Update on imaging-based diagnosis of acute renal allograft rejection.

Acute allograft rejection MRI PET SPECT imaging kidney transplantation noninvasive ultrasound

Journal

American journal of nuclear medicine and molecular imaging
ISSN: 2160-8407
Titre abrégé: Am J Nucl Med Mol Imaging
Pays: United States
ID NLM: 101564121

Informations de publication

Date de publication:
2019
Historique:
received: 09 03 2019
accepted: 12 04 2019
entrez: 30 5 2019
pubmed: 30 5 2019
medline: 30 5 2019
Statut: epublish

Résumé

Kidney transplantation is the preferred treatment for patients with end-stage renal disease. Despite effective immunosuppressants, acute allograft rejections pose a major threat to graft survival. In early stages, acute rejections are still potentially reversible, and early detection is crucial to initiate the necessary treatment options and to prevent further graft dysfunction or even loss of the complete graft. Currently, invasive core needle biopsy is the reference standard to diagnose acute rejection. However, biopsies carry the risk of graft injuries and cannot be immediately performed on patients receiving anticoagulation drugs. Therefore, non-invasive assessment of the whole organ for specific and rapid detection of acute allograft rejection is desirable. We herein provide a review summarizing current imaging-based approaches for non-invasive diagnosis of acute renal allograft rejection.

Identifiants

pubmed: 31139495
pmc: PMC6526365

Types de publication

Journal Article Review

Langues

eng

Pagination

110-126

Déclaration de conflit d'intérêts

None.

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Auteurs

Richard Köhnke (R)

Department of Medicine, Division of General Internal Medicine, Nephrology and Rheumatology, University Hospital of Muenster 48149 Muenster, Germany.

Dominik Kentrup (D)

Department of Medicine, Division of General Internal Medicine, Nephrology and Rheumatology, University Hospital of Muenster 48149 Muenster, Germany.
Department of Medicine, Division of Nephrology, The University of Alabama at Birmingham (UAB) 35294 Birmingham Alabama, US.

Katharina Schütte-Nütgen (K)

Department of Medicine, Division of General Internal Medicine, Nephrology and Rheumatology, University Hospital of Muenster 48149 Muenster, Germany.

Michael Schäfers (M)

Department of Nuclear Medicine, University Hospital of Muenster 48149 Muenster, Germany.
European Institute for Molecular Imaging, University of Muenster 48140 Muenster, Germany.

Uta Schnöckel (U)

Department of Nuclear Medicine, University Hospital of Muenster 48149 Muenster, Germany.

Verena Hoerr (V)

Department of Clinical Radiology, University Hospital of Muenster 48149 Muenster, Germany.
Institute of Medical Microbiology, Jena University Hospital Am Klinikum 1, 07747 Jena, Germany.

Stefan Reuter (S)

Department of Medicine, Division of General Internal Medicine, Nephrology and Rheumatology, University Hospital of Muenster 48149 Muenster, Germany.

Classifications MeSH