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[Ultrasonography and the kidney: a screening method?].

C Iavarone1, A Felici, L Giacomelli

  • 1Istituto di III Clinica Chirurgica Generale e Terapia Chirurgica, Università degli Studi La Sapienza, Roma.

Il Giornale Di Chirurgia
|October 1, 1991
PubMed
Summary

Ultrasound (U.S.) screening of the kidneys in asymptomatic patients is effective. This method reliably detects renal cysts, lithiasis, and neoplasms, supporting its routine adoption for early kidney disease detection.

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Area of Science:

  • Nephrology
  • Radiology
  • Urology

Background:

  • Kidney diseases often remain asymptomatic until advanced stages.
  • Early detection of renal abnormalities is crucial for effective management and improved patient outcomes.
  • Screening methods for asymptomatic individuals require validation for reliability and utility.

Purpose of the Study:

  • To evaluate the efficacy of hepatic ultrasound (U.S.) as a screening tool for detecting renal abnormalities in asymptomatic urologic patients.
  • To determine the prevalence of specific renal findings such as cysts, lithiasis, and neoplasms in this cohort.
  • To assess the reliability and utility of U.S. for the early detection of renal cell carcinoma.

Main Methods:

  • Retrospective analysis of 733 hepatic ultrasound examinations.

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  • Inclusion of patients with asymptomatic urologic conditions.
  • Systematic review of detected renal abnormalities, including cysts, lithiasis, and neoplasms.
  • Main Results:

    • A total of 23 renal cysts were identified.
    • Three cases of renal lithiasis were detected, with two associated with hydronephrosis.
    • Three kidney neoplasms were discovered, highlighting the potential for early cancer detection.
    • Ultrasound demonstrated a high detection rate for various renal pathologies.

    Conclusions:

    • Hepatic ultrasound is a reliable and useful screening method for asymptomatic renal abnormalities.
    • The routine adoption of ultrasound screening is recommended for early detection of renal cell carcinoma.
    • Ultrasound facilitates the identification of clinically significant renal findings in a non-symptomatic population.