Evaluation of Hepatic/Renal and Splenic/Renal Echointensity Ratio Using Ultrasonography in Diabetic Nephropathy
The objective of this study is to assess the hepatic/renal and splenic/renal echointensity ratios in ultrasonography in patients with and without diabetic nephropathy. This retrospective study included patients with diabetes mellitus who underwent ultrasound examinations at our hospital between Janu...
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| Format: | Article |
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MDPI AG
2023-07-01
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| Series: | Diagnostics |
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| Online Access: | https://www.mdpi.com/2075-4418/13/14/2401 |
| _version_ | 1797589636253483008 |
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| author | Melike Elif Kalfaoglu |
| author_facet | Melike Elif Kalfaoglu |
| author_sort | Melike Elif Kalfaoglu |
| collection | DOAJ |
| description | The objective of this study is to assess the hepatic/renal and splenic/renal echointensity ratios in ultrasonography in patients with and without diabetic nephropathy. This retrospective study included patients with diabetes mellitus who underwent ultrasound examinations at our hospital between January 2023 and May 2023. Ultrasound examinations were conducted using renal cortical echogenicity and corticomedullary differentiation by using B-mode ultrasonography. The hepatic/renal and splenic/renal echo intensity ratios were compared among study groups (diabetic patients with diabetic nephropathy and without nephropathy). The diabetic nephropathy group exhibited significantly higher right renal echointensity and left renal echointensity compared to the non-nephropathic group. Additionally, the splenic/renal echointensity ratio and hepatic/renal echointensity ratio were significantly lower in the diabetic nephropathy group. Urinary microalbumin levels were significantly correlated with right renal echointensity (r = 0.65, <i>p</i> < 0.001) and left renal echointensity (r = 0.69, <i>p</i> < 0.001). There was also a significant inverse correlation between the urinary albumin and splenic/renal echointensity ratio (r = −0.58, <i>p</i> < 0.001). Ultrasonography, specifically the assessment of hepatic/renal and splenic/renal echointensity ratios, shows promise as a noninvasive and cost-effective method for evaluating morphological changes in the kidneys in patients with diabetic nephropathy. These findings suggest that ultrasonography can be a valuable tool for monitoring the progression of diabetic nephropathy and contributing to its early detection and management. |
| first_indexed | 2024-03-11T01:09:24Z |
| format | Article |
| id | doaj.art-164ea3d6922248b2a6022d1743c9cc0e |
| institution | Directory Open Access Journal |
| issn | 2075-4418 |
| language | English |
| last_indexed | 2024-03-11T01:09:24Z |
| publishDate | 2023-07-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Diagnostics |
| spelling | doaj.art-164ea3d6922248b2a6022d1743c9cc0e2023-11-18T18:58:18ZengMDPI AGDiagnostics2075-44182023-07-011314240110.3390/diagnostics13142401Evaluation of Hepatic/Renal and Splenic/Renal Echointensity Ratio Using Ultrasonography in Diabetic NephropathyMelike Elif Kalfaoglu0Department of Radiology, Abant Izzet Baysal University Hospital, Bolu 14280, TurkeyThe objective of this study is to assess the hepatic/renal and splenic/renal echointensity ratios in ultrasonography in patients with and without diabetic nephropathy. This retrospective study included patients with diabetes mellitus who underwent ultrasound examinations at our hospital between January 2023 and May 2023. Ultrasound examinations were conducted using renal cortical echogenicity and corticomedullary differentiation by using B-mode ultrasonography. The hepatic/renal and splenic/renal echo intensity ratios were compared among study groups (diabetic patients with diabetic nephropathy and without nephropathy). The diabetic nephropathy group exhibited significantly higher right renal echointensity and left renal echointensity compared to the non-nephropathic group. Additionally, the splenic/renal echointensity ratio and hepatic/renal echointensity ratio were significantly lower in the diabetic nephropathy group. Urinary microalbumin levels were significantly correlated with right renal echointensity (r = 0.65, <i>p</i> < 0.001) and left renal echointensity (r = 0.69, <i>p</i> < 0.001). There was also a significant inverse correlation between the urinary albumin and splenic/renal echointensity ratio (r = −0.58, <i>p</i> < 0.001). Ultrasonography, specifically the assessment of hepatic/renal and splenic/renal echointensity ratios, shows promise as a noninvasive and cost-effective method for evaluating morphological changes in the kidneys in patients with diabetic nephropathy. These findings suggest that ultrasonography can be a valuable tool for monitoring the progression of diabetic nephropathy and contributing to its early detection and management.https://www.mdpi.com/2075-4418/13/14/2401diabetic nephropathyultrasonographyechointensitytype 2 diabetes mellitus |
| spellingShingle | Melike Elif Kalfaoglu Evaluation of Hepatic/Renal and Splenic/Renal Echointensity Ratio Using Ultrasonography in Diabetic Nephropathy Diagnostics diabetic nephropathy ultrasonography echointensity type 2 diabetes mellitus |
| title | Evaluation of Hepatic/Renal and Splenic/Renal Echointensity Ratio Using Ultrasonography in Diabetic Nephropathy |
| title_full | Evaluation of Hepatic/Renal and Splenic/Renal Echointensity Ratio Using Ultrasonography in Diabetic Nephropathy |
| title_fullStr | Evaluation of Hepatic/Renal and Splenic/Renal Echointensity Ratio Using Ultrasonography in Diabetic Nephropathy |
| title_full_unstemmed | Evaluation of Hepatic/Renal and Splenic/Renal Echointensity Ratio Using Ultrasonography in Diabetic Nephropathy |
| title_short | Evaluation of Hepatic/Renal and Splenic/Renal Echointensity Ratio Using Ultrasonography in Diabetic Nephropathy |
| title_sort | evaluation of hepatic renal and splenic renal echointensity ratio using ultrasonography in diabetic nephropathy |
| topic | diabetic nephropathy ultrasonography echointensity type 2 diabetes mellitus |
| url | https://www.mdpi.com/2075-4418/13/14/2401 |
| work_keys_str_mv | AT melikeelifkalfaoglu evaluationofhepaticrenalandsplenicrenalechointensityratiousingultrasonographyindiabeticnephropathy |