Abstract
Background
Ultrasonographic measurement of kidney dimensions is important in evaluation of renal disease during the neonatal period, when renal abnormalities are common and renal size rapidly changes with age.
Objective
To determine the reference ranges of kidney dimensions in newborns and to provide a reference chart for daily practice.
Materials and methods
In this prospective study, kidney dimensions were evaluated in 385 healthy newborns with a gestational age ≥37 weeks. Each neonate seen at an obstetrics clinic and neonatal intensive care unit was examined with sonography within the first week of life. Relationships of all dimensions with gender, gestational age, height and weight were statistically analyzed.
Results
All dimensions of the kidneys were smaller in girls than in boys (P < 0.05). The dimensions of the left kidney were larger than those in the right kidney in both genders (P < 0.01). Longitudinal and anteroposterior dimensions of the right and left kidneys showed no correlation with the gestational age in either gender. The dimensions correlated with the height in boys (P < 0.01), while no correlation was seen between the dimensions and height in girls (P < 0.05). Weight had the best correlation with all dimensions in both genders.
Conclusion
The reference values of kidney lengths and diagrams from this study may be useful in the sonographic evaluation of kidneys in newborns.
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References
Konuş OL, Ozdemir A, Akkaya A et al (1998) Normal liver, spleen, and kidney dimensions in neonates, infants, and children: evaluation with sonography. AJR Am J Roentgenol 171:1693–1698
Van Venrooij NA, Junewick JJ, Gelfand SL et al (2010) Sonographic assessment of renal size and growth in premature infants. Pediatr Radiol 40:1505–1508
Blane CE, Bookstein FL, DiPietro MA et al (1985) Sonographic standards for normal infant kidney length. AJR Am J Roentgenol 145:1289–1291
Chiara A, Chirico G, Barbarini M et al (1993) Ultrasonic evaluation of kidney volume in term and preterm infants. Am J Perinatol 10:109–111
Loftus WK, Gent RJ, LeQuesne GW et al (1998) Renal length in Chinese children: sonographic measurement and comparison with western data. J Clin Ultrasound 26:349–352
Soyupak SK, Narli N, Yapicioğlu H et al (2002) Sonographic measurements of the liver, spleen and kidney dimensions in the healthy term and preterm newborns. Eur J Radiol 43:73–78
Ballard JL, Khoury JC, Wediq K et al (1991) New Ballard score, expanded to include extremely premature infants. J Pediatr 119:417–423
Wiesel A, Queisser-Luft A, Clementi M et al (2005) Prenatal detection of congenital renal malformations by fetal ultrasonographic examination: an analysis of 709,030 births in 12 European countries. Eur J Med Genet 48:131–144
Shnorhavorian M, Bittner R, Wright JL et al (2011) Maternal risk factors for congenital urinary anomalies: results of a population-based case–control study. Urology 78:1156–1161
Zerin JM, Meyer RD (2000) Sonographic assessment of renal length in the first year of life: the problem of ‘spurious nephromegaly’. Pediatr Radiol 30:52–57
Peerboccus M, Damry N, Pather S et al (2013) The impact of hydration on renal measurements and on cortical echogenicity in children. Pediatr Radiol 43:1557–1565
Han BK, Babcock DS (1985) Sonographic measurements and appearance of normal kidneys in children. AJR Am J Roentgenol 145:611–616
Dinkel E, Ertel M, Dittrich M et al (1985) Kidney size in childhood: sonographic growth charts for kidney length and volume. Pediatr Radiol 15:38–43
Dremsek PA, Kritscher H, Böhm G et al (1987) Kidney dimensions in ultrasound compared to somatometric parameters in normal children. Pediatr Radiol 17:285–290
Schmidt IM, Main KM, Damgaard IN et al (2004) Kidney growth in 717 healthy children aged 0–18 months: a longitudinal cohort study. Pediatr Nephrol 19:992–1003
Berger FG, Watson G (1989) Androgen-regulated gene expression. Annu Rev Physiol 51:51–65
Erdemir A, Kahramaner Z, Cicek E et al (2013) Reference ranges for sonographic renal dimensions in preterm infants. Pediatr Radiol 43(11):1475–1484
Chen JJ, Pugach J, Patel M et al (2002) The renal length nomogram: multivariable approach. J Urol 168:2149–2152
Safak AA, Simsek E, Bahcebasi T (2005) Sonographic assessment of the normal limits and percentile curves of liver, spleen, and kidney dimensions in healthy school-aged children. J Ultrasound Med 24:1359–1364
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Erdemir, A., Kahramaner, Z., Arik, B. et al. Reference ranges of kidney dimensions in term newborns: sonographic measurements. Pediatr Radiol 44, 1388–1392 (2014). https://doi.org/10.1007/s00247-014-3007-z
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DOI: https://doi.org/10.1007/s00247-014-3007-z