Ultrasound findings in renal parenchymal disease: Comparison with histological appearances

Page, J.E.; Morgan, S. H.; Eastwood, J. B.; S, Smith; Webb, DJ; Dilly, Susan; Chow, J. W. M.; Pottier, A.; Joseph, A.E.A.

doi:10.1016/s0009-9260(05)82877-6

Cited by 47 publications

(38 citation statements)

References 12 publications

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“…The sonographic findings of the kidneys had been evaluated in the present study. The sonographic evaluation provides accurate and precise values (high positive predictive values) for assessing renal parenchymal disease [10]. In our study, we found that the echogenicity of renal parenchyma and cortex were both equally and grossly increased in acute, chronic and end-stage parenchymal diseases.…”

Section: Discussionsupporting

confidence: 54%

Sonographic findings in renal parenchymal diseases at Sudanese

Gareeballah¹,

Gameraddin²,

Mustafa³

et al. 2015

OJRad

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Objective: The objective of this study was to assess the sonographic findings in renal parenchymal diseases using gray-scale ultrasound in order to classify these diseases. The study design was a cross-sectional one. There were 204 patients who were suspected with renal diseases. They had been scanned with ultrasound to assess the kidneys. The echogenicity, renal cortex and parenchyma, and cortico-medullary differentiation had been evaluated. Results: The study revealed that the echogenicity of renal parenchyma and cortex increased in all types of renal parenchymal diseases. The cortico-medullary differentiation was mainly disturbed in acute parenchymal disease (69.04%), loss in chronic end-stage parenchymal disease (85%); and there was significant difference (p-value = 0.0001). Conclusion: Ultrasound provided useful and accurate diagnosis of renal parenchymal diseases. In this study, renal parenchymal diseases had been classified into acute, chronic and end-stage renal parenchymal diseases.

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Section: Discussionsupporting

confidence: 54%

Sonographic findings in renal parenchymal diseases at Sudanese

Gareeballah¹,

Gameraddin²,

Mustafa³

et al. 2015

OJRad

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“…This increased echogenicity was mainly attributed to inflammatory infiltrates, fibrosis and proteinaceouscasts. 10,11 This finding agrees with Jagdeesh et al who reported that echogenicity is a useful sonographic parameter to assess renal parenchymal diseases. 12 In the current study, it was observed the renal cortex was normal in 65.05% of the cases while it was thin in 33.5%.…”

Section: Discussionsupporting

confidence: 90%

Sonographic assessment of kidneys and associated abdominal findings in patients with renal parenchymal diseases

et al. 2017

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Background: The renal parenchymal diseases were common pathological conditions that involved the renal parenchyma. They cause damage to interstitia and glomerula and result in renal failure if left undiagnosed and untreated. The objective of the study was to assess the kidneys in renal parenchymal diseases in Sudanese patients.Methods: This cross-sectional study involved two hundred and six patients confirmed with renal parenchymal diseases. All the patients were scanned using ultrasonography. The echogenicity, kidney size, surface and thickness of renal cortex were assessed and the related abdominal findings.Results: A total of 206 patients diagnosed and confirmed renal parenchymal diseases had been selected for the study. The kidneys were normal in size in 47.10% the cases, 30.58% were small and 19.42% were large. The echogenicity of the kidneys was increased in 93.69% and normal echogenicity observed in 5.34% of the cases. The renal cortical thickness was normal in 65.05% and thin in 33.50% of the cases. There were no obstructive changes in the renal pelvicalyceal system in 86.41%, while dilatation observed only in 7.28% of the cases. Abdominal findings were observed in 65.05% of the cases. The most common abdominal findings were 26 cases of ascites, 10 with pleural effusion, 6 with benign prostatic hypertrophy and 4 with liver cirrhosis.Conclusions: Sonographic evaluation of kidneys in renal parenchymal diseases is very important in diagnosis and management. Pleural effusion, ascites and liver cirrhosis were the most common systematic findings accompanied with renal parenchymal diseases.

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“…Because fibrous tissue (e.g., glomerulosclerosis, interstitial fibrosis) increases echogenicity, CKD is typically associated with increased echogenicity. Inflammatory infiltrates may explain the increased echogenicity that occurs with acute interstitial nephritis and GN (7). Proteinaceous casts are thought to cause the increased echogenicity associated with acute tubular necrosis (ATN) (8).…”

Section: Use Of Specific Parameters Obtained From Ultrasonography Andmentioning

confidence: 99%

Renal Relevant Radiology

Faubel

Patel²,

Lockhart

et al. 2014

Clinical Journal of the American Society of Nephrology

105

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SummaryAs judged by the American College of Radiology Appropriateness Criteria, renal Doppler ultrasonography is the most appropriate imaging test in the evaluation of AKI and has the highest level of recommendation. Unfortunately, nephrologists are rarely specifically trained in ultrasonography technique and interpretation, and important clinical information obtained from renal ultrasonography may not be appreciated. In this review, the strengths and limitations of grayscale ultrasonography in the evaluation of patients with AKI will be discussed with attention to its use for (1) assessment of intrinsic causes of AKI, (2) distinguishing acute from chronic kidney diseases, and (3) detection of obstruction. The use of Doppler imaging and the resistive index in patients with AKI will be reviewed with attention to its use for (1) predicting the development of AKI, (2) predicting the prognosis of AKI, and (3) distinguishing prerenal azotemia from intrinsic AKI. Finally, pediatric considerations in the use of ultrasonography in AKI will be reviewed.

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Ultrasound findings in renal parenchymal disease: Comparison with histological appearances

Cited by 47 publications

References 12 publications

Sonographic findings in renal parenchymal diseases at Sudanese

Sonographic findings in renal parenchymal diseases at Sudanese

Sonographic assessment of kidneys and associated abdominal findings in patients with renal parenchymal diseases

Renal Relevant Radiology

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