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Doppler studies in normal kidneys of healthy children

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Abstract

Despite the widespread use of Doppler ultrasound in kidney diseases of adults and children, there are only a few, partially contradictory reports of normal values of resistance index (RI) and pulsatility index (PI) of renal perfusion in a healthy pediatric population. This study was carried out to determine normal values for these parameters in a larger group of probands. For the RI correlation with age was most pronounced in the right renal artery, with children over 6 years having a significantly lower RI than younger children. The PI was relatively independent of side and age. These results are somewhat different to previous reports. These differences may influence future Doppler sonographic investigations of acute and symmetrically affected kidneys (nephrological diseases). Our data suggest that the RI of the right renal artery might be most useful. In chronical or unilateral kidney diseases (unilateral ureteral obstruction, reflux, or operation) investigation of the PI in addition to the RI may aid diagnosis.

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References

  1. Taylor KJW, Morse SS, Rigsby CM, Bia M, Schiff M (1987) Vascular complications in renal allografts: detection with duplex Doppler US. Radiology 162: 31–38

    PubMed  Google Scholar 

  2. Vergesslich KA, Khoss AE, Balzar E, Schwaighofer B, Ponhold W (1988) Acute renal transplant rejection in children: assessment by Duplex Doppler sonography. Pediatr Radiol 18: 474–478

    PubMed  Google Scholar 

  3. Deeg KH, Nagler B, Schönau E, Ruder H (1990) Farbkodierte Doppler-Sonografie der Nierengefäße im Kindesalter. II. Pathologische Befunde. Monatsschr Kinderheilkd 138: 337–348

    PubMed  Google Scholar 

  4. Abernethy LJ, Hendry GMA, Reid JH (1989) Fibromuscular dysplasia of the renal artery in a child: detection by Doppler ultrasound and correction by percutaneous transluminal angioplasty. Pediatr Radiol 19: 539–540

    PubMed  Google Scholar 

  5. Sievers KW, Löhr E, Werner WR (1989) Duplex Doppler ultrasound in determination of renal artery stenosis. Urol Radiol 11: 142–147

    PubMed  Google Scholar 

  6. Laplante S, Patriquin H, Robitaille P, Piliatrault D, Grignon A, Décarie J-C (1993) Renal vein thrombosis in children: evidence of early flow recovery with Doppler US. Radiology 189: 37–42

    PubMed  Google Scholar 

  7. Platt JF, Ellis JH, Rubin JM (1991) Examination of native kidneys with duplex Doppler ultrasound. Semin Ultrasound CT MRT 12: 308–318

    Google Scholar 

  8. Martin KW, McAlister WH, Shackelford GD (1988) Acute renal infarction: diagnosis by doppler ultrasound. Pediatr Radiol 18: 373–376

    PubMed  Google Scholar 

  9. Barth RA (1993) Fibromuscular dysplasia which clotted renal artery aneurysm. Pediatr Radiol 23: 296–297

    PubMed  Google Scholar 

  10. Wong SN, Lo RNS, Yu ECL (1989) Renal blood flow pattern by noninvasive Doppler ultrasound in normal children and acute renal failure patients. J Ultrasound Med 8: 135–141

    PubMed  Google Scholar 

  11. Patriquin HB, O'Regan S, Robiraille P, Paltiel H (1989) Hemolytic-uremic syndrome: intrarenal arterial Doppler patterns as a useful guide to therapy. Radiology 172: 625–628

    PubMed  Google Scholar 

  12. Patriquin H (1991) Doppler examination of the kidney in infants and children. Urol Radiol 12: 220–227

    PubMed  Google Scholar 

  13. El Helou N, Hélénon O, Augusti M, Correas JM, El Rody F, Souissi M, Moreau JF (1993) Apport du doppler rénal dans le diagnostic des obstructions aigués du haut appareil urinaire. J Radiol 74: 499–507

    PubMed  Google Scholar 

  14. Friedman DM, Schacht RG (1991) Doppler waveforms in the renal arteries of normal children. J Clin Ultrasound 19: 387–392

    PubMed  Google Scholar 

  15. Scholbach T (1992) Nierenaffektion bei Parvovirus B19-Infektion eines Kindes. Kinderärztl Prax 60: 156–158

    Google Scholar 

  16. Terry JD, Granger SH, Chen BC, Rysavy JA, Lefkowitz DM, Oldemeyer B, Pettinger WA, Lee HC (1992), Adjusted resistive index: a method to rapidly estimate renal blood flow: a preliminary validation in hypertensives. J Ultrasound Med 11: 647–651

    PubMed  Google Scholar 

  17. Bude RO, DiPietro MA, Platt JF, Rubin JM, Miesowicz S, Lundquist C (1992) Age dependency of the renal resistive index in healthy children. Radiology 184: 469–473

    PubMed  Google Scholar 

  18. Deeg KH, Woerle K, Schönau E (1990) Farbkodierte Doppler-Sonografie der Nierengefäße im Kindesalter. I. Methode und Normalbefunde. Monatsschr Kinderheilkd 138: 256–267

    PubMed  Google Scholar 

  19. Keller MS (1989) Renal Doppler sonography in infants and children. Radiology 172: 603–604

    PubMed  Google Scholar 

  20. Lamont AC, Hall HS, Thompson JR, Evans DH (1991) Doppler ultrasound studies in renal arteries of normal newborn babies. Br J Radiol 64: 413–416

    PubMed  Google Scholar 

  21. Terry JD, Rysavy JA, Frick MP (1992) Intrarenal Doppler: characteristics of aging kidneys. J Ultrasound Med 11: 647–651

    PubMed  Google Scholar 

  22. Grunert D, Schöning M, Rosendahl W (1990) Renal blood flow and blood flow velocity in children and adolescents: duplex Doppler exaluation. Eur J Pediatr 149: 287–292

    PubMed  Google Scholar 

  23. Bömelburg T, Jorch G (1988) Investigation of the renal artery blood flow velocity in preterm and term neonates by pulsed Doppler ultrasonography. Eur J Pediatr 147: 283–287

    PubMed  Google Scholar 

  24. Vade A, Subaiah P, Kalbhen CL, Ryva JC (1993) Renal resistive indices in children. J Ultrasound Med 12: 655–658

    PubMed  Google Scholar 

  25. Sacerdoti D, Bolognesi M, Merkel C, Angeli P, Gatta A (1993) Renal vasoconstriction in cirrhosis evaluated by duplex Doppler ultrasonography. Hepatology 17: 219–224

    PubMed  Google Scholar 

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Scholbach, T. Doppler studies in normal kidneys of healthy children. Pediatr Nephrol 10, 156–159 (1996). https://doi.org/10.1007/BF00862060

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  • DOI: https://doi.org/10.1007/BF00862060

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