Dm. Briscoe et al., DUPLEX-DOPPLER EXAMINATION OF RENAL-ALLOGRAFTS IN CHILDREN - CORRELATION BETWEEN RENAL BLOOD-FLOW AND CLINICAL FINDINGS, Pediatric radiology, 23(5), 1993, pp. 365-368
Citations number
18
Categorie Soggetti
Radiology,Nuclear Medicine & Medical Imaging",Pediatrics
We reviewed the diastolic blood flow (DBF), pulsatility index (PI), an
d resistive index (RI) in 211 duplex Doppler ultrasound examinations o
f 63 pediatric renal transplant recipients. We correlated our findings
with the clinical diagnosis, independently determined at the time of
ultrasound examination. DBE evaluated in 202 examinations, was found t
o be decreased, absent, or reversed in acute rejection (kappa = 0.4, p
< 0.01) and acute tubular necrosis (ATN) (kappa = 0.3, p < 0.01). The
PI and RI were evaluated in 87 and 78 ultrasound examinations respect
ively. The range of normal PI and RI values in recipients between six
and 18 years of age were similar to those reported in adults. However,
normal PI and RI values were somewhat higher in recipients less than
six years of age who had received adult donor allografts. Overall, the
PI was greater than 1.5 in acute rejection (kappa = 0.3, p < 0.05) an
d ATN (kappa = 0.3, p < 0.01), but not in chronic rejection (kappa < 0
, p = NS). The RI was greater than 0.7 in chronic rejection (kappa = 0
.3, p < 0.05) and ATN (kappa = 0.3, p < 0.05), but not in acute reject
ion (kappa = 0.03, p = NS). We conclude that the PI and RI vary in ped
iatric recipients of renal allografts and are not associated with a sp
ecific clinical diagnosis.