Abstract
Aims & objectives
- To determine the mean resistive index of intrarenal segmental arteries using color Doppler in renal parenchymal disease.
- Retrospective assessment of sensitivity of RI to distinguish medical renal disease.
Summary: In the present study during the period of 12 months, 50 patients of medical renal disease who underwent renal biopsy were evaluated with renal doppler using RI factor as criteria. Patients with glomerular disease had normal RI values and increased RI value were seen in case of tubulointerstial, vascular pathologies. Thus RI helps in localizing the disease pathology and is also helpful in assessing the prognosis of the disease once it is diagnosed.
Doppler could not differentiate between tubulointerstitial and vascular diseases and biopsy remains the gold standard to differentiate them.
Conclusion: The Doppler findings of our study were correlated with renal biopsy and found that intrarenal segmental arterial RI can clearly differentiate among glomerular and non glomerular pathologies.
Key words: Renal Doppler, resistive index, glomerular diseases, tubulo interstitial diseases, vasculitis, renal biopsy.
References
- Hricak Hcruz C ,Romanski R , Etal: Renal Parenchymal Disease: Sonographic –Hist-ologic Corelation Radiology 144,1982.
- Rosenfield AT, Siegel Renal parenchymal disease : histopathologic – Sono graphic correlation. AJR 1981; 137:793-793.
- Quaia E. Bertolotto M. Renal parenchymal diseases: is characterization feasible with ultrasound ? Eur Radiol 2002; 12 : 2006 – 2020.
- Yura T. Yuasa S. sumikura T. Takahashi N, Aono M, Kunimuna Y , et al, Doppler sonographic measrurement of phasic renal artery blood flow velocity in patients with chronic glomerulonephritis. J ultra sound Med 1998; 4 : 215-219.
- Brkljadid B,Mizljak V,Drinkovic I, Soldo D, Motovinovic MS, Hebrang Renal vascular resistance in diabetic nephro-pathy: duplex Doppler US evaluation. Radiology 1944; 192: 549-554.
- Platt J F, Rubin JM , Bowerman RA etal: The inability to detect kidney disease on the basis of echogencecity,AJR 151: 317,1988.
- Chang Vh Cunningham Jj: Efficacy Of Sonnography Asa A Screening Method In Renal Insufficiency. J Clin Ultrasound 13: 415,1985.
- Tublin ME, Bude RO, Platt JF. The resistive index in renal Doppler sonography: where do we stand ? AJR 2003; 180: 885 – 892.
- Keogan MT, Kliewer MA, Hertzberg BS, Delong DM, Tupler RH, Carroill BA. Renal resistive index: variability in Doppler us measurement in a healthy population, Radiology 1996: 199:165-169.
- Keller MS. Renal Doppler sonography in infants and children Radiology 1989; 172: 604-604.
- KUZMIC Ac , Brkljacic B ,Ivankovic D , Galesic K. Eur, Radiol 2000;10(10):1644-8.
- Kimsh, Kimwh, Choibl, Kim CW clini Radiol 1992 FEB 45(2) 85-7.
- Taylor KJW, Burns PN, Well’s PNT. Clinical applications of Doppler ultra sound , 2nd New York: Raven 1995.
- Rosenfield AT, Taylor K, Crade M. Anatomy and pathology of the kidney by gray scale ultrasound. Radiology 1978; 128: 737 – 744.
- Platt JF, Ellis JH, Rubin JM, Di Petro MA, Sedman AB. Intrarenal arterial Doppler sonography in patients with non obstructive renal disease: correlation of resistive index with biopsy findings. AJR 1990; 154: 1223-1227.
- Ikee R. Correlation between the resistive index by Doppler ultra sound and kidney function and histology. AM J Kidney Dis 2005; 46: 603-609.
- Nihon,Jinzo Gakkai Shi 1992 Feb ;34(2):207-12.
- GItal Nefrol 2013 Mar- Apr , 30(2) pii: gin/30.2-4.
- Bude RO, Dipietro MA, Platt JF, Rubin JM Miesowicz S, Lundquist C. Age dependency of the renal resistive index in healthy children.Radiology 1992;184:469-473.
- GItal Nefrol 2008 July-Aug; 25(4); 441-8.
- European Radiology Aug 2002, Vol 12 issue 8 pp 2006-20.
- Eur J . Radiol 2003 May;46(2): 115-22.
- Sari A , Dinc H, Zibandeh A ,Telatar M, Gumele HR . Value of resistive index in patients with clinical diabetic nephropathy. Invest Radiol 1999; 35 :718- 721.
- The resistive index in renal Doppler: Where do we stand Mitchell E Tubulin, Ronald O Bude and Joel F Platt Amercian journal of radiology vol:180:issue 4:page 885-892.April – 2003.
Corresponding Author
Dr Shivani Gogi
Email: This email address is being protected from spambots. You need JavaScript enabled to view it.
DOI: https://dx.doi.org/10.18535/jmscr/v5i8.90
