Department of Radiology, Interdisciplinary Ultrasound Center, Charité, Universitätsmedizin Berlin, Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany.
Department of Radiology, Ludwig-Maximilians-University Munich, Munich, Germany.
Clin Hemorheol Microcirc. 2024;88(s1):S21-S33. doi: 10.3233/CH-248102.
Ultrasound is the most used interdisciplinary imaging technique in clinical routine for assessment of renal pathologies. This includes the monitoring of cystic renal lesions, which can be classified as non-complicated or complicated and by means of occurrence as solitary or multifocal lesions. The Bosniak-classification (I-IV) classifies renal cysts in 5 different categories and is used for decisions of further clinical treatment. This classification was developed for computed tomography and has been adopted for magnetic resonance imaging as well as contrast-enhanced ultrasound. In the following review article, cystic kidney lesions and their differentiation using contrast-enhanced ultrasound are presented and an overview of the therapy options is given. In interventional procedures, CEUS can make a valuable contribution in histological sampling, reduce radiation exposure and, under certain circumstances, the number of interventions for the patient.
超声是临床常规中用于评估肾脏病变的最常用的跨学科成像技术。这包括对囊性肾脏病变的监测，这些病变可以分为非复杂性或复杂性，并根据单发或多发病变的发生情况进行分类。Bosniak 分类（I-IV）将肾脏囊肿分为 5 个不同类别，用于决定进一步的临床治疗。该分类最初是为计算机断层扫描开发的，现已被磁共振成像以及对比增强超声采用。在以下综述文章中，介绍了使用对比增强超声的囊性肾脏病变及其鉴别诊断，并概述了治疗选择。在介入性操作中，CEUS 可以在组织学取样中做出有价值的贡献，减少辐射暴露，并且在某些情况下，减少患者的干预次数。
