Mitchell Harrison Storace MD, Presenter: Nothing to Disclose

Robert Alan Koenigsberg DO, Abstract Co-Author: Nothing to Disclose

Renal osteodystrophy is a multisystem process involving renal, endocrine, and musculoskeletal systems. Secondary hyperparathyroidism, osteoporosis, osteosclerosis and osteomalacia are major musculoskeletal manifestations of this condition. Furthermore, changes related to chronic hemodialysis, renal transplantation, and medications used to treat renal disease frequently complicate radiologic assessment. Both synergistic and antagonistic effects on bone mineralization and trabecular patterns may result from these complex interactions. Often involved bones include those of the hands and the axial skeleton, particularly the sacroiliac joints. A careful understanding of renal osteodystrophy is extremely helpful for the radiologist, particularly in cases of overlap or similarity between renal osteodystrophy and other metabolic musculoskeletal disorders. This educational exhibit will explore the pathophysiology and imaging findings of this complex condition.

1. Introduction 2. Direct metabolic effects of chronic renal failure on bone a. Secondary hyperparathyroidism b. Osteoporosis c. Osteosclerosis d. Osteomalacia 3. Treatment related effects 4. Soft tissue calcifications  

http://abstract.rsna.org/uploads/2014/14008228/14008228_j1ga.pdf

Storace, M, Koenigsberg, R, Imaging of Renal Osteodystrophy.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14008228.html