Evaluation of Kidneys with Renal Doppler Ultrasonography and Ultrasound Elastography in Patients with Type 2 Diabetes Mellitus

Author:

KIRTEKE Atakan1ORCID,KARAYOL Sunay Sibel2ORCID,DUSAK Abdurrahim2ORCID,ÇELEBİ Canan3ORCID,İNCEBİYİK Hatice4ORCID

Affiliation:

1. ÖZEL NEV HOSPITAL

2. HARRAN ÜNİVERSİTESİ, TIP FAKÜLTESİ, DAHİLİ TIP BİLİMLERİ BÖLÜMÜ, RADYOLOJİ ANABİLİM DALI

3. T.C Sağlık Bakanlığı Diyarbakır Çocuk Hastalıkları Hastanesi

4. T.C Sağlık Bakanlığı Şanlıurfa Eğitim ve Araştırma Hastanesi

Abstract

Introduction: The aim of this study early recognize diabetic nephropathy by ultrasound elastography.This study was to predict the possibility of developing diabetic nephropathy without the need for renal biopsy. Methods:This study included 100 patients and 100 healthy volunteers. Shear wave elastography examination were taken of the renal parenchyma and the Resistive Index values were taken renal artery. Results:.In the patient group, the elastography values were measured as 7.02±2.15 kPa in the right kidney parenchyma and 6.90±2.09 kPa in the left. In the control group, the elasticity values were measured as 4.14±0.98 kPa in the right kidney parenchyma and 4.11±0.85 kPa in the left. The RI mean values were determined as 0.59±0.05 in the right kidney and 0.59±0.04 in the left kidney in the patient group and 0.52±0.05 in the right kidney and 0.52±0.05 in the left kidney in the control group. Conclusion: The elastography values and the RI values were significantly higher in the patients with Type 2 DM than in the control group. Thus, it can be concluded that it is possible to determine renal fibrosis and predict the possibility of diabetic nephropathy development with the non-invasive methods of SWE and colour Doppler US, without the need for biopsy.

Publisher

Harran Universitesi Tip Fakultesi Dergisi

Subject

General Medicine

Reference22 articles.

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2. 2. Satman I, Tutuncu Y, Gedik S, et al. The TURDEP-II Study Group, Diabetes epidemic in Turkey: Results of the second population based survey of diabetes and risk characteristics in Turkey (TURDEP-II). Poster: A-11-2498. 47th EASD Annual Meeting, 12-16 Sept 2011, Lisbon, Portugal. Diabetologia 2011; 2498-2499.

3. 3. El Nahas AM. Growth factors and glomerular sclerosis. Kidney Int Suppl 1992;36: 15-20.

4. 4. Balleyguier C, Ciolovan L, Ammari S, et al. Breast elastography: The technical process and its applications. Diagn Interv Ima-ging 2013; 94: 503–513.

5. 5. Tublin ME, Bude RO, Platt JF. The resistive index in renal Doppler sonography: Where do we stand? Am J Roentgenol 2003;180:885–892.

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