ISSN: 2640-2343
Authors: Hira MG*, Waseem Z, Hira N, Usman K and Amjad I
Background: Live kidney donor evaluation mandates anatomical and functional assessment of the donor kidney. Multiphasic Multidetector computed tomography (MDCT) with advanced 3‐D techniques provides a detailed description of the vascular, parenchymal, and collecting system. Objectives: To evaluate the clinical application of Multiphasic MDCT in the pre-operative anatomic assessment of prospective donor kidneys. Methods: Multiphasic MDCT was performed in thirty-eight patients as part of a pre-operative assessment. Each study comprised three phases of imaging, including the arterial, venous, and excretory phases. Results: The predominant radiological finding amongst the cases studied was that of the presence of accessory renal arteries in 35% of the patients. Multiphasic MDT was also able to detect renal parenchymal disease in one case. Post-renal anatomical evaluation also identified renal calculi in 12.5% of the total cases. Conclusions: There is considerable scope for multiphasic MDCT in the pre-operative evaluation of donor kidneys, especially as modern-day renal transplant surgery sees a shift towards laparoscopic techniques where intraoperative anatomic evaluation can be restricted. The multiphasic MDCT is useful in pre-renal, renal, and post-renal anatomic evaluation. Advances in Knowledge: Multiphasic MDCT can provide noninvasive, detailed, and fast images to aid the preoperative evaluation of donor kidneys.
Keywords: Multiphasic MDCT; Post-Renal Anatomic Evaluation; CT Angiography
