[Sonographic detection of kidney infarctions using ultrasound contrast media].
Contrast-enhanced CT is currently the gold standard for the diagnosis of kidney infarction. Particularly in patients with renal insufficiency, however, the use of iodine contrast media is limited. Sonographic examination using ultrasound contrast media may be an alternative for these patients.


METHODS
We examined three patients with suspected ischaemic kidney infarction with ultrasound contrast media. Scanning was performed with low mechanical index, and SonoVue was used as by contrast-enhancing agent. In all three patients, kidney infarctions were clearly shown. In two patients, the lesions were confirmed by contrast-enhanced CT, in one no CT was performed because of impaired renal function.


CONCLUSIONS
Kidney infarctions can reliably be detected by contrast-enhanced ultrasound using SonoVue as contrast agent. This is particularly valuable in patients with renal impaired renal function and other contraindications against iodine contrast media.
Seeler
D
D
II. Medizinische Abteilung, Allgemeines Krankenhaus Harburg, Hamburg.
von Klinggräff
G
G
Christl
S U
SU
D000368:Aged; D000369:Aged, 80 and over; D003287:Contrast Media; D005260:Female; D006801:Humans; D007238:Infarction / Q000000981:diagnostic imaging*; D007668:Kidney / Q000098:blood supply* / Q000000981:diagnostic imaging; D012079:Renal Circulation; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography
D003287:Contrast Media