W. Rathmell
Last active: 4/27/2021

Management of Indeterminate Cystic Kidney Lesions: Review of Contrast-enhanced Ultrasound as a Diagnostic Tool.

Chang EH, Chong WK, Kasoji SK, Dayton PA, Rathmell WK
Urology. 2016 87: 1-10

PMID: 26483268 · PMCID: PMC5500195 · DOI:10.1016/j.urology.2015.10.002

Indeterminate cystic kidney lesions found incidentally are an increasingly prevalent diagnostic challenge. Standard workup includes Bosniak classification with contrast-enhanced computed tomography (CT) or magnetic resonance imaging (MRI). However, these tests are costly and not without risks. Contrast-enhanced ultrasound (CEUS) is a relatively new technique with lower risk of adverse events than iodine-containing contrast or gadolinium. In our review of the evidence for characterization of cystic kidney lesions with CEUS, CEUS displayed sensitivity (89%-100%) and negative predictive value (86%-100%) comparable to contrast-enhanced CT or MRI, with no decrease in specificity compared with CT and only a slight decrease compared with MRI.

Copyright © 2015 Elsevier Inc. All rights reserved.

MeSH Terms (6)

Contrast Media Diagnosis, Differential Disease Management Humans Kidney Diseases, Cystic Ultrasonography

Connections (1)

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