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Sonographic assessment of renal volume in Indian children
J Chandra1, S Mathur, S K Mittal
1Department of Pediatrics, Kalawati Saran Children's Hospital, New Delhi.
Insights
This study established renal volume (RV) norms in Indian children under five. Renal volume increases with age in both boys and girls, with no significant sex-based differences noted.
Area of Science:
- Pediatric Nephrology
- Diagnostic Imaging
- Anthropometry
Background:
- Establishing normative data for organ dimensions is crucial for pediatric health assessment.
- Renal volume (RV) assessment aids in diagnosing various pediatric renal conditions.
- Limited data exists on renal volume norms specifically for the Indian pediatric population.
Purpose of the Study:
- To determine the normal range of renal volume (RV) in Indian children under five years of age.
- To analyze the relationship between age, sex, and renal volume in this demographic.
- To provide reference values for sonographic assessment of pediatric kidneys in India.
Main Methods:
- Sonographic examinations were performed on 240 children (137 boys, 103 girls) under five years of age.
- Children were examined in a supine position to standardize measurements.
- Left and right renal volumes were measured and recorded.
Main Results:
- Renal volume demonstrated a consistent increase with age in both male and female children.
- No statistically significant differences were found between left and right renal volumes in either sex.
- A statistically significant difference in renal volume between sexes was observed only in the 4-5 year age group (p = 0.04).
Conclusions:
- Age-appropriate reference ranges for renal volume in Indian children under five have been established.
- The findings suggest that renal volume grows steadily during early childhood.
- These norms can serve as a valuable tool for clinicians evaluating pediatric renal health in India.
Abstract:
In an attempt to making norms of renal volume (RV) in Indian children, 240 children (137 boys and 103 girls) below 5 years of age were subjected to sonographic examination in supine position. Left RV in female children increased from 18.04 mm3 in early infancy to 48.36 mm3 in 4-5 year age group. Similar increase was observed in the right RV. There was no significant left vs. right difference in RV in boys and girls (p > 0.05). Similarly, the RV did not differ significantly in both sexes (p > 0.05, in all age groups except 4-5 years, p = 0.04).