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Unusual familial cystic kidney disease: combining fine radiologic and genetic evaluation to solve the case.
BMC Nephrol
September 2024
Service de Néphrologie-Dialyse Adultes, AP-HP-Centre, Université Paris Cité, Hôpital Necker Enfants Malades, 75015, Paris, France.
Article Synopsis
- Autosomal dominant polycystic kidney disease (ADPKD) is a common hereditary kidney condition that causes enlarged kidneys with cysts, high blood pressure, and other complications, making accurate diagnosis essential, especially without clear family history.
- In a case study of three family members, two sisters were initially misdiagnosed with ADPKD based on imaging, but further MRI and genetic tests ruled it out, showing the importance of advanced testing in diagnosis.
- The younger daughter was confirmed to have ADPKD through genetic testing, highlighting the variability of the disease and the need for careful diagnostic approaches to ensure appropriate treatment and avoid patient distress.
Radiomics signature for automatic hydronephrosis detection in unenhanced Low-Dose CT.
Eur J Radiol
October 2024
Centre for Diagnostic Imaging and Interventional Therapy, Donau-Isar-Klinikum, Perlasberger Straße 41, 94469 Deggendorf, Germany; Medical Faculty, Ludwig Maximilian University Munich, Bavariaring 19, 80336 Munich, Germany.
Purpose: To investigate the diagnostic performance of an automatic pipeline for detection of hydronephrosis on kidney's parenchyma on unenhanced low-dose CT of the abdomen.
Methods: This retrospective study included 95 patients with confirmed unilateral hydronephrosis in an unenhanced low-dose CT of the abdomen. Data were split into training (n = 67) and test (n = 28) cohorts.
Parapelvic Renal Cyst Treatment with Flexible Ureteroscopy: Single Centre Experience.
Arch Esp Urol
May 2024
Urology Department, Sisli Hamidiye Etfal Training and Research Hospital, University of Health Sciences, 34396 Istanbul, Turkey.
Background: This study aimed to assess the feasibility, safety, and efficacy of an endoscopic parapelvic renal cyst (PRC) incision using flexible ureterorenoscopy (fURS).
Material And Methods: We retrospectively reviewed data concerning 16 patients in whom PRC incisions had been performed using fURS between January 2016 and January 2022. Two patients were excluded from the study owing to a lack of follow-up information.
Application of virtual endoscopic imaging to parapelvic cyst incision by flexible ureteroscopy: a multicenter retrospective cohort study.
Minerva Urol Nephrol
August 2024
Department of Urology, Affiliated Jinhua Hospital, Zhejiang University School of Medicine, Jinhua, Zhejiang, China -
Article Synopsis
- A 3D reconstruction of the kidney and cysts using 3D Slicer software was created to assist in performing flexible ureteroscopic procedures on parapelvic cysts with a holmium laser.
- A retrospective study involving 59 patients showed that the group using 3D imaging had significantly shorter operation times (about 39 minutes) compared to those who didn't use it (about 51 minutes).
- Although the new technique reduced operation time, there were no significant differences in other postoperative outcomes like fever or hospital stays, indicating more research is needed for long-term effectiveness.
Imaging of Perirenal and Intrarenal Lymphatic Vessels: Anatomy-based Approach.
Radiographics
March 2024
From the Department of Radiology (H.T., A.I., T.A.P., N.T.) and Department of Medicine, Division of Rheumatology (Y.S.), Mayo Clinic, 200 First St SW, Rochester, MN 55905; Department of Radiology, Okayama City Hospital, Okayama, Japan (T.T.); Department of Radiology, Jichi Medical University, Tochigi, Japan (S.M.); Department of Diagnostic and Interventional Radiology, University of Tsukuba, Ibaraki, Japan (M.M.); and Department of Radiology, Mayo Clinic, Scottsdale, Ariz (A.K.).
Article Synopsis
- The lymphatic system includes lymphoid organs and vessels, but findings related to intrarenal and perirenal lymphatic vessels are not well-documented in radiology.
- Lymphatic pathways in the renal cortex allow lymph to travel towards the hilum and capsular plexus, which can be visualized through contrast medium during CT urography, indicating possible complications like pyelolymphatic backflow.
- Conditions like congenital renal lymphangiectasia and acquired renal complications can affect imaging post-kidney transplant, with distinct fluid patterns in the urinary tract indicating issues like chyluria, highlighting the importance of understanding lymphatic pathways for effective cancer management.
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