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Journal of Korean Society of Ultrasound in Medicine 1996 ; 15 (1) : p.71-76

Diabetic Nephropathy : Evaluation with Doppler Ultrasonography
Jung Suk Sim, M.D., Seung Hyup Kim, M.D., Heung Sik Kang, M.D., Jae Hyung Park, M.D., Man Chung Han, M.D.,
Department of Radiology, Seoul National University College of Medicine
PURPOSE : To compare Doppler ultrasonography with laboratory tests in evaluation of diabetic nephropathy.MATERIAL & METHODS : Fifty-five patients (mean age = 60, M : F = 26 : 29) with diabetes mellitus underwent renalDoppler ultrasonography. Resistive indices were compared with degree of proteinuria, serum creatinine level, andcreatinine clearance rate. RESULTS : Eighteen patients who showed no proteinuria or microscopic proteinuria had amean resistive index (RI) of 0.72 (SD, 0.05), 16 patients with macroscopic proteinuria without nephrotic syndromehad a mean RI of 0.82 (SD, 0.13), and 21 patients with nephrotic syndrome had a mean RI of 0.90 (SD, 0.12). RenalRI correlated highly with serum creatinine level (r = 0.62) and creatinine clearance rate (r = -0.43). CONCLUSION: Renal Doppler ultrasonography provides a useful indication of renal function in diabetic nephropathy but cannotoffer an advantage over conventional laboratory test.
Keyword : Kidney. disease, Kidney. US studies, Ultrasound. Doppler studies
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