Clinical study of renal damage in patients with Type-1 diabetic nephropathy based on shear wave elastography and hemodynamics.

OBJECTIVE

To evaluate the clinical value of shear wave elastography(SWE) and hemodynamics in renal damage in patients with Type-1 diabetic nephropathy.

METHOD

This was a retrospective study. One hundred and ten patients with Type-1 diabetic nephropathy in The People's Hospital of Qingyuan District from January 2021 to January 2024 were selected as the study group, while sixty healthy subjects in the same period were selected as the healthy control group. The elasticity indexes of renal cortex and medulla in two groups were compared, as well as the hemodynamic indexes of different severity of patients.

RESULT

The parameters such as Young's modulus E value and shear wave velocity in the renal cortex and medulla in the study group were significantly higher than those in the control group (p=0.00). Young's modulus (E values) in the renal cortex and medulla in patients with diabetic nephropathy was positively correlated with urinary protein, serum creatinine, and serum uric acid concentration (p=0.00). Peak systolic velocity(PS), peak diastolic velocity(ED), mean velocity(TAMx), and minimum velocity(TAMn) in the arteries of kidney of the control group and early-stage group were significantly higher than those in the mid and late-stage groups (p=0.00), while resistive index(RI) was significantly lower (p=0.00).

CONCLUSION

SWE and hemodynamic testing may evaluate the severity of renal damage in patients with Type-1 diabetic nephropathy in a non-invasive manner, thereby providing references for dynamic monitoring of disease progression, evaluating the effect of clinical intervention, and adjusting treatment regimens.