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Diagnostic Imaging Pathways - Acute Renal Transplant Dysfunction

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Teaching Points

  • A Doppler Ultrasound is indicated in all patients with allograft dysfunction
  • Sonography is useful in diagnosing thrombosis of the renal artery or vein, urinary obstruction, urine leaks and for biopsy
  • Nuclear Scintigraphy can give information regarding the function of a transplanted kidney
  • Renal biopsy is useful in transplanted kidneys deemed to have adequate blood flow but poor function looking for acute rejection
  • Arterial obstruction demonstrated on ultrasound, can further be managed with renal angiography

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