Department of Medical Imaging, Erasme Hospital, Brussels, Belgium.
AJR Am J Roentgenol. 2012 May;198(5):1004-13. doi: 10.2214/AJR.11.8083.
The purpose of this clinical perspective is to describe a decision-tree approach to the finding of hyperechoic kidneys as signs of congenital renal cystic disease in fetuses and children. This approach takes into account the latest classification of inherited renal cystic diseases. The basis of the approach is a detailed sonographic analysis in addition to assessment of clinical data and the familial history.
With the decision-tree approach, typical sonographic patterns can be described and used for accurate diagnosis of isolated renal cystic diseases and polymalformative syndromes. In some cases, however, the diagnosis is not achieved, and complementary examinations are needed.
本临床观点旨在描述一种决策树方法，用于发现胎儿和儿童中高回声肾脏作为先天性肾囊性疾病的征象。该方法考虑了遗传性肾囊性疾病的最新分类。该方法的基础是除了评估临床数据和家族史外，还进行详细的超声分析。
使用决策树方法，可以描述典型的超声模式，并用于准确诊断孤立性肾囊性疾病和多畸形综合征。然而，在某些情况下，无法做出诊断，需要进行补充检查。
