Renal Cortical Elastography: Normal Values and Variations

Harsh Singh, Om Biju Panta, Umesh Khanal, Ram Kumar Ghimire, Harsh Singh, Om Biju Panta, Umesh Khanal, Ram Kumar Ghimire

Abstract

Introduction: Renal cortical elastography has shown conflicting but promising results in evaluation of chronic kidney disease and other renal disorders. The purpose of this study was to establish a normogram of renal cortical elasticity values and assess their variation between right and left kidney and their relation with age, gender, body mass index, renal dimensions and skin to cortex distance.

Methods: The study was a hospital based cross sectional study performed at Tribhuvan University Teaching Hospital, a tertiary care center in Kathmandu, Nepal. All individuals referred for Ultrasound from General Health Check up clinic were included in the study. Patient with abnormal ultrasound findings and abnormal renal function test were excluded from the study. Renal morphometry including length, cortical thickness, and skin to cortex distance were measured in B mode imaging and renal cortical elastography was measured with region of interest box of 1 × 0.5 cm. All analyses were done using Statistical Package for Social Sciences 20.0 soft ware.

Results: A total of 95 individuals who met the inclusion criteria were included in the study. The mean values of right and left renal cortical shear wave velocity were 1.49 ± 0.19 m/s and 1.54 ± 0.19 m/s respectively. Statistical significant difference was observed between the renal cortical shear wave velocity of right and left kidney. The renal shear wave velocity was seen to decrease with age, however the correlation was not statistically significant. No significant difference was also noted in renal shear wave velocity among various sex or Body mass index groups. Statistically significant negative correlation was noted between skin to cortex distance and renal cortical shear wave velocities. However no statistically significant correlation was noted between renal dimensions and renal cortical shear wave velocities.

Conclusions: The normal cortical elasticity values in terms of shear wave velocity of right and left kidney were established. Renal elasticity is independent of the age, gender, Body mass index and renal dimensions.

Keywords: Renal elastography; Shear wave elastography; Ultrasound.

Conflict of interest statement

Conflicts of Interest: None.

Figures

Figure 1
Figure 1
Measurement of renal cortical elasticity. ROI box is seen placed in the renal cortex parallel to the renal pyramids (marked hypoechoic triangular area) and not extending up to the renal sinus (hyperechoic area). The shear wave velocity in m/s is displayed in the lower left corner.
Figure 2
Figure 2
Renal cortical elasticity variation by age group.

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