老年人肾皮质灌注超声造影共识意义和前景展望

Significance and prospect of consensus on renal cortical blood perfusion using contrast-enhanced ultrasound in the elderly

老年人慢性肾脏病(CKD)的发生率不断提高,早期识别并准确评估肾损伤对减缓CKD病程发展以及提高老年患者的生活质量至关重要。肾皮质血流灌注的变化与CKD等的发生、发展及预后密切相关。超声造影(CEUS)能够实时、动态地监测肾皮质血流灌注,对早期诊断肾损伤、CKD的精准分级及评估治疗效果具有较高的临床应用价值。《老年人肾皮质血流超声造影规范化评估中国专家共识(2024版)》针对CEUS在肾皮质血流灌注评估应用中缺乏规范化操作流程,造影剂使用、机器参数和分析软件不统一等问题,提出了12条推荐意见,以期推动CEUS技术在肾皮质血流灌注评估方面的规范普及性应用并形成指南,能够为老年人提供一种安全、无创、无肾损伤的有效影像学检查方法。

With the increasing prevalence of chronic kidney disease(CKD)among the elderly,early detection and accurate assessment of kidney damage are crucial for slowing CKD progression and enhancing the quality of life in elderly patients.Renal cortical blood perfusion changes play a significant role in the onset,progression,and prognosis of CKD.Contrast-enhanced ultrasound(CEUS)enables real-time and dynamic monitoring of renal cortical blood perfusion,offering high clinical utility for early kidney injury diagnosis,precise CKD classification,and treatment efficacy evaluation.The 2024 edition of the Chinese Expert Consensus on Standardized Evaluation Methodology for Renal Cortical Blood Perfusion Using Contrast-enhanced Ultrasound presents 12 recommendations addressing issues such as lack of standardized operational protocols,contrast media usage,and variability in machine parameters and analysis software during CEUS application for renal cortical blood perfusion assessment.This initiative aims to encourage widespread adoption of CEUS technology for renal cortical blood perfusion evaluation,establishing guidelines that offer a safe,non-invasive,kidney-friendly,and effective imaging modality for elderly individuals.