The role of directional power Doppler in early detection of the onset of neoangiogenesis in a case of small hyperechoic renal lesion.

Case Report: A small hyperechoic renal mass was detected in a 57 year old female. This renal mass was further characterized by the absence of peripheral or intratumoral vascularity using directional power Doppler (dpD); however, there were intralesion spots colored after Levovist (pattern 1, according to Jinzaki). By computer tomography (CT) scan, the renal mass was considered a benign lesion.

The role of directional power Doppler in vascular characterization of renal masses.

Objectives: The purpose of our study was to characterize the vascularization of frequently detected renal masses with directional power Doppler (dpD).

Materials And Methods: We analyzed 38 renal masses with B-mode sonography (US), dpD, computer tomography (CT) and/or magnetic resonance (MR) and, in some cases, also with percutaneous renal biopsy (RB). The study population included 14 renal cell carcinomas (RCC), 10 angiomyolipomas (AML), 5 other types of lesions, as complex cysts, anatomical malformations and focal pyelonephritis (PLN), 9 mass lesions classified indeterminate by imaging studies and have defied characterization by RB.

[Role of directional power-Doppler in the identification of renovascular malformations].

Objective: The directional power-Doppler (dPD) is a useful tool in evaluating the renal vascularization for its high sensibility and availability. Renal vascular malformations like the arteriovenous fistulas (avF) are rare and their real incidence is unknown. We evaluated the diagnostic role of dpD in renal avF.