Nephroradiology pres-course-13-april-2017 (1)

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Transcript of Nephroradiology pres-course-13-april-2017 (1)

What Nephrologist Needs from

Radiologist?

Hussein Sheashaa, MD, FACP

Professor of Nephrology, Urology and Nephrology Center and Director of Medical E-Learning Unit, Mansoura University and Executive Director of ESNT- Virtual Academy: http://lms.mans.edu.eg/esnt/

NMGH, Thursday, April 13th, 2017

1. Ultrasound2. CT3. MRI4. Biopsy5. Contrast

Corners

Miletic, et al. J Clin Ultrasound. 1998;26:185-189.

Renal US

Clin J Am Soc Nephrol 9: 382–394, Feb 2014.

Renal US

Transplantation 2017, in press

3D Ultrasound

J Clin Ultrasound. 2017 Apr 4 .

Prior Imaging

1. Ultrasound2. CT3. MRI4. Biopsy5. Contrast

Corners

Radiology. 2017 Feb;282(2):552-560

CT-GFR

Radiology. 2017 Feb;282(2):552-560

CT-GFR

How to Assess The Split Function?

Clin Transplant 2016; 30: 1028–1035

Advances in Chronic Kidney Disease, Vol 23, No 1 (January), 2016: pp 19-28

CT Volumetry:Kidney Volumes and Aging (n 1281)

Case and Message

CT:Calciphylaxis

1. Ultrasound2. CT3. MRI4. Biopsy5. Contrast

Corners

J Magn Reson Imaging. 2017 Apr 6.

MRI and DN:ASL

MRI in Polyuria

1. Ultrasound2. CT3. MRI4. Biopsy5. Contrast

Corners

Clin J Am Soc Nephrol 11: 354–362, 2016

Renal BiopsyWhat Should We Know?

Clin J Am Soc Nephrol 11: 354–362, 2016

Renal BiopsyRelative Contraindications

Can J Urol. 2016 Feb;23(1):8121-6

Renal Biopsy:Different Approaches

Standard of care: Precautions (CBC, Coagulation profile, etc.

Impact of patient and procedure on blood transfusion:

Needle gauge Number of needle passes Use of anti-platelets Age Serum creatinine Blood pressure

Informed Consent ExamplesRenal Biopsy: Precautions

Intern Med 56: 875, 2017after 9 monthsPicture 1

Renal BiopsyCase and Message

1. Ultrasound2. CT3. MRI4. Biopsy5. Contrast

Corners

Annals of Emergency Medicine 2017, in press

CI-AKI:What is New?

J Am Soc Nephrol 28: 653–659, February 2017J Am Soc Nephrol 28: 397–399, February 2017

CI-AKI:What is New?

CI-AKI:AMACING Trial

CI-AKI:AMACING Trial

Semin Dial. 2017 Apr 5.

Use of Contrast in CKD and ESRD

Semin Dial. 2017 Apr 5.

Gadolinium and NSF