Ultrasonographic imaging and Doppler analysis of renal changes in non-insulin-dependent diabetes mellitus

Academic Radiology
L E DerchiC Bordone

Abstract

We used ultrasonographic imaging and Doppler analysis to assess renal changes in patients with non-insulin-dependent diabetes mellitus (NIDDM) and normal renal function, as established by normal serum creatinine levels and the absence of macroalbuminuria. Renal parenchymal echogenicity, renal volume, and resistive index (RI) were blindly evaluated for 85 NIDDM patients and 42 age-matched control subjects (C). Results were analyzed and correlated with the following clinical parameters: patient age, duration of diabetes, blood pressure, blood glucose and cholesterol levels, and the presence of microalbuminuria. Normal renal parenchymal echogenicity was seen in all but one NIDDM patient; however, in comparison with C, diabetic patients had significantly higher renal volume (mean +/- standard deviation, 314.01 +/- 72.74 vs 227.64 +/- 58.76) and RI (mean +/- standard deviation, 0.71 +/- 0.05 vs 0.64 +/- 0.02). An RI higher than 0.70 was found in 55 of 85 (65%) NIDDM patients; an increased RI was directly correlated with patient age, whereas an inverse correlation existed between an increased RI and renal volume. No statistically significant differences were observed for the duration of diabetes, arterial hypertension, blood levels o...Continue Reading

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Citations

May 9, 2001·The Journal of Urology·Y F RawashdehJ Frokiaer
Mar 9, 2012·Kidney & Blood Pressure Research·T BasturkY Koc
Jan 14, 2004·Hypertension Research : Official Journal of the Japanese Society of Hypertension·Chinami OgataYuhei Kawano
Apr 28, 2001·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·J SpencerW Hoy
Dec 1, 2007·Journal of Ultrasound·F Fiorini, L Barozzi
Sep 7, 2016·Diabetes & Metabolic Syndrome·Baris Afsar, Rengin Elsurer

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