Renal Parenchymal Disease

Riccabona, M.; Mache, Christoph J.; Dell'Acqua, A; Ring, E

doi:10.1007/978-3-642-56484-0_19

Cited by 4 publications

(12 citation statements)

References 122 publications

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“…Both hypoechogenicity and hyperechogenicity may be observed in pyelonephritis, but neither one has been able to determine acute pyelonephritis when compared with scintigraphic documentation. 5,6,10,11 Thus, it has been concluded that renal sonography is an insensitive test for the detection of acute inflammatory changes of renal cortex and should not be used as the primary imaging tool. 10 However, in a recent study, sonography performed by a trained radiologist with a high-frequency transducer was reported to be as sensitive as scintigraphy in diagnosing acute pyelonephritis.…”

Section: Discussionmentioning

confidence: 97%

“…It has been demonstrated that increased renal echogenity is suggestive of renal parenchymal diseases such as acute glomerulonephritis, pyelonephritis, nephrotic syndrome, obstructive nephropathy, hemoglobinuria, myoglobinuria, renal vein trombosis, acute tubular necrosis, interstitial nephritis, and renal involvement of malignancies in childhood, and it is a normal finding in the newborn. 3,5 The cortex is hyperechogenic compared with the liver in the newborn, and this is more evident in premature infants.…”

Section: Discussionmentioning

confidence: 98%

“…5,6 We noted the final diagnosis of patients and matched the side of increased echogenity with the expected side in the final diagnosis.…”

Section: Methodsmentioning

confidence: 99%

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Relationship of increased renal cortical echogenicity with clinical and laboratory findings in pediatric renal disease

Kasap

Soylu

Türkmen

et al. 2006

J of Clinical Ultrasound

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Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 98%

See 1 more Smart Citation

Relationship of increased renal cortical echogenicity with clinical and laboratory findings in pediatric renal disease

Kasap

Soylu

Türkmen

et al. 2006

J of Clinical Ultrasound

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“…Renal parenchymal disease (RPD) is defined as a disease that involves one or more compartments of the renal parenchyma (i.e. glomeruli, tubules, interstitium, or blood vessels of the kidney) [10].…”

Section: Discussionmentioning

confidence: 99%

Ultrasonography and CT Guided Percutaneous Renal Biopsy in Diagnosis of Renal Parenchymal Diseases

Teama¹

2015

IJMI

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Objective: to evaluate the role of US &CT guided percutanous renal biopsy (PRB) in diagnosis and monitoring of renal parenchymal diseases. Patients &Methods: This study included 30 patients who were presented by and/or known cases of renal parenchymal disease referred for US and/or CT guided PRB for etiological & histopathological diagnosis. The histopathological results were correlated with clinical, US & laboratory data for each patient. Results: Out of those 30 patients; 29 patients had adequate PRB (29/30) (96.7%) for histopatholgical diagnosis. Out of those 29 patients; 23 showed increase in renal cortical echogenicity (13 with GI, 8 with GII, &2 with GIII) & 6 cases showed normal echogenicity (G0). The lupus nephritis was the most accounted diagnosis (16/29) (55.2%)(7 with GI, 5 with GII, 4 with G0 cortical echogenicity). The glomerular changes were depicted in 25 cases (13 with GI, 7 with GII, 2 with GIII, 3 with G0), tubular changes in 21 cases (10 with GI, 7 with GII, 2 with GI, 2 with G0), and interstitial changes in 24 cases (12 with GI, 8 with GII, 2 with GIII, 2 with G0). Post biopsy complications (minor) were accounted only in 2 cases (2/30) (6.7%). Conclusions: Ultrasound PRB is the standard method for most non-focal renal biopsies as it has the advantage of real-time needle placement without radiation & fundamental procedure for diagnosis, monitoring &treatment of RPD. US and CT guided PRB is generally considered safe with minimal risk.

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“…20 ) (Haller et al 1982 ;Hufnagel et al 1982 ;Jacinto et al 1988 ;Perale et al 1988 ;Nakamura et al 1999 ). Other most important differential diagnoses are all conditions that may cause an increased renal echogenicity such as dehydration, acute pyelonephritis, renal vein thrombosis, (chronic) glomerulonephritis, hemolytic-uremic syndrome, acute transplant rejection, hypodysplasia as in Alport syndrome, or the physiologically higher echogenicity of the medullae in neonates (Riebel et al 1993 ;Katz et al 1994 ;Karlowicz and Adelman 1998 ;Riccabona and Fotter 2006 ;Riccabona et al 2008b ;Riccabona and Ring 2008 ). a c b Fig.…”

Section: Nephrocalcinosismentioning

confidence: 98%

The Pediatric Kidney

Riccabona

2014

Radiological Imaging of the Kidney

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Children are not small adults. In the urinary tract, particularly, there are many conditions that are more or less specifi c to children which need early and reliable diagnosis in order to provide proper treatment to prevent renal damage and severe long-term sequelae such as hypertension or renal insuffi ciency. This is particularly important for all congenital urinary tract malformations and also for many other congenital renal conditions -these are often detected prenatally and, after birth, need prompt and reliable diagnostic workup at minimal invasiveness. Additionally, even in conditions that are the same or similar to adults, the specifi c needs and conditions in childhood require different imaging approaches and algorithms, partially because of each of the following reasons: the child's higher sensitivity to radiation, different physiology, different size and imaging appearance, as well as different potential of the various imaging techniques. These differences are outlined, focusing on some important diseases and queries such as congenital hydronephrosis and obstructive uropathy, impact of vesicoureteral refl ux on the kidney, imaging in infants with urinary tract infection, childhood urolithiasis and nephrocalcinosis, pediatric renal masses, as well as other miscellaneous renal conditions that may manifest in the child and indicate imaging. Additionally, specifi c needs for adapting and applying the various imaging techniques in childhood are discussed.

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Renal Parenchymal Disease

Cited by 4 publications

References 122 publications

Relationship of increased renal cortical echogenicity with clinical and laboratory findings in pediatric renal disease

Relationship of increased renal cortical echogenicity with clinical and laboratory findings in pediatric renal disease

Ultrasonography and CT Guided Percutaneous Renal Biopsy in Diagnosis of Renal Parenchymal Diseases

The Pediatric Kidney

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