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Application of color Doppler ultrasonography in the acute rejection of renal transplantation
Zeng H.-C.; Re Y.-H.; Wang Y.-X.; Yao L.-H.
2009-07-25
Source PublicationChinese Journal of Medical Imaging Technology
ISSN10033289
Volume25Issue:7Pages:1245-1247
AbstractObjective: To find the spectacular indexes in the diagnosis of acute rejection of renal transplantation with color Doppler ultrasonography. Methods: Forty-two patients with renal rejection were confirmed with percutaneous needle biopsy and 115 patients with stable renal function were confirmed with following-up (>1 year) and clinical examination. The length, width, thickness, cortex thickness and resistive index (RI) of two groups were analyzed statistically. Then the specificity, sensitivity, misdiagnosis rate, false negative rate and consistency rate of renal volume, pyramid swelling, echo weakening, R1<0.7, RI≥0.7 and RI≥0.8 were calculated. Results: The length, width and thickness were statistically different in two groups (P<0.05). In patients with renal rejection, the marginal blood vessels in renal cortex decreased, and the blood velocity reduced obviously in the diastolic phase and RI increased obviously (P<0.05). The sensitivity of the above indexes were 55.30%, 55.20%, 42.10%, 57.90%, 31.60%, respectively, while the specificity were 71.30%, 87.10%, 25.70%, 74.20% and 98.20%, respectively. Conclusion: Enlargement of renal volume, swelling of renal pyramids, echo weakening and RI increasing are specific indexes for diagnosis of acute rejection of renal transplantation.
KeywordGraft rejection Kidney transplantation Sensitivity Specificity Ultrasonography, Doppler, color
URLView the original
Language英語English
Fulltext Access
Document TypeJournal article
CollectionUniversity of Macau
AffiliationXinjiang Medical University
Recommended Citation
GB/T 7714
Zeng H.-C.,Re Y.-H.,Wang Y.-X.,et al. Application of color Doppler ultrasonography in the acute rejection of renal transplantation[J]. Chinese Journal of Medical Imaging Technology, 2009, 25(7), 1245-1247.
APA Zeng H.-C.., Re Y.-H.., Wang Y.-X.., & Yao L.-H. (2009). Application of color Doppler ultrasonography in the acute rejection of renal transplantation. Chinese Journal of Medical Imaging Technology, 25(7), 1245-1247.
MLA Zeng H.-C.,et al."Application of color Doppler ultrasonography in the acute rejection of renal transplantation".Chinese Journal of Medical Imaging Technology 25.7(2009):1245-1247.
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