Colour Doppler ultrasound: A new index improves the diagnosis of renal artery stenosis

The description of a new index, the renal-segmental ratio (RSR), and the co mparison of its performance with other conventional Doppler parameters for the detection of renal artery stenosis (RAS). A total of 96 renal units wer e studied with angiography and colour Doppler ultrasound (US) independently . The Doppler parameters applied were: 1. renal artery peak systolic veloci ty (RE-PSV), 2. renal-aortic ratio (RAR), 3. early systolic acceleration (E SA), and 4. renal-segmental ratio (RSR). The angiographic study was used as the "gold standard " for the identification of greater than or equal to 50 % RAS, The results indicate that RSR (sensitivity: 93.33%, specificity: 89. 47 %) and RE-PSV (sensitivity: 83.33 %, specificity: 89.47 %) were the best criteria for RAS diagnosis (p values < 0.05). The results show that colour Doppler US is a reliable diagnostic modality for RAS diagnosis. The new in dex (RSR) improves the effectiveness of the method. (C) 2000 World Federati on for Ultrasound in Medicine & Biology.