Contrast enhanced ultrasound of cystic renal lesions, from diagnosis up to treatment
Issue title: Selected articles of the 42th Conference of the German Society for Clinical Microcirculation and Hemorheology, 15–16 November 2024, Senftenberg, Germany
Affiliations: [a]
Department of Radiology, Interdisciplinary Ultrasound Center, Charité, Universitätsmedizin Berlin, Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany
| [b]
Department of Radiology, Ludwig-Maximilians-University Munich, Munich, Germany
| [c]
Interdisciplinary Ultrasound-Center, Ludwig-Maximilians-University Munich, Munich, Germany
Abstract: 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.
