Sonographic Comparison Between Echogenicity and Renal Length Among Patients Suffering with Or Without Chronic Kidney Disease
Sonographic Comparison between Echogenicity and Renal Length
Keywords:Chronic Kidney Disease (CKD), renal echogenicity, renal length, Patients
Chronic kidney disease (CKD) is defined as any abnormality and impaired kidney functions for more than three months. Most common causes of CKD is diabetes and hypertension. Objective: To determine the association between renal length and echogenicity in patients with or without chronic kidney disease. Methods: In Gilani Ultrasound Centre ,Lahore a descriptive study was conducted on Ultrasound Machine, Nemio 17 Toshiba.70 patients with or without chronic kidney disease were included. Patients with no previous clinical record of diabetes, high blood pressure and age below than 15 were excluded. Results: Data analysis demonstrated that total of 70 patients, (35 normal and 35 with CKD ) were selected in our study.Out of 70, 46(65.7%) were male and 24(34.3%) were female. Our results shows that (out of 70 patients) in right kidney echogenicity, 36(51.0%) no; of patients shows normal echogenicity with grade 0, 18(25.7%) with grade I, 10(14.3%) with grade II, 6(8.6%) with grade III , and in left kidney echogenicity ,37(52.9%) no;of patients shows normal echogenicity with grade 0,16(22.9%) with grade I, 10(14.3%) with grade II, 7(10.0%) with grade III. respectively a significant correlation of CKD with right and left renal were found as ,in right renal length with CKD mean length was 8.914 ±1.43 and without CKD ,10.4 ± 1.2 similarly in left renal length with CKD mean length was 9.49 ± 1.48 and without CKD,10.28 ±1.14.There is also a significant correlation was found between CKD ,right and left renal echogenicity ( significant P value is .000 for right and .000 for left renal length). Conclusion: Study concluded that echogenicity and renal length can help us to estimate the severity of CKD. It also states that there is a significant association, that was found between renal echogenicity, renal length and CKD.
Kariyanna SS, Light RP and Agarwal R. A longitudinal study of kidney structure and function in adults. Nephrol Dial Transplant. 2010;25(4):1120-6. doi: 10.1093/ndt/gfp654.
Basile J. Chronic kidney disease: it's time to recognize its presence in our patients with hypertension. J Clin Hypertens (Greenwich). 2004;6(10):548-52. doi: 10.1111/j.1524-6175.2004.03838.x.
Gansevoort RT, Correa-Rotter R, Hemmelgarn BR, Jafar TH, Heerspink HJ and Mann JF et al. Chronic kidney disease and cardiovascular risk: epidemiology, mechanisms, and prevention. Lancet. 2013;382(9889):339-52. doi: 10.1016/S0140-6736(13)60595-4.
Levey AS and Coresh J. Chronic kidney disease. Lancet. 2012;379(9811):165-80. doi: 10.1016/S0140-6736(11)60178-5.
Faubel S, Patel NU, Lockhart ME and Cadnapaphornchai MA. Renal relevant radiology: use of ultrasonography in patients with AKI. Clin J Am Soc Nephrol. 2014;9(2):382-94. doi: 10.2215/CJN.04840513.
Singh A, Gupta K, Chander R and Vira M. Sonographic grading of renal cortical echogenicity and raised serum creatinine in patients with chronic kidney disease. Journal of evolution of medical and dental sciences. 2016;5(38):2279-87.
Hertzberg BS and Middleton WD. Ultrasound: the requisites. Elsevier Health Sciences; 2015.
Bahir MI. Evaluation of Renal Changes in Diabetic Patients Using Ultrasonography (Doctoral dissertation, Sudan University of Science and Technology). 2019.
Bikbov B, Purcell CA, Levey AS, Smith M, Abdoli A and Abebe M et al. Global, regional, and national burden of chronic kidney disease, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017. The lancet. 2020;395(10225):709-33. doi.org/10.1016/S0140-6736(20)30045-3.
Coresh J, Selvin E, Stevens LA, Manzi J, Kusek JW and Eggers P et al. Prevalence of chronic kidney disease in the United States. JAMA. 2007;298(17):2038-47. doi: 10.1001/jama.298.17.2038.
Davison SN. Chronic kidney disease. Geriatrics. 2007;62(2).
Hasan M, Sutradhar I, Gupta RD and Sarker M. Prevalence of chronic kidney disease in South Asia: a systematic review. BMC Nephrol. 2018;19(1):291. doi: 10.1186/s12882-018-1072-5.
Levey AS, Coresh J, Bolton K, Culleton B, Harvey KS and Ikizler TA et al. K/DOQI clinical practice guidelines for chronic kidney disease: evaluation, classification, and stratification. American Journal of Kidney Diseases. 2002;39(2 SUPPL. 1).
Jha V, Garcia-Garcia G, Iseki K, Li Z, Naicker S and Plattner B et al. Chronic kidney disease: global dimension and perspectives. Lancet. 2013;382(9888):260-72. doi: 10.1016/S0140-6736(13)60687-X.
Asif HS, Naeem MW, Rose S, Hussain M, Iqbal R and Irfan M et al. Ultrasonographic Correlation of Cortical Thickness and Echogenicity Among Patients Suffering From Chronic Renal Failure. Journal of Health and Medical Sciences. 2019;2(4).
Xie X, Liu Y, Perkovic V, Li X, Ninomiya T and Hou W et al. Renin-Angiotensin System Inhibitors and Kidney and Cardiovascular Outcomes in Patients With CKD: A Bayesian Network Meta-analysis of Randomized Clinical Trials. Am J Kidney Dis. 2016;67(5):728-41. doi: 10.1053/j.ajkd.2015.10.011.
Gupta P, Chatterjee S, Debnath J, Nayan N and Gupta SD. Ultrasonographic predictors in chronic kidney disease: A hospital based case control study. J Clin Ultrasound. 2021;49(7):715-719. doi: 10.1002/jcu.23026.
Rose S, Hussain M, Iqbal R, Irfan M, Basheer M and Draz U et al. Ultrasonographic Correlation of Cortical Thickness and Echogenicity Among Patients Suffering From Chronic Renal Failure. Journal of Health and Medical Sciences. 2019;2(4).
Yaprak M, Çakır Ö, Turan MN, Dayanan R, Akın S and Değirmen E et al. Role of ultrasonographic chronic kidney disease score in the assessment of chronic kidney disease. Int Urol Nephrol. 2017;49(1):123-131. doi: 10.1007/s11255-016-1443-4.
Babu S, Sarath Chandran D, AS AE and Vinod S. Ultrasonographic chronic kidney disease score and eGFR in the assessment of chronic kidney disease. Journal of Case Reports and Scientific Images. 2021;3(2):21-25. doi.org/10.22271/27080056.2021.v3.i2a.34.
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