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Thölking G, Schuette-Nuetgen K, Kentrup D, et al. Imaging-based diagnosis of acute renal allograft rejection. World J Transplant. 2016;6(1):174-82doi: 10.5500/wjt.v6.i1.174.
Thölking, G., Schuette-Nuetgen, K., Kentrup, D., Pawelski, H., & Reuter, S. (2016). Imaging-based diagnosis of acute renal allograft rejection. World journal of transplantation, 6(1), 174-82. https://doi.org/10.5500/wjt.v6.i1.174
Thölking, Gerold, et al. "Imaging-based diagnosis of acute renal allograft rejection." World journal of transplantation vol. 6,1 (2016): 174-82. doi: https://doi.org/10.5500/wjt.v6.i1.174
Thölking G, Schuette-Nuetgen K, Kentrup D, Pawelski H, Reuter S. Imaging-based diagnosis of acute renal allograft rejection. World J Transplant. 2016 Mar 24;6(1):174-82. doi: 10.5500/wjt.v6.i1.174. PMID: 27011915; PMCID: PMC4801793.
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World J Transplant. 2016 Mar 24;6(1):174-82. doi: 10.5500/wjt.v6.i1.174.

Imaging-based diagnosis of acute renal allograft rejection.

World journal of transplantation

Gerold Thölking, Katharina Schuette-Nuetgen, Dominik Kentrup, Helga Pawelski, Stefan Reuter

Affiliations

  1. Gerold Thölking, Katharina Schuette-Nuetgen, Dominik Kentrup, Helga Pawelski, Stefan Reuter, Department of Medicine D, Division of General Internal Medicine, Nephrology and Rheumatology, University Hospital of Münster, 48149 Münster, Germany.

PMID: 27011915 PMCID: PMC4801793 DOI: 10.5500/wjt.v6.i1.174

Abstract

Kidney transplantation is the best available treatment for patients with end stage renal disease. Despite the introduction of effective immunosuppressant drugs, episodes of acute allograft rejection still endanger graft survival. Since efficient treatment of acute rejection is available, rapid diagnosis of this reversible graft injury is essential. For diagnosis of rejection, invasive core needle biopsy of the graft is the "gold-standard". However, biopsy carries the risk of significant graft injury and is not immediately feasible in patients taking anticoagulants. Therefore, a non-invasive tool assessing the whole organ for specific and fast detection of acute allograft rejection is desirable. We herein review current imaging-based state of the art approaches for non-invasive diagnostics of acute renal transplant rejection. We especially focus on new positron emission tomography-based as well as targeted ultrasound-based methods.

Keywords: Acute allograft rejection; Imaging; Kidney transplantation; Magnetic resonance imaging; Positron emission tomography; Renal; Single photon emission computed tomography; Ultrasound

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