Display options
Cite
Wang Z, Yang H, Suo C, et al. Application of Ultrasound Elastography for Chronic Allograft Dysfunction in Kidney Transplantation. J Ultrasound Med. 2017;36(9):1759-1769doi: 10.1002/jum.14221.
Wang, Z., Yang, H., Suo, C., Wei, J., Tan, R., & Gu, M. (2017). Application of Ultrasound Elastography for Chronic Allograft Dysfunction in Kidney Transplantation. Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine, 36(9), 1759-1769. https://doi.org/10.1002/jum.14221
Wang, Zijie, et al. "Application of Ultrasound Elastography for Chronic Allograft Dysfunction in Kidney Transplantation." Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine vol. 36,9 (2017): 1759-1769. doi: https://doi.org/10.1002/jum.14221
Wang Z, Yang H, Suo C, Wei J, Tan R, Gu M. Application of Ultrasound Elastography for Chronic Allograft Dysfunction in Kidney Transplantation. J Ultrasound Med. 2017 Sep;36(9):1759-1769. doi: 10.1002/jum.14221. Epub 2017 May 15. PMID: 28503746.
Copy Download .nbib Format: NLM
Share it on

J Ultrasound Med. 2017 Sep;36(9):1759-1769. doi: 10.1002/jum.14221. Epub 2017 May 15.

Application of Ultrasound Elastography for Chronic Allograft Dysfunction in Kidney Transplantation.

Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine

Zijie Wang, Haiwei Yang, Chuanjian Suo, Jifu Wei, Ruoyun Tan, Min Gu

Affiliations

  1. Department of Urology, First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
  2. Department of Pharmacy, First Affiliated Hospital of Nanjing Medical University, Nanjing, China.

PMID: 28503746 DOI: 10.1002/jum.14221

Abstract

Interstitial fibrosis is the main characteristic of chronic allograft dysfunction, which remains the key factor affecting long-term allograft survival after kidney transplantation. Ultrasound elastography (UE), including real-time elastography, transient elastography, and acoustic radiation force impulse, has been applied widely in breast, thyroid, and liver diseases, especially in the assessment of liver fibrosis. Recently, numerous studies have reported the efficacy of UE methods in evaluating renal allograft fibrosis. This review aims to investigate the clinical applications, limitations, and future roles of UE in current clinical practice in light of changing management paradigms. In current clinical practice, UE methods, especially transient elastographic measurement, appear to be useful for ruling out fibrosis but do not have sufficient accuracy to distinguish between various stages of allograft fibrosis. Moreover, there remain considerable issues to be solved for the application of UE in kidney transplantation. Thus, UE methods cannot replace the crucial role of renal allograft biopsy in the diagnosis and evaluation of allograft fibrosis in kidney transplantation. Perhaps UE methods could be of more importance in the long-term observation and evaluation of allograft fibrosis during follow-up.

© 2017 by the American Institute of Ultrasound in Medicine.

Keywords: chronic allograft dysfunction; fibrosis; kidney transplantation; ultrasound elastography

MeSH terms

Publication Types