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Ultrasonography in chronic renal failure
Jadranka Buturović-Ponikvar1, Alenka Visnar-Perovic
1Department of Nephrology, University Medical Center Ljubljana, Zaloska 7, Slovenia. jadranka.buturovic@mf.uni-lj.si
European Journal of Radiology
|April 26, 2003
Summary
Ultrasound reveals chronic kidney disease signs like smaller kidneys and atrophy. Diabetic nephropathy is an exception, preserving kidney size until end-stage renal failure.
Area of Science:
- Nephrology
- Radiology
- Medical Imaging
Background:
- Chronic kidney diseases (CKD) commonly result in reduced kidney size, parenchymal atrophy, sclerosis, and fibrosis.
- Ultrasound findings include smaller kidneys, thinned parenchyma, and hyperechogenicity, indicative of fibrosis.
- Renal cyst frequency increases with CKD progression.
Purpose of the Study:
- To evaluate the role of ultrasound in assessing chronic kidney disease progression and prognosis.
- To differentiate typical CKD ultrasound findings from those in diabetic nephropathy.
- To highlight the utility of Doppler ultrasound in evaluating intrarenal lesions.
Main Methods:
- Review of ultrasound imaging characteristics in various chronic renal diseases.
- Comparison of ultrasound findings in typical CKD versus diabetic nephropathy.
- Assessment of Doppler ultrasound's contribution to diagnosis and management.
Main Results:
- Ultrasound typically shows decreased renal size and parenchymal thinning in CKD.
- Diabetic nephropathy is an exception, maintaining normal renal size and thickness until end-stage disease.
- Doppler studies provide crucial information on microvascular and parenchymal lesions.
Conclusions:
- Ultrasound is valuable for assessing CKD irreversibility and prognosis, guiding management.
- Diabetic nephropathy presents unique ultrasound characteristics.
- Doppler ultrasound aids in therapeutic decisions and planning for renal replacement therapy.