Angio CT

Stenot Degre Negativ

Renal Positive
Patien ic e of Sensitivi Specifici e Accessory
  arteri     predicti
ts arterie stenos ty ty predicti arteries
es ve value
s is ve value

Method of Method
Spir
Author analysis of of DS
N % al
[Ref.] spiral comparis A
CTA
CTA on

Rubinet 70
31 62 14 MIP cAng 93 83 — — 11 11
al 55
Rubinet 70
31 62 14 SSD cAng 59 82 — — — —
al 55
Olbricht AX,MIP,S
62 157 66 iaDSA <50 98 94 — — — —
et al 56 SD
Olbricht AX,MIP,S 50
62 157 66 iaDSA 95 93 — — — —
et al 56 SD
Elkohen AX,MIP,S 50
50 131 16 iaDSA 88 98 88 98 32 25a
et al 57 SD
Prokope AX,MIP,S 50
80 198 117 iaDSA 99 93 88 97 30 30
t al 58 SD
Prokope AX,MIP,S
80 198 117 iaDSA <50 95 95 95 91 — —
t al 58 SD
Kaateee 50
71 166 122 AX,MIP iaDSA 96 96 96 96 24 24
t al 59
Kaateee
71 166 122 AX,MIP iaDSA <50 92 98 87 99 — —
t al 59

 Abbreviations are: Spiral CTA, spiral CT angiography; DSA, digital subtraction angiography; cAng, conventional
angiography; iaDSA, intraarterial DSA; AX, transaxial analysis; MIP, maximum intensity projection; SSD, shaded surface
display.

a
 7 accessory arteries outside the scan area

 Magnetic resonance angiography (MRA) in diagnosing renal artery stenosis

Previous table|Figure and tables index

Stenot Degre Negativ
Renal Positive
Patien ic e of Sensitivi Specifici e Accessory
  arteri     predicti
ts arterie stenos ty ty predicti arteries
es ve value
s is ve value

Method Method
Author of of An MR
N %
[Ref.] analysis comparis g A
of MRA on

Kim et al 63 25 55 19 TOF cAng 50 100 92 — — — —

Debatin et 50
33 73 15 TOF,PC cAng 87 97 — — — —
al 64
Kent et al65 37 77 34 PC cAng 50 100 94 — — 3 3
Silvermane 50
37 74 29 PC cAng 100 93 90 100 — —
t al 66
Corbelli et 50
50 103 31 PC iaDSA 90 99 95 97 7 6
al 67
Hann et 50
38 89 17 PC cAng 100 96 — — 13 8–10
al68
Holland et TOF,GA 50
32 72 31 cAng 100 100 — — 9 8
al 69 D
Loubeyre e 50
46 105 12 TOF,PC iaDSA 100 90 58 100 15 —
t al 70
Snidow et TOF,GA 50
30 60 5 cAng 100 89 — — 13 8
al 71 D
Corbelli et 50
55 123 29 GAD iaDSA 100 97 86 100 18 17
al 72
Corbelli et 50
55 123 29 PC iaDSA 94 96 79 99 18 11
al 72
Schoenber 50
23 48 31 PC iaDSA 100 93 — — — —
get al 73
Angio CT
 Abbreviations are: MRA, magnetic resonance angiography; TOF, time of flight; PC, phase-contrast sequences; GAD,
gadolinium; cAng, conventional angiography; iaDSA, intraarterial digital subtraction angiography.

 Color Doppler sonography in diagnosing renal artery stenosis

Positive Negative
Degree of Sensitivit
  Patients N Arteries N Specificity predictive predictive
stenosis y
value value

Author EHa or Stenotic

RAS Controls %
[Ref.] controls arteries

Postma et al39 46b 24 — 29 50 63 86 83 68

Stavros et al 40
30 26 — 32 60 95 97 92 98
Kliewer et 80
23 23 — 28 66 67 — —
al41
Schwerk et
53 19 — 19 >50 82 92 — —
al 42
Olin et al 43 — — 63 124 60 98 98 99 97

Spies et al38 — — 153 42 50 93 92 77 98

Krumme et 50
47 88 — 107 89 92 92 88
al 44
Miralles et 60
34 44 98 58 87d/76e 91d/92e 86d/86e 92d/87e
al45
Missouris et 60
— — 24 16 85f/94g 79f/88g — —
al 46
Postma et al47 52c 19 — — 50 47 97 — —

Nazzal et al 48
— — 70 73 50 89 /63
h i
92 /98
h i
85 /91
h i
94h/87i

Riehl et al 49 161 53 — 59 70 93 96 93 98

a
 Abbreviations: EH, essential hypertension; RAS, renal artery stenosis

b
 Technical failures in 15 of 61 patients

c
 Technical failures in 5 of 57 patients

d
 Test parameter was peak systolic velocity in the renal artery

e
 Test parameter was renal/aortic ratio

f
 Without ultrasound contrast enhancement

g
 With ultrasound enhancement

h
 Test parameter was acceleration index

i
 Test parameter was acceleration time

Studiul Nr. parametrul Valoarea Grad Sensibilitate Specificitate VP VP

pac stenoz ,% ,% P N
a
Radermacher J, 226 PSV >180cm/ >50% 96,7 98 - -
Chavan A,
Scha¨ffer J, et al. sec
Detection of
significant renal
artery stenosis
with color
Angio CT
Doppler
sonography:
combining
extrarenal and
intrarenal
approaches to
minimize
technical failure.
Clin Nephrol
2000;
Hua HT, Hood 107 PSV >200cm/ >60% 91 75 - -
DB, Jensen CC,
Hanks SE, rinich sec
Weaver FA. The i (58
use of
colorflow duplex pers)
scanning to detect
significant renal
artery
stenosis. Ann
Vasc Surg 2000
Williams GJ, 132 PSV >200cm/ >60% 89 87 60 95
Macaskill P, Chan
SF, et al. sec
Comparative
accuracy
of renal duplex
sonographic
parameters in the
diagnosis of
renal artery
stenosis: paired
and unpaired
analysis. Am J
Roentgenol
2007;188:798e81
1
Williams GJ, 167 PSV >200cm/ >60% 97 72 81 95
Macaskill P, Chan
SF, et al. sec
Comparative
accuracy
of renal duplex
sonographic
parameters in the
diagnosis of
renal artery
stenosis: paired
and unpaired
analysis. Am J
Roentgenol 2007
metaanaliza - PSV >180cm/ >60% 85 92 - -
sec
Miralles et al  127 PSV >180% >60% 86 92 - -
Labropoulos N, 76 RAR >3.5 >60% 91-92 95%
Ayuste B, Leon Jr
LR. Renovascular
disease
among patients
referred for renal
duplex
ultrasonography.
J Vasc Surg 2007
Chain S, Luciardi 132 RAR >3,0 >50% 76 90 92 77
H, Feldman G,
Berman S,
Herrera RN,
Ochoa J, et al.
Diagnostic role of
new Doppler
index assessment
of renal artery
stenosis.
Cardiovascular
Ultrasound 2006;
Aytac SK, Yigit 106 RAR >3,5 >60% 91 91 - -
H, Sancak T,
Angio CT
Ozcan H.
Correlation
between the
diameter of the
main renal artery
and the presence
of an
accessory renal
artery.
Sonographic and
angiographic
evaluation.
J Ultrasound Med
2003
Soares GM, - RSR >4 >50% 93 90 - -
Murphy TP,
Singha MS,
Parada A, Jaff M.
Renal
artery duplex
ultrasonography
as a screening and
surveillance
tool to detect
renal artery
stenosis: a
comparison with
current reference
standard imaging.
J Ultrasound Med
2006;
Souza de Oliveira - RIR >5 >50% 88 88 - -
IR, Widman A,
Molnar LJ,
Fukushima JT,
Praxedes JN,
Cerri GG. Color
Doppler
ultrasound: a new
index
improves the
diagnosis of renal
artery stenosis.
Ultrasound
Med Biol 2000
Chain S, Luciardi
H, Feldman G,
- PSV +RAR > 200 cm/s >50% 96 97 - -
Berman S, >3
Herrera RN,
Ochoa J, et al.
Diagnostic role of
new Doppler
index assessment
of renal artery
stenosis.
Cardiovascular
Ultrasound 2006
Parametri
distali
Hausberg et - simple - >60% 95 97 96 78
al. and pattern
Rabbia et recognitio
al. n
Chain S, Luciardi
H, Feldman G,
- AT >0.07 >50% 80 74 88 85
Berman S, AI >3,5
Herrera RN,
Ochoa J, et al.
Diagnostic role of
new Doppler
index assessment
of renal artery
stenosis.
Cardiovascular
Ultrasound 2006
Angio CT
- 131 PSV, >70% 97 93 98 96
dimens.
Rinichi
PI