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Use of contrast-enhanced ultrasound in evaluating effectiveness of kidney tumor ablation

https://doi.org/10.33667/2078-5631-2022-31-40-45

Abstract

Relevance. The article is devoted to contrast-enhanced ultrasound in patients at different stages of minimally invasive (radiofrequency ablation, RFA) treatment of a kidney tumor.  

Objective. To increase the effectiveness of minimally invasive treatment of malignant tumors of the kidneys with the use of a contrast agent in ultrasound examination.  

Materials and methods. The group included 32 (100%) patients with malignant tumors of the kidneys who were denied surgical treatment due to the presence of severe concomitant somatic pathology or the presence of one kidney. In 3 patients, an allergic reaction to the contrast used in CT and MRI was observed, therefore, dynamic observation was carried out only on the basis of data obtained during contrast-enhanced ultrasound. Before RFA and at all stages of dynamic control, all patients underwent contrast-enhanced ultrasound examination. In 29 patients, results one month after ablation were compared with contrast-enhanced MRI or CT.  

Conclusions. The work showed that contrast-enhanced renal ultrasound can effectively evaluate the effectiveness of RFA of kidney malignancies in patients who were denied surgical treatment. 

About the Authors

L. A. Mitina
Moscow Research Institute n.a. P.A. Herzen – a Branch of the National Medical Research Centre of Radiology
Russian Federation

Mitina Larisa A., DM Sci (habil.), leading researcher at Dept of Ultrasound Diagnostics

Moscow



S. O. Stepanov
Moscow Research Institute n.a. P.A. Herzen – a Branch of the National Medical Research Centre of Radiology
Russian Federation

Stepanov Stanislav O., head of Dept of Ultrasound Diagnostics

Moscow



V. V. Ratushnaya
Moscow Research Institute n.a. P.A. Herzen – a Branch of the National Medical Research Centre of Radiology
Russian Federation

Ratushnaya Victoria V., physician of Dept of Ultrasound Diagnostics

Moscow



D. V. Dolgacheva
Moscow Research Institute n.a. P.A. Herzen – a Branch of the National Medical Research Centre of Radiology
Russian Federation

Dolgacheva Daria V., junior scientist at Dept of Ultrasound Diagnostics

Moscow



V. A. Solovyov
Moscow Research Institute n.a. P.A. Herzen – a Branch of the National Medical Research Centre of Radiology
Russian Federation

Solovyov Vasily A., junior scientist at Dept of Ultrasound Diagnostics

Moscow



K. A. Malekin
Moscow Research Institute n.a. P.A. Herzen – a Branch of the National Medical Research Centre of Radiology
Russian Federation

Malekin Kirill A., physician of Dept of Ultrasound Diagnostics

Moscow



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Review

For citations:


Mitina L.A., Stepanov S.O., Ratushnaya V.V., Dolgacheva D.V., Solovyov V.A., Malekin K.A. Use of contrast-enhanced ultrasound in evaluating effectiveness of kidney tumor ablation. Medical alphabet. 2022;(31):40-45. (In Russ.) https://doi.org/10.33667/2078-5631-2022-31-40-45

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ISSN 2078-5631 (Print)
ISSN 2949-2807 (Online)