Role of USG in detecting early renal parenchymal disease

Dr. Debasis Deoghuria; Dr. Jayati Bardhan; Dr Trilokesh Patra; Dr. Kashi Nath Sarkar

Volume : VIII, Issue : III, March - 2018

Role of USG in detecting early renal parenchymal disease

Dr. Debasis Deoghuria, Dr. Jayati Bardhan, Dr Trilokesh Patra, Dr. Kashi Nath Sarkar

Abstract :

Background : Renal parenchymal disease is quite common in the elderly population, although young population are not immune. It causes significant morbidity and mortality cutting across races. Early diagnosis can reduce the suffering and prolong life in this subset of population. Ultrasonography is a reliable, non invasive modality for detection of renal parenchymal disease.

Aims : In this study, we evaluated the efficiency of ultrasonography in detecting early renal parenchymal disease with borderline elevation of serum creatinine level (<2) mg/dL.

Material &Methods : We selected 100 cases with marginally raised serum creatinine level. All of the selected cases has serum creatinine level less than 2 mg/dL. Five criteria were evaluated– renal size, cortical echogenicity, cortical thickness, renal parenchymal thickness, cortico–medullary differentiation and inference was drawn based on these criteria.

Results : All the 100 cases has normal kidney length ranging from 8.5 cm to 11.4 cm. Cortical thickness was normal in all cases ranging from 0.59 cm to 1.09 cm. Parenchymal thickness was normal in all cases ranging from 1.21 cm to 2.2 cm. Cortical echognicity was raised in 78 cases (equal to liver in 60 cases, more than liver in 18 cases). Cortico–medullary differentiation was maintained in 86 cases and ill distinct in 14 cases.

Conclusion : Ultrasonography is a reliable investigation in detecting renal parenchymal disease even in early stage and can help seek therapeutic attention to decelerate or halt the Progression of disease thereby reducing morbidity and prolonging productive life.