Lal H, Ruidas S, Prasad R, Singh A, Prasad N, Kaul A, Bhadauria DS, Kushwaha RS, Patel MR, Jain M, Yadav P. Role of multi-parametric ultrasonography for the assessment and monitoring of functional status of renal allografts with histopathological correlation. World J Radiol 2024; 16(12): 782-793 [DOI: 10.4329/wjr.v16.i12.782]
Corresponding Author of This Article
Priyank Yadav, MCh, Assistant Professor, Department of Urology and Renal Transplantation, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Raibareli Road, Lucknow 226014, Uttar Pradesh, India. priyankmamc@gmail.com
Research Domain of This Article
Radiology, Nuclear Medicine & Medical Imaging
Article-Type of This Article
Prospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Radiol. Dec 28, 2024; 16(12): 782-793 Published online Dec 28, 2024. doi: 10.4329/wjr.v16.i12.782
Table 1 Distribution of demographic and baseline clinical values in study group (n = 71; male: 66, female: 5)
Variable data
Age
Ht
Wt
BMI
SBP
DBP
SCR
eGFR
Mean
31.68
1.64
54.58
20.34
154
97
1.27
82.95
Median
30.00
1.65
54.00
19.75
155
97
1.19
77.04
SD
8.91
0.07
9.02
3.13
19
12
0.81
32.65
Min
18
1.50
36
15.01
110
70
0.51
8.77
Max
55
1.82
77
27.28
196
130
7.28
188.52
Table 2 Comparison of baseline kPa and m/s values of renal cortical stiffness among patients with stable graft function & patients with acute graft dysfunction
Groups/variables
n
Mean
SD
95%CI
P value
Lower
Upper
kPa
Normal
57
30.21
2.03
29.67
30.74
0.305
Acute
14
31.07
2.88
29.41
32.73
M/S
Normal
57
3.17
0.11
3.14
3.19
0.252
Acute
14
3.22
0.15
3.13
3.31
Table 3 Change in the kPa and m/s values over time
Time
Change in the kPa values over time
Change in the m/s values over time
Mean
SD
Median
P value
Mean
SD
Median
P value
Baseline
30.24
2.06
30.08
-
3.17
0.11
3.15
-
FU1
29.52
2.14
29.59
0.002
3.12
0.12
3.13
0.001
FU2
29.04
1.89
28.9
< 0.001
3.09
0.1
3.1
< 0.001
FU3
29.18
1.76
29.11
< 0.001
3.11
0.09
3.12
< 0.001
FU4
29.29
1.37
29.2
0.003
3.12
0.08
3.1
0.005
Table 4 Comparison of shear wave elastography and interlobar artery resistive index values between biopsy positive and biopsy negative acute graft dysfunction (within-group B)
Biopsy proven?
Young’s modulus in kPa
Shear wave velocity in m/s
ILA RI
No
Yes
No
Yes
No
Yes
Baseline
n
8
6
8
6
8
6
Mean
30.77
31.29
3.19
3.23
0.66
0.65
SD
3.43
2.62
0.19
0.13
0.13
0.09
P value
0.766
0.704
0.943
1st FU
n
6
2
6
2
6
2
Mean
30.70
30.81
3.19
3.20
0.61
0.67
SD
3.98
0.81
0.20
0.04
0.09
0.04
P value
0.951
0.948
0.229
2nd FU
n
9
2
9
2
9
2
Mean
28.50
33.27
3.06
3.32
0.66
0.62
SD
2.73
1.04
0.15
0.05
0.05
0.08
P value
0.010
0.006
0.646
3rd FU
n
5
4
5
4
5
4
Mean
28.06
31.64
3.06
3.24
0.63
0.68
SD
1.66
1.83
0.09
0.10
0.07
0.07
P value
0.022
0.037
0.391
4th FU
n
4
1
4
1
4
1
Mean
29.16
27.78
3.10
3.02
0.64
0.59
SD
0.51
-
0.04
-
0.05
-
P value
-
-
-
Citation: Lal H, Ruidas S, Prasad R, Singh A, Prasad N, Kaul A, Bhadauria DS, Kushwaha RS, Patel MR, Jain M, Yadav P. Role of multi-parametric ultrasonography for the assessment and monitoring of functional status of renal allografts with histopathological correlation. World J Radiol 2024; 16(12): 782-793