Abstract
Renal parenchymal diseases may be characterized by gray-scale and color and power Doppler ultrasound (US). The most typical appearance of renal parenchymal diseases on gray-scale US is a diffuse increase in echogenicity of parenchyma of both kidneys with an increased or a reduced visibility of renal pyramids. Color and power Doppler analysis of intrarenal flows may reveal an increase in the resistive index value (>0.7). Even though gray-scale and Doppler US provide morphological and functional evaluations of renal parenchymal diseases, they do not present high specificity and sensitivity in the characterization of the different renal parenchyma disease.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Alpers CE (2005) The kidney. In: Kumar V, Abbas AK, Fausto N (eds) Robbins and Cotran pathologic basis of disease. Elsevier Saunders, Philadelphia, pp 955–1021
Amendola MA (1990) Amyloidosis of the urinary tract. In: Pollack HM, McClennan BL, Dyer R, Kenney PJ (eds) Clinical urography. Saunders, Philadelphia, pp 2909–2920
American Diabetes Association (2005) Implications of the United Kingdom Prospective Diabetic Study. Diabetes Care 26 (suppl):S28–S32
Andreoli TE (1992) Approach to the patient with renal disease. In: Wyngaarden JB, Smith LH, Bennett JC (eds) Cecil textbook of medicine. Saunders, Philadelphia, pp 477–482
Bertolotto M, Quaia E, Galli G et al.(2000) Color Doppler sonographic appearance of renal perforating vessels in subjects with normal and impaired renal function. J Clin Ultrasound 28:267–276
Chul Jung D, Kim SH, Jung SI et al. (2006) Renal papillary necrosis: review and comparison of findings at multi-detector row CT and intravenous urography. Radiographics 26:1827–1836
Couser WG (1992) Glomerular disorders. In: Wyngaarden JB, Smith LH, Bennett JC (eds) Cecil textbook of medicine. Saunders, Philadelphia, pp 551–568
Curtis JJ (1992) Renal transplantation. In: Wyngaarden JB, Smith LH, Bennett JC (eds) Cecil textbook of medicine. Saunders, Philadelphia, pp 546–551
Di Nardo R, Iannicelli E, Leonardi D et al. (1989) Echographic aspects of kidney diseases and comparison with needle biopsy. Ann Ital Med Int 4:207–212
Erwin B, Carroll B, Muller H (1985) A sonographic assessment of neonatal renal parameters. J Ultrasound Med 4:217–220
Hamper UM, Goldblum LE, Hutchins GM et al. (1988) Renal involvement in AIDS: sonographic-pathologic correlation. AJR Am J Roentgenol 150:1321–1325
Hoffman J, Schnur M, Koenigsberg M (1982) Demonstration of renal papillary necrosis by sonography. Radiology 145:785–787
Hricak H (1982) Renal medical disorders: the role of sonography. In: Sanders RC (ed) Ultrasound annual 1982. Raven, New York, p 43
Huntington DK, Hill SC, Hill MC (1991) Sonographic manifestations of medical renal disease. Semin Ultrasound CT MR 12:290–307
Ikee R, Kobayashi S, Hemmi N et al. (2005) Correlation between the resistive index by Doppler ultrasound and kidney function and histology. Am J Kidney Dis 46:603–609
Kasap B, Soylu A, Türkmen M et al. (2006) Relationship of increased renal cortical echogenicity with clinical and laboratory findings in pediatric renal disease. J Clin Ultrasound 34:339–342
Kim SH, Kim B (1990) Renal parenchyma disease. In: Pollack HM, McClennan BL, Dyer R, Kenney PJ (eds) Clinical urography. Saunders, Philadelphia, pp 2652–2687
Longmaid HE, Rider E, Tymkiw J (1987) Lupus nephritis: new sonographic findings. J Ultrasound Med 6:75–79
Martinoli C, Bertolotto M, Pretolesi F et al. (1999) Kidney: normal anatomy. Eur Radiol 9 (suppl 3):389–393
McKinney TD (1992) Tubulointerstitial diseases and toxic nephropathies. In: Wyngaarden JB, Smith LH, Bennett JC (eds) Cecil textbook of medicine. Saunders, Philadelphia, pp 568–579
Miller FH, Parikh S, Gore RM (1993) Renal manifestations of AIDS. Radiographics 13:587–596
Mostbeck GH, Kain R, Mallek R et al. (1991) Duplex Doppler sonography in renal parenchymal disease. Histopathologic correlation. J Ultrasound Med 10:189–194
Myers BD (1992) Diabetes and the kidney. In: Wyngaarden JB, Smith LH, Bennett JC (eds) Cecil textbook of medicine. Saunders, Philadelphia, pp 590–593
Olefsky JM (1992) Diabetes mellitus. In: Wyngaarden JB, Smith LH, Bennett JC (eds) Cecil textbook of medicine. Saunders, Philadelphia, pp 1291–1310
Ozaki K, Miyayama S, Uschiogi Y et al. (2009) Renal involvement of polyarteritis nodosa: CT and MR findings. Abdom Imaging 34:265–270
Page JE, Morgan SH, Eastwood JB et al. (1994) Ultrasound findings in renal parenchymal disease: comparison with histological appearances. Clin Radiol 49:867–870
Platt JF, Rubin J, Bowerman R et al. (1988) The inability to detect kidney disease on the basis of echogenicity. AJR Am J Roentgenol 151:317–319
Platt JF, Rubin JM, Ellis JH (1994) Diabetic nephropathy: evaluation with renal duplex Doppler US. Radiology 190:343–346
Platt JF, Rubin JM, Ellis JH (1997) Lupus nephritis: predictive value of conventional and Doppler US and comparison with serologic and biopsy parameters. Radiology 203:82–86
Pope TL, Buschi AJ, Moore TS et al. (1981) CT features of renal polyarteritis nodosa. AJR Am J Roentgenol 136:986–987
Quaia E, Bertolotto M (2002) Renal parenchymal diseases: is characterization feasible with ultrasound? Eur Radiol 12:2006–2020
Saag MS (1992) Renal, cardiac, endocrine, and rheumatologic manifestations of HIV infection. In: Wyngaarden JB, Smith LH, Bennett JC (eds) Cecil textbook of medicine. Saunders, Philadelphia, pp 1952–1957
Soldo D, Brkljacic B, Bozikov V et al. (1997) Diabetic nephropathy. Comparison of conventional and duplex Doppler ultrasonographic findings. Acta Radiol 38:296–302
Sugiura T, Nakamori A, Wada A et al. (2004) Evaluation of tubulointerstitial injury by Doppler ultrasonography in glomerular diseases. Clin Nephrol 61:119–126
Symeonidou C, Hameeduddin A, Hons B et al. (2009) Imaging features of renal pathology in the huma immunodeficiency virus-infected patients. Semin Ultrasound CT MRI 30:289–297
The Diabetes Control and Complications Trial Research Group–DCCT (1993) The effect of intensive treatment of diabetes on the development and progression of long-term complications in insulin-dependent diabetes mellitus. N Engl J Med 329(14):977–986
Tikkakoski T, Waahtera K, Makarainen H et al. (1994) Diffuse renal disease. Diagnosis by ultrasound guided cutting needle biopsy. Acta Radiol 35:15–18
Wachsberg RH, Obolevich AT, Lasker N (1995) Pelvocalyceal thickening in HIV-associated nephropaty. Abdom Imaging 20:371–375
Wilms G, Oyen R, Waer M et al. (1986) CT demonstration of aneurysms in polyarteritis nodosa. J Comput Assist Tomogr 10:513–515
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2010 Springer Berlin Heidelberg
About this chapter
Cite this chapter
Quaia, E. (2010). Renal Parenchymal and Inflammatory Diseases. In: Quaia, E. (eds) Radiological Imaging of the Kidney. Medical Radiology(). Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-87597-0_13
Download citation
DOI: https://doi.org/10.1007/978-3-540-87597-0_13
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-87596-3
Online ISBN: 978-3-540-87597-0
eBook Packages: MedicineMedicine (R0)