ESPR Uroradiology Task Force and ESUR Paediatric Working Group - Imaging recommendations in paediatric uroradiology, Part V: Childhood cystic kidney disease, childhood renal transplantation and contrast-enhanced ultrasonography in children

Michael Riccabona, Fred Efraim Avni, Maria Beatrice Damasio, Lil Sofie Ording-Müller, Johan G. Blickman, Kassa Darge, Maria Luisa Lobo, Frederica Papadopoulou, Pierre Hugues Vivier, Ullrich Willi

Research output: Contribution to journalArticlepeer-review

Abstract

The ESPR Uroradiology Task Force and the ESUR PaediatricWorking Group present two new recommendations on imaging in childhood cystic kidney disease and in childhood renal transplantation, and address the presently restricted availability of contrast-enhanced (ce) US in children. New insights into the genetics require an updated classification of paediatric cystic kidney disease along with a new concept of diagnostic imaging. Characteristic imaging features are key to the new classification. Available recommendations for imaging renal transplantation in children are not satisfactory. The following consensus-based algorithm proposes a more effective and more uniform imaging concept, reducing invasiveness, enhancing diagnostic accuracy, and facilitating future multicentre studies and meta-analysis. At present, ce-US in children can only be performed off-license, since the only approved US contrast agent (CA) for children has been taken off the market. Nevertheless, paediatric ce-US is practiced at multiple places using Sonovue® (Bracco, Milan, Italy), a generally available agent in Europe. From a medical and scientific perspective, paediatric ce-US should be promoted, and efforts are undertaken to collect data on paediatric US-CA applications. Routine paediatric imaging depends on local expertise and availability of equipment. The imaging recommendations and supportive data are intended to ease the physicians' difficult task of dealing with the specific diagnostic demands of paediatric paediatric cystic kidney disease and transplantation.

Original languageEnglish
Pages (from-to)1275-1283
Number of pages9
JournalPediatric Radiology
Volume42
Issue number10
DOIs
Publication statusPublished - Oct 2012

Keywords

  • Childhood
  • Childhood renal transplantation
  • Contrast-enhanced ultrasonography
  • Cystic kidney disease
  • Paediatric

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Pediatrics, Perinatology, and Child Health

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