ROLE OF MULTI-DETECTOR COMPUTED TOMOGRAPHY IN THE PRE-OPERATIVE WORK UP OF POTENTIAL LIVING RENAL DONORS

Vyas D. Deepak, *Garge S. Shaileshkumar, Vyas D. Pooja, Rasool Bushra, Thaker R. Nirav, Jaggi T. Sunila, Shah H. Sonali and Talwar A. Inder

ABSTRACT

Background: Kidney Transplantation is limited by severe shortage of cadaver kidneys. To ameliorate this limitation, use of living donors is now widely accepted. Preoperative evaluation of living renal donor is important to select the appropriate kidney for transplantation and to decrease donor surgical complications. Aims: The aim of this study was to observe the accuracy of multi-detector computed tomography (MDCT) to evaluate vascular anatomy in potential living renal donors using surgical findings as reference standard. Settings and Design: Prospective observational nonrandomized study. Subjects and Methods: A total number of 30 living renal donors who underwent open surgical approach for transplantation were selected. Renal anatomy and renal vessels of donors evaluated by CT angiography was compared with surgical findings in all patients. Results: The accuracy for detecting number of main renal arteries was 96.66%. The accuracy for detecting number of main renal veins and ureters was 100%. Conclusions: MDCT using 64-channel scanner represents a single step highly accurate imaging modality for the anatomic evaluation of kidneys, their vascular anatomy and ureters with good patient comfort in potential living renal donors.

Keywords: Kidney transplantation, Living renal donors, Multi-detector computed tomography.