Ultrasound as a diagnostic tool to differentiate acute from chronic renal failure
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Tarih
2010
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Dustri-Verlag Dr Karl Feistle
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Aim Renal ultrasound (US) is the most appropriate method for imaging renal failure; however, considerable overlap in renal size and renal echogenicity exists between normally and abnormally functioning kidneys We compared the sonographic features of kidneys in patients with renal failure to investigate the potential role of renal US to distinguish acute from chronic renal failure and assessed the diagnostic role of body surface area-corrected renal length compared to measured renal length Materials and methods We included 127 consecutive patients with serum creatinine levels higher than 3 mg/dl and 33 healthy volunteers The subjects with acute renal failure (ARF) and chronic renal failure (CRF) were compared for renal length, parenchymal thickness, parenchymal echogenicity, distinctness of the corticomedullary junction, and the presence of stones and cysts Results: No significant differences in age, serum albumin, creatinine, weight, height, or gender distribution were found between patients with ARF and those with CRF, except in serum hemoglobin. The flat and left kidney parenchymal thickness and renal length were significantly greater in ARF patients than in those with CRF (p < 0 0001). The mean parenchymal thickness and renal length were similar in ARF patients and the control group Grade I hyperechogenicity was the most common finding during sonography Conclusions Renal length, parenchymal thickness, and echogenicity differed significantly between patients with acute and chronic renal failure A renal US examination is still the most appropriate method for imaging renal failure and should be combined with other tests to distinguish acute from chronic renal failure
Açıklama
Anahtar Kelimeler
Acute Renal Failure, Chronic Renal Failure, Echogenicity, Ultrasound
Kaynak
Clinical Nephrology
WoS Q Değeri
Q4
Scopus Q Değeri
Q3
Cilt
74
Sayı
1
