Sonographic measurements for kidney length in normal Saudi children: correlation with other body parameters

Rafat Saeed Mohtasib1, Kamal Mostafa Alshamiri2, Aman Asad Jobeir2

  • 1From the Department of Biomedical Physics, Molecular and Functional Imaging, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.

Insights

This study establishes normal kidney length growth curves for children in Saudi Arabia. Height is the primary factor influencing kidney size, with males generally having larger kidneys than females.

Area of Science:

  • Pediatric Radiology
  • Medical Imaging
  • Nephrology

Background:

  • Ultrasonography offers a safe, rapid method for assessing visceral organ dimensions.
  • Kidney size is a critical indicator for various pediatric diseases, necessitating reliable reference data.
  • Establishing normal renal length standards is vital for accurate clinical evaluation in children.

Purpose of the Study:

  • To develop normative growth curves for renal length in healthy Saudi children up to 14 years of age.
  • To analyze the correlation of renal length with sex, age, body weight, height, body mass index (BMI), and body surface area (BSA).
  • To provide essential reference data for pediatric radiology and nephrology assessments.

Main Methods:

  • Retrospective analysis of 950 pediatric ultrasonography exams for renal length.
  • Inclusion criteria: full-term neonates to 14-year-old children with normal renal ultrasonography findings.
  • Data collection from electronic archives and patient records between 2003 and 2018.

Main Results:

  • Left kidneys were significantly longer than right kidneys (P<.001).
  • Height demonstrated the strongest correlation with kidney length (R²=0.829–0.831, P<.001).
  • Males exhibited longer kidneys than females (P=.031 for right, P=.015 for left). Significant growth differences noted before and after 24 months of age.

Conclusions:

  • The generated renal length growth charts and correlation plots serve as valuable tools for pediatric radiology departments.
  • These data aid in the assessment of conditions affecting renal size in children up to 14 years.
  • Acknowledged limitations include the retrospective nature and potential variations in ultrasonographic measurement techniques.
Abstract

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