Comparison between Doppler Ultrasonography and Renal Scintigraphy in Assessment of Post-Transplant Renal Function
Purpose To compare the usefulness of Doppler ultrasonography and renal scintigraphy in the assessment of short- and long-term function of transplanted kidneys. Materials and Methods We retrospectively reviewed the cases of 79 patients who underwent Doppler ultrasonography and technetium-99m die...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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The Korean Society of Radiology
2016-05-01
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| Series: | 대한영상의학회지 |
| Subjects: | |
| Online Access: | https://doi.org/10.3348/jksr.2016.74.5.313 |
| _version_ | 1818775536610050048 |
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| author | Yeo-Chang Yoon Byung Seok Shin Joon Young Ohm Seong Min Kim Moon-Sang Ahn Shin-Seok Yang Mi-Hyun Park |
| author_facet | Yeo-Chang Yoon Byung Seok Shin Joon Young Ohm Seong Min Kim Moon-Sang Ahn Shin-Seok Yang Mi-Hyun Park |
| author_sort | Yeo-Chang Yoon |
| collection | DOAJ |
| description | Purpose
To compare the usefulness of Doppler ultrasonography and renal scintigraphy in the assessment of short- and long-term function of transplanted kidneys.
Materials and Methods
We retrospectively reviewed the cases of 79 patients who underwent Doppler ultrasonography and technetium-99m diethylene triamine pentaacetic acid renal scintigraphy on the same day, within 4 days of renal transplantation. Image parameters were evaluated for statistical differences.
Results
There was a strong positive correlation between the glomerular filtration rate (GFR) as measured by renal scintigraphy and the estimated GFR (eGFR) based on serum creatinine levels (correlation coefficient = 0.71). Scan grade according to the time-activity curve, resistive index, and end diastolic velocity showed moderate correlations with the eGFR (correlation coefficients = -0.557, -0.329, and 0.370, respectively) in the early post-transplantation period. The mean survival time was longer in patients with lower resistive indices (≤ 0.68, 54.9 months vs. > 0.68, 29.5 months) and lower pulsatility indices (≤ 1.32, 53.8 months vs. > 1.32, 28.7 months); however, there were no statistically significant differences in the long-term follow-up period (p = 0.121 for resistive index and p = 0.074 for pulsatility index).
Conclusion
Renal scintigraphy is a more sensitive method than Doppler ultrasonography for assessing transplanted kidney function in the early post-transplantation period. Doppler ultrasonography might reflect the long-term survival time. However, it is difficult to predict long-term renal function using either method. |
| first_indexed | 2024-12-18T10:58:36Z |
| format | Article |
| id | doaj.art-f6daa854e5d342f0b8673f21d5e1c2f0 |
| institution | Directory Open Access Journal |
| issn | 1738-2637 2288-2928 |
| language | English |
| last_indexed | 2024-12-18T10:58:36Z |
| publishDate | 2016-05-01 |
| publisher | The Korean Society of Radiology |
| record_format | Article |
| series | 대한영상의학회지 |
| spelling | doaj.art-f6daa854e5d342f0b8673f21d5e1c2f02022-12-21T21:10:16ZengThe Korean Society of Radiology대한영상의학회지1738-26372288-29282016-05-01745313321https://doi.org/10.3348/jksr.2016.74.5.313Comparison between Doppler Ultrasonography and Renal Scintigraphy in Assessment of Post-Transplant Renal FunctionYeo-Chang Yoon0Byung Seok Shin1Joon Young Ohm2Seong Min Kim3Moon-Sang Ahn4Shin-Seok Yang5Mi-Hyun Park6Department of Radiology, Chungnam National University Hospital, Daejeon, KoreaDepartment of Radiology, Chungnam National University Hospital, Daejeon, KoreaDepartment of Radiology, Chungnam National University Hospital, Daejeon, KoreaDepartment of Nuclear Medicine, Chungnam National University Hospital, Daejeon, KoreaDepartment of Surgery, Chungnam National University Hospital, Daejeon, KoreaDepartment of Surgery, Chungnam National University Hospital, Daejeon, KoreaDepartment of Radiology, Dankook University Hospital, Cheonan, KoreaPurpose To compare the usefulness of Doppler ultrasonography and renal scintigraphy in the assessment of short- and long-term function of transplanted kidneys. Materials and Methods We retrospectively reviewed the cases of 79 patients who underwent Doppler ultrasonography and technetium-99m diethylene triamine pentaacetic acid renal scintigraphy on the same day, within 4 days of renal transplantation. Image parameters were evaluated for statistical differences. Results There was a strong positive correlation between the glomerular filtration rate (GFR) as measured by renal scintigraphy and the estimated GFR (eGFR) based on serum creatinine levels (correlation coefficient = 0.71). Scan grade according to the time-activity curve, resistive index, and end diastolic velocity showed moderate correlations with the eGFR (correlation coefficients = -0.557, -0.329, and 0.370, respectively) in the early post-transplantation period. The mean survival time was longer in patients with lower resistive indices (≤ 0.68, 54.9 months vs. > 0.68, 29.5 months) and lower pulsatility indices (≤ 1.32, 53.8 months vs. > 1.32, 28.7 months); however, there were no statistically significant differences in the long-term follow-up period (p = 0.121 for resistive index and p = 0.074 for pulsatility index). Conclusion Renal scintigraphy is a more sensitive method than Doppler ultrasonography for assessing transplanted kidney function in the early post-transplantation period. Doppler ultrasonography might reflect the long-term survival time. However, it is difficult to predict long-term renal function using either method.https://doi.org/10.3348/jksr.2016.74.5.313ultrasonographydopplerradionuclide imagingkidney transplantationglomerular filtration rate |
| spellingShingle | Yeo-Chang Yoon Byung Seok Shin Joon Young Ohm Seong Min Kim Moon-Sang Ahn Shin-Seok Yang Mi-Hyun Park Comparison between Doppler Ultrasonography and Renal Scintigraphy in Assessment of Post-Transplant Renal Function 대한영상의학회지 ultrasonography doppler radionuclide imaging kidney transplantation glomerular filtration rate |
| title | Comparison between Doppler Ultrasonography and Renal Scintigraphy in Assessment of Post-Transplant Renal Function |
| title_full | Comparison between Doppler Ultrasonography and Renal Scintigraphy in Assessment of Post-Transplant Renal Function |
| title_fullStr | Comparison between Doppler Ultrasonography and Renal Scintigraphy in Assessment of Post-Transplant Renal Function |
| title_full_unstemmed | Comparison between Doppler Ultrasonography and Renal Scintigraphy in Assessment of Post-Transplant Renal Function |
| title_short | Comparison between Doppler Ultrasonography and Renal Scintigraphy in Assessment of Post-Transplant Renal Function |
| title_sort | comparison between doppler ultrasonography and renal scintigraphy in assessment of post transplant renal function |
| topic | ultrasonography doppler radionuclide imaging kidney transplantation glomerular filtration rate |
| url | https://doi.org/10.3348/jksr.2016.74.5.313 |
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