Moving Points in NephrologyRenal Relevant Radiology Imaging in Kidney TransplantationSharfuddin, Asif Author Information Division of Nephrology, Department of Medicine, Indiana University School of Medicine, Indianapolis, Indiana Correspondence: Dr. Sharfuddin, Division of Nephrology, Indiana University School of Medicine, 950 W. Walnut Street, R2-202, Indianapolis, IN 46202. Email: [email protected] Clinical Journal of the American Society of Nephrology 9(2):p 416-429, February 2014. | DOI: 10.2215/CJN.02960313 Buy Metrics Abstract Summary Kidney transplantation can be associated with various complications that vary from vascular complications to urologic disorders to immunologic adverse effects. In evaluating the recipient with graft dysfunction, clinicians can choose among several imaging modalities, including ultrasonography, nuclear medicine studies, computed tomography, and magnetic resonance imaging. This review discusses the evaluation of the kidney transplant recipient using these imaging procedures, emphasizing the clinical diagnostic utility and role of each modality. A kidney biopsy is often required as a gold standard for diagnostic purposes. However, because of the inherent risks of a kidney biopsy, noninvasive imaging in diagnosing causes of graft dysfunction is a highly desired tool used and needed by the transplant community. Because the diagnostic accuracy varies depending on the time course and nature of the transplant-related complication, this review also addresses the advantages and limitations of each modality. The recent advances in kidney transplant imaging techniques and their clinical implications are also discussed. Copyright © 2014 The Authors. Published by Wolters Kluwer Health, Inc. All rights reserved.