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Renal Duplex Doppler Ultrasound: An Adjunct in the Evaluation of Hydronephrosis in the Child

1993; Lippincott Williams & Wilkins; Volume: 150; Issue: 4 Linguagem: Inglês

10.1016/s0022-5347(17)35723-3

1527-3792

Richard Gilbert, Brian S. Garra, M. David Gibbons,

Renal and Vascular Pathologies

No AccessJournal of Urology1 Oct 1993Renal Duplex Doppler Ultrasound: An Adjunct in the Evaluation of Hydronephrosis in the Child Richard Gilbert, Brian Garra, and M. David Gibbons Richard GilbertRichard Gilbert , Brian GarraBrian Garra , and M. David GibbonsM. David Gibbons View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)35723-3AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail We used renal duplex Doppler ultrasound to evaluate 28 hydronephrotic pediatric kidneys. A total of 28 normal renal units was used as controls. Renal Doppler ultrasound findings were compared with drainage values obtained with renal scintigraphic diuretic renography, and demonstrated close correlation. In control units significantly different resistive index values were noted between patients 0 to 12 months old and those older than 1 year. The younger group had average resistive indexes of 66, while the older group had an average value of 0.57 (p <0.001). In hydronephrotic kidneys resistive index values were significantly higher (0.83) in renal units with obstructive T½ values on diuretic renography compared to those with indeterminate or nonobstructive T½ values (0.63) (p <0.001). Renal Doppler ultrasound correlates closely with diuretic renography in hydronephrotic systems in infants and in older children. Additionally, it provides an early, noninvasive modality of assessing the dilated upper tract in infants and older children. Therefore, renal Doppler ultrasound is a reliable adjunct in identifying obstructed renal units. © 1993 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited byPEREZ-BRAYFIELD M, KIRSCH A, JONES R and GRATTAN-SMITH J (2018) A Prospective Study Comparing Ultrasound, Nuclear Scintigraphy and Dynamic Contrast Enhanced Magnetic Resonance Imaging in the Evaluation of HydronephrosisJournal of Urology, VOL. 170, NO. 4 Part 1, (1330-1334), Online publication date: 1-Oct-2003.RAWASHDEH Y, DJURHUUS J, MORTENSEN J, HØRLYCK A and FROKIAER J (2018) THE INTRARENAL RESISTIVE INDEX AS A PATHOPHYSIOLOGICAL MARKER OF OBSTRUCTIVE UROPATHYJournal of Urology, VOL. 165, NO. 5, (1397-1404), Online publication date: 1-May-2001.WÅHLIN N, MAGNUSSON A, PERSSON A, LÄCKGREN G and STENBERG A (2018) PRESSURE FLOW MEASUREMENT OF HYDRONEPHROSIS IN CHILDREN: A NEW APPROACH TO DEFINITION AND QUANTIFICATION OF OBSTRUCTIONJournal of Urology, VOL. 166, NO. 5, (1842-1847), Online publication date: 1-Nov-2001.Garcia-Pena B, Keller M, Schwartz D, Korsvik H and Weiss R (2018) The Ultrasonographic Differentiation of Obstructive Versus Nonobstructive Hydronephrosis in Children: A Multivariate Scoring SystemJournal of Urology, VOL. 158, NO. 2, (560-565), Online publication date: 1-Aug-1997.Shokeir A, Nijman R, El-Azab M and Provoost A (2018) Partial Ureteral Obstruction: Effect of Intravenous Normal Saline and Furosemide Upon the Renal Resistive IndexJournal of Urology, VOL. 157, NO. 3, (1074-1077), Online publication date: 1-Mar-1997.Shokeir A, Provoost A, El-Azab M, Dawaba M and Nijman R (2018) Renal Doppler Ultrasound in Children with Obstructive Uropathy: Effect of Intravenous Normal Saline Fluid Load and FurosemideJournal of Urology, VOL. 156, NO. 4, (1455-1458), Online publication date: 1-Oct-1996.Pope J, Hernanz-Schulman M, Showalter P, Cole T, Schrum F, Szurkus D and Brock J (2018) The Value of Doppler Resistive Index and Peak Systolic Velocity in the Evaluation of Porcine Renal ObstructionJournal of Urology, VOL. 156, NO. 2S, (730-733), Online publication date: 1-Aug-1996.Peters C (2018) Urinary Tract Obstruction in ChildrenJournal of Urology, VOL. 154, NO. 5, (1874-1884), Online publication date: 1-Nov-1995.Fung L, Steckler R, Khoury A, Mclorie G, Chait P and Churchill B (2018) Intrarenal Resistive Index Correlates with Renal Pelvis PressureJournal of Urology, VOL. 152, NO. 2 Part 2, (607-611), Online publication date: 1-Aug-1994. Volume 150Issue 4October 1993Page: 1192-1194 Advertisement Copyright & Permissions© 1993 by The American Urological Association Education and Research, Inc.Keywordskidneyhydronephrosisultrasonic diagnosisMetricsAuthor Information Richard Gilbert More articles by this author Brian Garra More articles by this author M. David Gibbons More articles by this author Expand All Advertisement PDF downloadLoading ...