Sievers K W, Kruschke A, Albrecht K H, Walz M
Röntgendiagnostisches Zentralinstitut, Universitätsklinikum Essen.
Urologe A. 1995 Nov;34(6):475-9.
Immediate diagnosis of rejection is essential for the prognosis of a renal transplant. To differentiate between rejection and acute tubular necrosis, 48 examinations (31 patients) were evaluated by Magnetic Resonance Imagining and Duplex Doppler ultrasound, and compared to the clinical outcome and histology. Sensitivity of MRI and Duplex Doppler was 82% (14/17), specificity was 77% (24/31) and 84% (26/31), respectively. Even when the results of both methods matched well, due to the extensive financial and technical efforts MRI may only be used as an additional tool for diagnosis.
及时诊断排斥反应对于肾移植的预后至关重要。为了区分排斥反应和急性肾小管坏死，对48项检查（31例患者）进行了磁共振成像和双功多普勒超声评估，并与临床结果和组织学进行了比较。磁共振成像和双功多普勒超声的敏感性分别为82%（14/17）、特异性分别为77%（24/31）和84%（26/31）。即使两种方法的结果匹配良好，但由于需要大量资金和技术投入，磁共振成像可能仅用作辅助诊断工具。
