Pre-kidney-transplant evaluation of donors and recipients

The pretransplant imaging evaluation of recipients is mainly achieved with CT and has two objectives: detection of iliac artery calcifications that may have an impact on the site of the transplant and the type of arterial anastomosis; detection of a primary malignancy that would be a contraindication to transplantation. The pretransplant imaging evaluation of living donors relies on noninvasive techniques. CT angiography and MR angiography both allow the simultaneous evaluation of arteries, excretory tract and renal parenchyma. The goal is to achieve anatomical and functional renal evaluation in order to select the best donor and plan the surgical procedure.