Journal of Health and Medical Sciences
ISSN 2622-7258
Published: 03 February 2020
Sonographic Comparison of Segmental Artery Resistive Index With Severity of Hydronephrosis
Ammara Batool, Madkha Syed, Samra Mahmood, Shehneela Waris, Samona Faqih, Iqra Manzoor,
Rahma Bacha, Muhammad Yousuf Farooq Gilani
University of Lahore, Pakistan
Download Full-Text Pdf
10.31014/aior.1994.03.01.96
Pages: 49-56
Keywords: Cross‑Sectional Analytical Study, Pakistan, Hydronephrosis, Renal Stones, Ultrasonography
Abstract
Background: Hydronephrosis is a major problem and colour doppler ultrasound is very useful to assess the hemodynamics of a diseased kidney, it is a therefore our research comprises sonographic analysis of segmental artery resistive index with the severity of hydronephrosis. Materials and Methods: This was a cross sectional analytical study carried out in Gilani Ultrasound center‑Afro‑Asian Institute, Lahore, Pakistan. Sixty patients of all ages were enrolled in this study with convenient sampling technique. A total of 60 individuals of all ages, both genders with calculus, masses, pregnant females, benign prostatic hyperplasia, (all the patients having hydronephrosis) were included in the study and individuals with Renal transplanted patients, nephrectomy, non-cooperative patients were excluded. The duration of the study was from December 2018 to October 2019. Toshiba (Xario 200) with convex transducer frequency range 2–5 MHz was used for this study. Age, gender, grade of hydronephrosis, pulsatility index and resistive index of segmental artery were the variables used in this study. Transabdominal scanning technique was used, Data were collected through data collection sheets and was tabulated and analyzed using Statistical Package for the Social Sciences (SPSS) version 24 (SPSS 24, IBM, Armonk, NY, United States of America), Microsoft Excel. Results: According to the results male patients with hydronephrosis (51%) were noted more than female hydronephrotic patients (48%). Mostly seen hydronephrosis grade in our study was mild (60%) while moderate hydronephrosis was (38.3) and severe was (1.7%). In our studies patients with left kidney hydronephrosis (56.7%) were more than that of right kidney hydronephrotic patients (43.3%). CONCLUSION(S): It is concluded that Doppler analysis is very helpful in the diagnosis of severity of hydronephrosis and to give detailed information about the pathophysiology of the hemodynamics of diseased kidney.
References
- Abdelmaboud SO, Gameraddin MB, Ibrahim T, Alsayed A. Sonographic evaluation of hydronephrosis and determination of the main causes among adults. Int J Med Imaging 2015;3(1):1-5.
- Mevorach RA, Hulbert WC, Rabinowitz R. Hydronephrosis. In: Pediatric Clinical Advisor: Elsevier; 2007. p. 283-4.
- Present DH, Rabinowitz JG, Banks PA, Janowitz HD. Obstructive hydronephrosis: A frequent but seldom recognized complication of granulomatous disease of the bowel. New England Journal of Medicine 1969;280(10):523-8.
- Kim S-Y, Kim M-J, Yoon C, Lee M, Han K, Lee M-J. Comparison of the reliability of two hydronephrosis grading systems: the Society for Foetal Urology grading system vs. the Onen grading system. Clinical radiology 2013;68(9):e484-e90.
- Boddi M. Renal ultrasound (and Doppler sonography) in hypertension: an update. In: Hypertension: from basic research to clinical practice: Springer; 2016. p. 191-208.
- Mostbeck GH, Zontsich T, Turetschek K. Ultrasound of the kidney: obstruction and medical diseases. European radiology 2001;11(10):1878-89.
- Broder J, Bowen J, Lohr J, Babcock A, Yoon J. Cumulative CT exposures in emergency department patients evaluated for suspected renal colic. The Journal of emergency medicine 2007;33(2):161-8.
- Dalla-Palma L, Bazzocchi M, Pozzi-Mucelli R, Stacul F, Rossi M, Agostini R. Ultrasonography in the diagnosis of hydronephrosis in patients with normal renal function. Urologic radiology 1983;5(1):221.
- Winther SO, Thiesson HC, Poulsen LN, Chehri M, Agerskov H, Tepel M. The renal arterial resistive index and stage of chronic kidney disease in patients with renal allograft. PloS one 2012;7(12):e51772.
- Manzoor I, Bacha R, Gilani SA, Malik SS, Fatima M, Farooq F, et al. Sonographic evaluation of urolithiasis formation with positive family history in the population of Lahore. Journal of medical ultrasound 2018;26(4):181.
- Atar M, Bozkurt Y, Soylemez H, Penbegul N, Sancaktutar AA, Bodakci MN, et al. Use of renal resistive index and semi-rigid ureteroscopy for managing symptomatic persistent hydronephrosis during pregnancy. International journal of surgery 2012;10(10):629-33.
- Knoll T, Schubert AB, Fahlenkamp D, Leusmann DB, Wendt-Nordahl G, Schubert G. Urolithiasis through the ages: data on more than 200,000 urinary stone analyses. The Journal of urology 2011;185(4):1304-11.
- Alshoabi SA. Association between grades of Hydronephrosis and detection of urinary stones by ultrasound imaging. Pakistan journal of medical sciences 2018;34(4):955.
- Zomorrodi A, Buhluli A, Fathi S. Anatomy of the collecting system of lower pole of the kidney in patients with a single renal stone: a comparative study with individuals with normal kidneys. Saudi Journal of Kidney Diseases and Transplantation 2010;21(4):666.
- Kalantarinia K. Novel imaging techniques in acute kidney injury. Current drug targets 2009;10(12):1184-9.
- Nadzri M, Hing EY, Hamzaini A, Faizah M, Abaziz A, Kanaheswari Y, et al. Renal doppler assessment in differentiating obstructive from non-obstructive hydronephrosis in children. The Medical journal of Malaysia 2015;70(6):346-50.
- Piazzese E, Mazzeo G, Galipò S, Fiumara F, Canfora C, Angiò L. The renal resistive index as a predictor of acute hydronephrosis in patients with renal colic. Journal of ultrasound 2012;15(4):239-46.