Kawalilak Lukas T, Pease Anthony P, Nelson Nathan C
Am J Vet Res. 2019 Aug;80(8):764-770. doi: 10.2460/ajvr.80.8.764.
To determine whether previously described cutoffs for ultrasonographically determined kidney length-to-aorta diameter ratio (KL:Ao) for evaluation of kidney size in adult dogs are applicable to healthy dogs 1 to 18 months of age and to assess interobserver and intraobserver variability for ultrasonographic kidney and aorta measurements in these dogs grouped according to age.
82 dogs.
41 university-owned dogs and 41 client- or staff-owned dogs of 3 age groups (approx 1, 6, and 12 to 18 months of age) underwent ultrasonographic examination by 3 observers. Kidney length, kidney width, and diameter of the aorta were measured by each observer 3 times, and KL:Ao and kidney length-to-body weight ratio were calculated for each dog. Measurements and calculated ratios for the 3 age groups were compared by statistical methods; interobserver and intraobserver variability were calculated.
Mean kidney length, kidney width, and aorta diameter were smaller, and calculated KL:Ao and kidney length-to-body weight ratio were larger, for dogs of the 1-month age group than for dogs of the 6-month and 12 to 18-month age groups. There were significant interobserver differences for ultrasonographic measurements in all age groups; these were most frequent in the youngest group of dogs and affected KL:Ao for that group only.
Results revealed that 1-month-old dogs have larger kidneys relative to body weight and aorta diameter than do older dogs. Interobserver variability for the youngest group of dogs indicated limited usefulness of these measurements and related ratios for neonatal dogs in clinical practice. The KL:Ao values for dogs ≥ 6 months of age in this study were similar to values previously described for dogs > 12 months of age.
确定先前描述的用于评估成年犬肾脏大小的超声测定肾脏长度与主动脉直径比值(KL:Ao)的临界值是否适用于1至18月龄的健康犬,并评估根据年龄分组的这些犬的超声肾脏和主动脉测量的观察者间和观察者内变异性。
82只犬。
3组年龄(约1、6和12至18月龄)的41只大学拥有的犬和41只客户或员工拥有的犬由3名观察者进行超声检查。每位观察者对肾脏长度、肾脏宽度和主动脉直径测量3次,并计算每只犬的KL:Ao和肾脏长度与体重比值。采用统计方法比较3个年龄组的测量值和计算出的比值;计算观察者间和观察者内变异性。
1月龄组犬的平均肾脏长度、肾脏宽度和主动脉直径较小,而计算出的KL:Ao和肾脏长度与体重比值较大,高于6月龄和12至18月龄组犬。所有年龄组的超声测量均存在显著的观察者间差异;这些差异在最年幼的犬组中最为常见,且仅影响该组的KL:Ao。
结果显示,1月龄犬相对于体重和主动脉直径而言,肾脏比年龄较大的犬更大。最年幼犬组的观察者间变异性表明,这些测量值及相关比值在新生犬临床实践中的实用性有限。本研究中≥6月龄犬的KL:Ao值与先前描述的>12月龄犬的值相似。