= 221 | issue= 3 | pages= 628-32 | pmid=11719656 | doi=10.1148/radiol.2213010178 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11719656  }} </ref>
*Although [[ultrasonography]] is preferred, high resolution imaging can be obtained using T2-weighted [[MRI]], especially since [[CT scans]] are associated with [[radiation]] exposure. Furthermore, T1-weighted and T2-weighted [[MRI]] images without [[gadolinium]] contrast can be used to detect the difference between simple and complex [[cysts]]. <ref name="pmid21784272">{{cite journal| author=Chapman AB, Wei W| title=Imaging approaches to patients with polycystic kidney disease. | journal=Semin Nephrol | year= 2011 | volume= 31 | issue= 3 | pages= 237-44 | pmid=21784272 | doi=10.1016/j.semnephrol.2011.05.003 | pmc=PMC3143364 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21784272  }} </ref>


==References==
==References==
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[[Category:Up-To-Date]]
[[Category:Medicine]]
[[Category:Nephrology]]
[[Category:Radiology]]

Latest revision as of 23:46, 29 July 2020

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: M. Khurram Afzal, MD [2] Aarti Narayan, M.B.B.S [3]

Overview

Magnetic resonance imaging can be used to identify cysts smaller than 1 cm and to differentiate complex from simple cysts without contrast or radiation exposure. Renal MRI may be helpful in the diagnosis of polycystic kidney disease. Findings on MRI diagnostic of polycystic kidney disease include, T2 weighted images show enlarged kidneys with multiple cysts, normal parenchyma is absent, presence of fluid/fluid interface, wall thickening, hypointense signals in T2-weighted and DWI images, and hyperintense signals in T1-weighted images.

MRI

Renal MRI may be helpful in the diagnosis of polycystic kidney disease. Findings on MRI diagnostic of polycystic kidney disease include:[1]

  • T2 weighted images show enlarged kidneys with multiple cysts
  • Normal parenchyma is absent
  • Presence of fluid/fluid interface
  • Wall thickening
  • Hypointense signals in T2-weighted and DWI images
  • Hyperintense signals in T1-weighted images

Note:

References

  1. Gradzik M, Niemczyk M, Gołębiowski M, Pączek L (2016). "Diagnostic Imaging of Autosomal Dominant Polycystic Kidney Disease". Pol J Radiol. 81: 441–453. doi:10.12659/PJR.894482. PMC 5031169. PMID 27733888.
  2. Nascimento AB, Mitchell DG, Zhang XM, Kamishima T, Parker L, Holland GA (2001). "Rapid MR imaging detection of renal cysts: age-based standards". Radiology. 221 (3): 628–32. doi:10.1148/radiol.2213010178. PMID 11719656.
  3. Chapman AB, Wei W (2011). "Imaging approaches to patients with polycystic kidney disease". Semin Nephrol. 31 (3): 237–44. doi:10.1016/j.semnephrol.2011.05.003. PMC 3143364. PMID 21784272.

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