Radiologic Assessment of Native Renal Vasculature

A multi-modality radiologic assessment of native renal vasculature.

Course ID: Q00530 Category:
Modalities: , , ,


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Targeted CE per ARRT’s Discipline, Category, and Subcategory classification for enrollments starting after January 30, 2024:
[Note: Discipline-specific Targeted CE credits may be less than the total Category A credits approved for this course.]

Computed Tomography: 2.00
Procedures: 2.00
Abdomen and Pelvis: 2.00

Magnetic Resonance Imaging: 2.00
Procedures: 2.00
Body: 2.00

Registered Radiologist Assistant: 3.50
Procedures: 3.50
Abdominal Section: 3.50

Sonography: 2.00
Procedures: 2.00
Abdomen: 2.00

Vascular-Interventional Radiography: 2.00
Procedures: 2.00
Vascular Diagnostic Procedures: 1.00
Vascular Interventional Procedures: 1.00

Vascular Sonography: 2.00
Procedures: 2.00
Abdominal/Pelvic Vasculature: 2.00


  1. Introduction
  2. Anatomy
  3. Imaging Protocols
  4. Processes Affecting the Renal Arteries
    1. Renal Artery Stenosis
    2. Fibromuscular Dysplasia
    3. Renal Artery Entrapment
    4. Renal Artery Dissection
    5. Renal Artery Aneurysm
      1. Pseudoaneurysm
    6. Mycotic RAA
    7. Renal Artery Occlusion
  5. Systemic Disorders Affecting the Renal Arteries
    1. Polyarteritis Nodosa
    2. Other Vasculitides
    3. Neurofibromatosis
    4. Takayasu Arteritis
    5. Arteriovenous Communications
      1. Arteriovenous Malformation
      2. Arteriovenous Fistula
      3. Arteriovenous Connections Associated with Renal Cell Carcinoma
    6. Secondary Ureteropelvic Junciton Obstruction Caused by Crossing Vessels
  6. Processes Affecting the Renal Veins
    1. Nutcracker Syndrome
    2. Renal Vein Thrombosis
    3. Renal Vein Tumor Thrombosis
      1. Renal Cell Carcinoma
      2. Other Tumors
    4. Renal Vein Leiomyosarcoma
    5. Renal Vein Traume
  7. Conclusion


Upon completion of this course, students will:

  1. state the length and diameter of the main renal artery
  2. name the only major vessel to course posterior to the inferior vena cava
  3. list the origins for multiple renal arteries in patients with horseshoe kidney
  4. list the veins that drain the kidney
  5. choose the imaging modality that provides real-time qualitative and quantitative information regarding the renal vasculature
  6. select the peak systolic velocity range in the main renal artery
  7. list advantages of CT for evaluation of renal vasculature
  8. state the most common cause of secondary hypertension
  9. describe where direct signs of renal artery stenosis appear
  10. express the percent of accuracy of CT angiography for the diagnosis of renal artery stenosis
  11. list the secondary CT signs of hemodynamically significant stenosis
  12. state the renal resistive index suggesting poor therapeutic response to revascularization treatment of renal artery stenosis
  13. describe the arteries affected by fibromuscular dysplasia
  14. list the subclassifcations of fibromuscular dysplasia
  15. associate medial fibroplasia with “string of pearls” appearance
  16. state the imaging procedure that is 100% sensitive for the diagnos
  17. is of fibromuscular dysplasia
  18. choose the treatment of choice for renal artery stenosis caused by fibromuscular dysplasia
  19. list the non-specific symptoms of renal artery dissection
  20. describe where spontaneous artery dissection most often originates
  21. differentiate between treatment methods for spontaneous renal artery dissection
  22. state the most common site for renal artery aneurysm
  23. state additional arteries that may be affected in patients with renal artery aneurysm
  24. choose the surveillance time frame for renal artery aneurysms 1.0-1.5 cm in diameter
  25. list treatments for renal artery aneurysms
  26. state the symptoms of pseudoaneurysm
  27. choose the imaging modality the shows the “yin-yang” sign
  28. list inflammatory changes associated with mycotic renal artery aneurysm
  29. express the time frame in which main renal artery occlusion can lead to kidney infarction
  30. state the shape of renal infarction as seen on contrast-enhanced CT
  31. state the imaging reference standard for detection of renal artery occlusion
  32. express the artery sizes affected by polyarteritis nodosa
  33. select the most common cause of death in NF-1 patients
  34. choose the patient population in which NF-1 associated stenoses often occur
  35. list the manifestations associated with Takayasu arteritis
  36. state the classification for renal AVMs
  37. tell the percentage of arteriovenous fistulas that occur after renal biopsy
  38. choose the best imaging procedure to define ureteropelvic junction obstruction
  39. describe nutcracker syndrome
  40. choose the imaging examination of choice for the diagnosis of nutcracker syndrome
  41. list the risk factors for renal vein thrombosis
  42. state the most common type of cancer to affect the renal veins
  43. state the most common renal and abdominal malignancy of childhood
  44. choose the muscle source of leiomyosarcoma
  45. state the percent to which injury to the renal vein occurs as a rare complication of abdominal trauma