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AJR 2005; 185:448-456
© American Roentgen Ray Society

Clinical Observations

Contrast-Enhanced MR Angiography and Digital Subtraction Angiography in Living Renal Donors: Diagnostic Agreement, Impact on Decision Making, and Costs

Marc C. J. M. Kock1,2, Jan N. M. Ijzermans3, Karen Visser1,2, Shahid M. Hussain1, Willem Weimar4, Peter M. T. Pattynama1, Gabriel P. Krestin1 and M. G. Myriam Hunink1,2

1 Department of Radiology, Erasmus Medical Center, P.O. Box 1738, 3000 DR, Rotterdam, The Netherlands.
2 Department of Epidemiology and Biostatistics, Erasmus Medical Center, Rotterdam, The Netherlands.
3 Department of Surgery, Erasmus Medical Center, Rotterdam, The Netherlands.
4 Department of Internal Medicine, Erasmus Medical Center, Rotterdam, The Netherlands.

Abstract

OBJECTIVE. The objective of our study was to evaluate the diagnostic agreement, the impact on decision making, and the costs of contrast-enhanced MR angiography and digital subtraction angiography in the workup of living renal donors.

CONCLUSION. Contrast-enhanced MR angiography for the preoperative evaluation of renal donors is superior to digital subtraction angiography in revealing vascular anomalies and depicting parenchymal abnormalities and is less costly; furthermore, it does not lead to preoperative decisions that differ from those based on digital subtraction angiography. If contrast-enhanced MR angiography does not provide sufficient information to make a confident decision, an additional digital subtraction angiography examination should be performed.


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Copyright © 2005 by the American Roentgen Ray Society.