Stella K. Kang1, William C. Huang2, Jeff L. Zhang1, Michael Stifelman2, Mary Bruno1, Konstantinos Arhakis1, Edgar F. Suan1, Vivian S. Lee1, Hersh Chandarana1
Partial nephrectomy is commonly performed for treatment of localized renal tumors. Surgical approaches vary in the type and duration of ischemic insult. MR-renography may be used to monitor the impact of surgical approaches on the operated kidney and to assess the compensatory changes in the contralateral kidney while adding 5 minutes acquisition time and minimal gadolinium contrast. Our preliminary study demonstrated decrease in operated kidney function in the immediate post-operative period, which was greatest in patients with warm ischemia time ≥ 40 minutes and lowest in patients with cold ischemia. Few patients demonstrated persistent decline in renal function at follow-up.