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نتائج فحص الدوبلر الملون لامراض الكلى المنتيه المزمنة ومقارنتها بنتائج الفحص النسيجي الخلوي == Significance of Doppler indices finding in renal parenchymal disease Correlated with histopathological findings
Author name:
جنان حسين محمد
Supervisor name:
طالب الزيدي | ليث احمد خلف
General topic:
Medicine
Specific topic:
Diagnostic Radiology
Degree:
Higher Diploma
University:
University of Baghdad - Faculty Of Medicine
Language:
English
University location:
Baghdad
First pages:
19T1479 - p.pdf
Abstract:
Renal Doppler ultrasound is increasingly used in assessment of renal parenchymal diseases as investigation and for evaluation of renovascular disease and allograft dysfunction. We compared intrarenal Doppler indices measurment to biopsy findings of Mesangial hypercellularity, Membranous glumerulopathy, Minimum change disease, Segmental glumeriolosclerosis, chronic glomerulonephritis, chronic rejection, acute rejection and interstitial nephritis in sample of 84 patient Patients and Method A study was conducted between 1st of Dec - 2016 to 1st of Oct - 2017 at radiological department of Al Shaheed Ghazi Hospital in the renal disease and transplantation center (Baghdad Medical city complex) on 84 patient who are suffering from renal disease manifestation in both native and transplanted kidneys. Doppler blood indices (Resistive index,Pulsatility index and Acceleration time) were measured at same day before renal biopsy. Renal biopsy finding and Doppler study indices were compared to asses' if there were a correlation between parenchymal renal changes and the Doppler indices changes. Aim of study to evaluate renal vascular Doppler indices (Resistive index , Pulsatility index and Acceleration time) as indicator of accuracy and prediction in renal parenchymal diseases,severity and grading Results RI, was significantly higher in patients group with renal diseases which in comparison to control group (0.70 ± 0.07vs. 0.55 ± 0.04),the accuracy was 72.9%,while P.I and AT show less significant changes P.I was (1.61 ± 0.25vs. 1.47 ± 0.06) and AT (0.086 ± 0.023vs. 0.024 ± 0.058). PI accuracy was 59.9 %and for AT was 54.2% .as consequence the mean value of RI was significantly differed among different renal pathologies (p=0.001) but the PI and AT were not differed significantly (p<0.05 for both).Conclusions Our results suggest that Renal Doppler indices ,as example (resistive index)was significantly increased in patients with renal parenchymal disease which confirmed by pathological examination and higher accuracy than other indices pulsatility index and acceleration time so we can use resistive index as good marker for parenchymal renal disorders while other indices can use as complimentary.
