ROLE OF ULTRASONOGRAPHICALLY MEASURED RENAL CORTICAL THICKNESS AND BIPOLAR RENAL LENGTH IN PREDICTION OF DEGREE OF RENAL IMPAIRMENT IN PATIENT OF CHRONIC KIDNEY DISEASE

Dr. (Prof.) Alka Agrawal; Dr. Amit Shankhwar; Dr Dinesh Kumar Koushik; Dr Mitisha Dhosariya; Dr Saurabh Atram

Volume : VIII, Issue : X, October - 2019

ROLE OF ULTRASONOGRAPHICALLY MEASURED RENAL CORTICAL THICKNESS AND BIPOLAR RENAL LENGTH IN PREDICTION OF DEGREE OF RENAL IMPAIRMENT IN PATIENT OF CHRONIC KIDNEY DISEASE

Dr. Prof. Alka Agrawal, Dr. Amit Shankhwar, Dr Dinesh Kumar Koushik, Dr Mitisha Dhosariya, Dr Saurabh Atram

Abstract :

Aim & objectives: To study the relationship between ultrasonographic renal parameters and renal impairment in patients with chronic kidney disease. Method: Total 106 patients with CKD were undergone ultrasonographic examination for evaluation kidneys. Renal length, cortical thickness and cortical echogenicity were documented on B–mode gray scale using 2–5 MHz probe in Esaote USG machine at beginning, at 3 month and at 6 month. Results: Mean renal length was 8.88cm, mean cortical thickness was 8.80mm and mean eGFR was 35.99 ml/min/1.73m2. Serum creatinine showed negative correlation with cortical thickness (r=–0.7498, P<0.001) and renal length (r=–0.5867, P<0.001). eGFR showed positive correlation with cortical thickness (r=0.6931, P<0.001) and renal length (r=0.5668, P<0.001). Cortical echogenicity showed strong positive correlation with serum creatinine (r=0.7782, P<0.001) and strong negative correlation with renal function (eGFR) (r=–0.7698, P<0.001). Conclusion: Cortical thickness and cortical echogenicity showed significant and strong correlation with serum creatinine and renal function than renal length.