Polycystic kidney disease ultrasound

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:

Overview

Ultrasonography is the preferred method for the diagnosis of ADPKD. In patients with a positive family history, detection of bilateral fluid filled renal cysts is diagnostic of ADPKD.

Ultrasound

Ultrasonography is the preferred tool for the diagnosis of ADPKD due to its safety profile and low cost. In patients with a positive family history, the diagnosis of ADPKD is based on the detection of bilateral fluid-filled renal cysts. Ultrasound imaging is highly sensitive and can detect cysts > 1 cm in diameter. The diagnostic criteria include:[1]

  • Two or more unilateral or bilateral cysts in patients <30 years old
  • Two or more cysts in each kidney in patients 30-59 years old
  • Four or more cysts in each kidney in patients ≥60 years of age or older.

References

  1. O'Neill WC, Robbin ML, Bae KT, Grantham JJ, Chapman AB, Guay-Woodford LM; et al. (2005). "Sonographic assessment of the severity and progression of autosomal dominant polycystic kidney disease: the Consortium of Renal Imaging Studies in Polycystic Kidney Disease (CRISP)". Am J Kidney Dis. 46 (6): 1058–64. doi:10.1053/j.ajkd.2005.08.026. PMID 16310571‎ Check |pmid= value (help).

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