ULTRASONOGRAPHIC NOMOGRAM OF THE KIDNEYS IN APPARENTLY HEALTHY ADULTS IN A NIGERIAN POPULATION

Joseph Dlama Zira, Aliyu Yusuf Salisu, Mohammed Umar Sani, Alhaji A Abdu, Ahmad Hamza Mustapha, Luntsi Geofrey, Nkubli Flavious, Solomon S Halilu, Joseph Dimas Sikam, Mohammed Abba, Shem Samuel Laushugno

Abstract


Background: Ultrasonographic assessment of the renal size is useful in diagnosis of renal pathologies.

Objectives: To determine the renal morphometry based on age, sex and anthropometry among apparently healthy adults in Bauchi, North Eastern Nigeria

Methods: A cross sectional study conducted among 533 healthy adults aged between 18-80 years in Abubakar Tafawa Balewa University Teaching Hospital, Bauchi.  Real time ultrasound machine ALOKA SSD-1000, with curvilinear trans-abdominal transducer of frequency 3.5 mHz was used between December 2015 and November 2016. Kidney measurements were performed in a lateral decubitus position. The renal hilum was visualized to get the optimum longitudinal bipolar length (BPL) and transverse diameters (TD) of both kidneys in each subject were measured in the same plane. Renal parenchymal thickness was obtained from the cortex peri-renal fat interface (capsule) to the sinus pyramid apex interface at the mid portion on long section of the kidney. Subject’s height and weight were measured while standing erect against a ZT WHO weighing scale.

 

Results: The mean ± SD of  BPL ,TD, parenchyma thickness, and cortical thickness of the right kidney were 98.5 ± 8.98mm, 39.3 ± 4.46mm, 15.6 ± 2.25mm and 7.1 ± 1.45mm  respectively whereas that of the Left kidney were 102.0 ± 8.14mm, 41.4 ± 4.89mm, 17.5 ± 2.38mm and 8.3 ± 2.15mm respectively. There was statistical significant difference (P<0.05) between kidney morphometric parameters in females and in males.

Conclusion: The study has provided normal renal dimension, parenchyma thickness and cortical thickness for our population in north eastern Nigeria.


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References


Kolade-Yunusa HO, Mamven MH. Ultrasonographic measurement of renal size among normal adults in Abuja, North-central, Nigeria. Int. Inv. J. Med. Med. Sci. 2017; 4(1): 6-11

Eze CU, Eze CU, Marchie TT. Ultrasonographic kidney sizes among children in Benin, Nigeria: correlation with age and BMI. Radiol Technol 2013;84(4):341-347

Maaji SM, Daniel O, Adamu B. Sonographic measurement of renal dimensions of adults in northwestern Nigeria: a preliminary report. Sub-Saharan Afr J Med 2015; 2:123-127.

Warner SH. Normal variance in renal size in relation to body habitus. 2011. South African Journal of radiology, 123-126 .

Jeffri A., Adbulla A., Ultrasonographic measurement of kidney Dimensions. Acta Medica Philippina. 2010; 44(3):35-38.

Ermanta HC, Elysanti OM,Windhu P. Body surface area as the predictor of renal parenchymal volume in healthy adult. Folia Medica Indones 2004; 40(3):112-120.

Ramaswamy K, Marien T, Mass A, Stifelman M, Shah O. Simplified approach to estimating renal function based on computerized tomography. Can J Urol 2013; 20(4):833-839. PMID: 23930608.

Kumar V, Abbas AK, Fauston N, Aster JC. Robbins and Cotran pathologic basis of disease. 8th ed. India: Thompson Press Ltd, Elsevier India Private Ltd; 2004. pg 961-972.

Kadioglu A. Renal measurements, including length, parenchyma thickness and medullary pyramid thickness in healthy children: what are the normative ultrasound values? Am J Roentgenol 2010; 194:509-515.

Flogelova H. Renal parenchymal thickness in children with solitary functioning kidney. Paediatr Nephrol 2014;29(2):241-248.

Hassan SMN, Waheeda N, Mansur K, Mohsin K, Rafiqul A. Corticomedullary index of human kidney. Bangladesh J Anat 2012; 10(1):20-22.

Tuma J, Trinkler F, Zatura F, Novakova B. Genitourinary ultrasound, EFSUMB e European course book. Switzerland: University of Kosice UPJS Slovakia; 2010

Eze CU, Akpan VP, Nwadike IU, Sonographic assessment of normal renal parenchymal and medullary pyramid thicknesses among children in Enugu, Southeast, Nigeria. Radiography 2016; 22:25-31.

Raza M, Amina H, Imran MK. Ultrasonographic assessment of renal size and its correlates with body mass index in adults without known renal disease. J Ayub Med Coll Abbottabad 2011; 23(3):64-68.

Brennan S, Kandasamy Y. Renal parenchymal thickness as a measure of renal growth in low birth weight infants versus normal birth weight infants. Ultrasound Med Biol 2013; 39:2315-2320.

Udoaka AI. Enyi C., Agi CE.Sonological Evaluation of the Liver, Spleen and the Kineys in an Adult Southern Nigerian Population. Asian J. Med. Sci., 2013; 5(2):33-36.

Okoye IJ, Agwu KK, Idigo FU. Normal sonographic renal length in adult southeast Nigerians. Afr J Med Med Sci 2005; 34:129-131.

Carrasco J, Rodríguez-Castellanos F, Kimura E, Delgado-Hernández R, Herrera-Félix JP. Renal length measured by ultrasound in adult mexican population. Nefrologia 2009; 29:30-34.

Jabbari M, Mollazade R, Esna Ashari F, Alizadeh Z. Normal renal dimensions in Iranian adults measured by ultrasound. Anatomical Sciences. 2016; 13(1): 25-32.

Emamian SA, Nielsen MB, Pedersen JF, Ytte L. Kidney dimensions at sonography: Correlation with age, sex, and habitus in 665 adult volunteers. AJR Am J Roentgenol 1993; 160:83-86.

Buchholz NP, Abbas F, Biyaban SR, Javed Q, Talati J. Ultrasonographic renal size in individuals without known renal disease. J Pak Med Assoc 2000; 50(1):12-16.

O'Neill WC. Sonographic evaluation of renal failure. Am J Kidney Dis. 2000; 35:1021-1037.

Glodny B, Unterholzner V, Taferner B, Hofmann KJ, Rehder P,Strasak A, et al. Normal kidney size and its influencing factors- a 64-slice MDCT study of 1.040 asymptomatic patients.BMC Urology. 2009;9(1):19. doi: 10.1186/1471-2490-9-19


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