Araştırma Makalesi
BibTex RIS Kaynak Göster

Diagnostic accuracy of kidney shear wave elastography at the diagnosis of ureteral stones

Yıl 2022, , 3 - 8, 27.03.2022
https://doi.org/10.30565/medalanya.876543

Öz

Aim: To determine the efficacy of kidney shear wave elastography (SWE) in patients diagnosed with ureteral stones.

Method: Both kidneys of 30 patients were evaluated prospectively with SWE. The ureteral stone size and the degree of hydronephrosis were determined by sonographic examination. The contralateral kidney was accepted as the control parameter. Stone size, grade of hydronephrosis and kidney shear wave speed changes were noted and their relations were examined for statistical significance.

Results: Affected kidney group had significantly increased SWE values than the control group. (3.87+-1.22 vs 2.06+-0.72 m/sec) (p=0.01). Neither the stone size nor the kidney SWE values showed a correlation with the gender. There was a positive correlation between the grade of hydronephrosis and the stone size (p=0.047, r=0,36). Kidneys with grade 2 hydronephrosis had significantly higher SWE values than those with grade 1 hydronephrosis.

Conclusion: SWE is a promising tool to observe the parenchymal elasticity changes in patients with hydronephrosis secondary to ureteral stones. Further studies are necessary to confirm the research results.

Kaynakça

  • 1. Rodgers AL: Race, ethnicity and urolithiasis: a critical review. Urolithiasis. 2013;41(2):99-103. doi: 10.1007/s00240-012-0516-9.
  • 2. Yencilek F, Sarica K, Erturhan S, Yagci F, Erbagci A. Treatment of ureteral calculi with semirigid ureteroscopy: where should we stop? Urol Int.2010;84(3):260-4. doi: 10.1159/000288225.
  • 3. MH Ather, AH Jafri, MN Sulaiman. Diagnostic accuracy of ultrasonography compared to unenhanced CT for stone and obstruction in patients with renal failure. BMC Med Imaging. 2004;4(1):2. doi: 10.1186/1471-2342-4-2.
  • 4. Palmeri ML, Wang MH, Rouze NC, Abdelmalek MF, Guy CD, Moser B, et al. Noninvasive evaluation of hepatic fibrosis using acoustic radiation force-based shear stiffness in patients with nonalcoholic fatty liver disease. J Hepatol. 2011;55(3):666-72. doi: 10.1016/j.jhep.2010.12.019.
  • 5. Grenier N, Gennisson JL, Cornelis F, Le Bras Y, Couzi L. Renal ultrasound elastography. Diagn Interv Imaging. 2013;94(5):545-50. doi: 10.1016/j.diii.2013.02.003.
  • 6. Cosgrove D, Piscaglia F, Bamber J, Bojunga J, Correas JM, Gilja OH, et al. EFSUMB guidelines and recommendations on the clinical use of ultrasound elastography. Part 2: Clinical applications. Ultraschall Med. 2013;34(3):238-53. doi: 10.1055/s-0033-1335375.
  • 7. Ferraioli G, Tinelli C, Dal Bello B, Zucchetti M, Filice G, Filice C, et al. Accuracy of real-time shear wave elastography for assessing liver fibrosis in chronic hepatitis C: a pilot study. Hepatology. 2012;56(6):2125-33. doi: 10.1002/hep.25936.
  • 8. Onen A, Grading of hydronephrosis: An ongoing challenge. Front Pediatr. 2020;8:458. doi: 10.3389/fped.2020.00458.
  • 9. Genisson JL, Grenier N, Combe C, Tanter M. Supersonic shear wave elastography of in vivo pig kidney: influence of blood pressure, urinary pressure and tissue anisotropy. Ultrasound Med Biol. 2012;38(9):1559-67. doi: 10.1016/j.ultrasmedbio.2012.04.013.
  • 10. Tublin ME, Dodd GD III. Sonography of renal transplantation. Radiol Clin North Am. 1995;33(3):447–59. PMID: 7740105.
  • 11. Bob F, Grosu I, Sporea I, Bota S, Popescu A, et al Ultrasound- shear wave elastography in the assessment of patients with diabetic kidney disease. Ultrasound Med. Biol. 2017;43(10):2159-66. doi: 10.1016/j.ultrasmedbio.2017.04.019.
  • 12. Turkay R, Inci E, Bas D, Atar A. Shear Wave Elastographic Alterations in the Kidney After Extracorporeal Shock Wave Lithotripsy. J Ultrasound Med. 2018;37(3):629-34. doi: 10.1002/jum.14415.

Üreter taşlarının tanısında böbrek shear wave elastografinin tanısal doğruluğunun araştırması

Yıl 2022, , 3 - 8, 27.03.2022
https://doi.org/10.30565/medalanya.876543

Öz

Amaç: Üreter taşı olan hastalarda böbrek shear wave elastografi (SWE) incelemenin tanısal etkinliğinin değerlendirilmesi.

Yöntem: 30 hastanın her iki böbreği prospektif olarak SWE ile incelendi. Üreter taşı boyutu ve hidronefroz derecesi ultrasonografi incelemesi ile değerlendirildi. Karşı taraf normal böbrek kontrol grubu olarak değerlendirildi. Üreter taşı boyutu, hidronefrozun derecesi ve böbrek shear wave hızındaki değişiklikler not edildi ve aralarındaki ilişkiler istatiksel anlamlılık açısından incelendi.

Bulgular: Üreter taşından etkilenen böbrek SWE değerlerinde normal böbrek ile karşılaştırıldığında anlamlı artış mevcuttur (3.87+-1.22 vs 2.06+-0.72 m/sec) (p=0.01).Cinsiyet ile üreter taşı boyutu arasında ve SWE değerleri arasında korelasyon yoktur. Hidronefroz derecesi ile ureter taşı boyutu arasında pozitif korelasyon saptandı (p=0.047, r=0,36). İkinci derece ve üstünde hidronefroz saptanan böbreklerde SWE değerleri grade 1 olanlara göre daha fazladır.

Sonuç: Üreter taşına bağlı hidronefrozu olan hastalarda böbrek parankim elastisitesindeki değişiklikleri değerlerndirmede SWE gelecek vadeden bir yöntemdir. Gelecek çalışmalar sonuçlarımızı netleştirecektir.

Kaynakça

  • 1. Rodgers AL: Race, ethnicity and urolithiasis: a critical review. Urolithiasis. 2013;41(2):99-103. doi: 10.1007/s00240-012-0516-9.
  • 2. Yencilek F, Sarica K, Erturhan S, Yagci F, Erbagci A. Treatment of ureteral calculi with semirigid ureteroscopy: where should we stop? Urol Int.2010;84(3):260-4. doi: 10.1159/000288225.
  • 3. MH Ather, AH Jafri, MN Sulaiman. Diagnostic accuracy of ultrasonography compared to unenhanced CT for stone and obstruction in patients with renal failure. BMC Med Imaging. 2004;4(1):2. doi: 10.1186/1471-2342-4-2.
  • 4. Palmeri ML, Wang MH, Rouze NC, Abdelmalek MF, Guy CD, Moser B, et al. Noninvasive evaluation of hepatic fibrosis using acoustic radiation force-based shear stiffness in patients with nonalcoholic fatty liver disease. J Hepatol. 2011;55(3):666-72. doi: 10.1016/j.jhep.2010.12.019.
  • 5. Grenier N, Gennisson JL, Cornelis F, Le Bras Y, Couzi L. Renal ultrasound elastography. Diagn Interv Imaging. 2013;94(5):545-50. doi: 10.1016/j.diii.2013.02.003.
  • 6. Cosgrove D, Piscaglia F, Bamber J, Bojunga J, Correas JM, Gilja OH, et al. EFSUMB guidelines and recommendations on the clinical use of ultrasound elastography. Part 2: Clinical applications. Ultraschall Med. 2013;34(3):238-53. doi: 10.1055/s-0033-1335375.
  • 7. Ferraioli G, Tinelli C, Dal Bello B, Zucchetti M, Filice G, Filice C, et al. Accuracy of real-time shear wave elastography for assessing liver fibrosis in chronic hepatitis C: a pilot study. Hepatology. 2012;56(6):2125-33. doi: 10.1002/hep.25936.
  • 8. Onen A, Grading of hydronephrosis: An ongoing challenge. Front Pediatr. 2020;8:458. doi: 10.3389/fped.2020.00458.
  • 9. Genisson JL, Grenier N, Combe C, Tanter M. Supersonic shear wave elastography of in vivo pig kidney: influence of blood pressure, urinary pressure and tissue anisotropy. Ultrasound Med Biol. 2012;38(9):1559-67. doi: 10.1016/j.ultrasmedbio.2012.04.013.
  • 10. Tublin ME, Dodd GD III. Sonography of renal transplantation. Radiol Clin North Am. 1995;33(3):447–59. PMID: 7740105.
  • 11. Bob F, Grosu I, Sporea I, Bota S, Popescu A, et al Ultrasound- shear wave elastography in the assessment of patients with diabetic kidney disease. Ultrasound Med. Biol. 2017;43(10):2159-66. doi: 10.1016/j.ultrasmedbio.2017.04.019.
  • 12. Turkay R, Inci E, Bas D, Atar A. Shear Wave Elastographic Alterations in the Kidney After Extracorporeal Shock Wave Lithotripsy. J Ultrasound Med. 2018;37(3):629-34. doi: 10.1002/jum.14415.
Toplam 12 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Klinik Tıp Bilimleri
Bölüm Araştırma Makalesi
Yazarlar

Utku Mahir Yıldırım 0000-0003-1863-2981

Erkan Şahin 0000-0002-1922-5280

Aynur Solak Bu kişi benim 0000-0003-3000-3854

Bumin Örs 0000-0002-9471-7031

Selim Serter Bu kişi benim 0000-0001-5364-2398

Yayımlanma Tarihi 27 Mart 2022
Gönderilme Tarihi 8 Şubat 2021
Kabul Tarihi 19 Şubat 2022
Yayımlandığı Sayı Yıl 2022

Kaynak Göster

Vancouver Yıldırım UM, Şahin E, Solak A, Örs B, Serter S. Diagnostic accuracy of kidney shear wave elastography at the diagnosis of ureteral stones. Acta Med. Alanya. 2022;6(1):3-8.

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