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超微血流显像在慢性肾脏病肾皮质厚度测量中的附加价值。

The added value of superb microvascular imaging for renal cortical thickness measurement in chronic kidney disease.

机构信息

Sonographer School, Faculty of Health Science Technology, Chulabhorn Royal Academy, Bangkok, Thailand.

出版信息

J Clin Ultrasound. 2024 Nov-Dec;52(9):1304-1312. doi: 10.1002/jcu.23796. Epub 2024 Aug 27.

DOI:10.1002/jcu.23796
PMID:39189623
Abstract

PURPOSE

The aim of this study was to evaluate renal parenchymal thickness and renal cortical thickness measurements on brightness mode ultrasound (B-mode US) and B-mode US + Superb Microvascular Imaging (SMI) technique, comparing with computed tomography (CT) or magnetic resonance imaging (MRI) serving as a reference standard.

METHODS

Renal parenchymal thickness and renal cortical thickness measurements were obtained from B-mode US, B-mode US + SMI, and CT/MRI in a group of healthy subjects and a group of patients with chronic kidney disease (CKD). The mean differences and correlations of renal parenchymal thickness and renal cortical thickness were analyzed using dependent pair t-test and Pearson's correlation, respectively.

RESULTS

The mean difference in renal cortical thickness measurements between B-mode US + SMI and CT/MRI was lower than the mean difference between B-mode US alone and CT/MRI. Additionally, renal cortical thickness measured using B-mode US + SMI showed a stronger correlation with values obtained from CT/MRI than values measured using standard B-mode US alone.

CONCLUSION

The measurement of renal cortical thickness by B-mode US + SMI is more accurate than that by B-mode US alone.

摘要

目的

本研究旨在评估在亮度模式超声(B 型超声)和 B 型超声+超微血流成像(SMI)技术上测量肾实质厚度和肾皮质厚度,并与计算机断层扫描(CT)或磁共振成像(MRI)作为参考标准进行比较。

方法

在一组健康受试者和一组慢性肾脏病(CKD)患者中,从 B 型超声、B 型超声+SMI 和 CT/MRI 中获取肾实质厚度和肾皮质厚度的测量值。使用配对 t 检验和 Pearson 相关分析分别分析肾实质厚度和肾皮质厚度的平均差异和相关性。

结果

B 型超声+SMI 与 CT/MRI 之间的肾皮质厚度测量的平均差异低于 B 型超声与 CT/MRI 之间的平均差异。此外,与仅使用标准 B 型超声测量的值相比,B 型超声+SMI 测量的肾皮质厚度与 CT/MRI 获得的值相关性更强。

结论

B 型超声+SMI 测量肾皮质厚度比仅使用 B 型超声测量更准确。

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