Contrast-enhanced ultrasonography in chronic glomerulonephritides: correlation with histological parameters of disease activity

Manuela Nestola, Nicoletta De Matthaeis, Pietro Manuel Ferraro, Paola Fuso, Stefano Costanzi, Gian Franco Zannoni, Fabrizio Pizzolante, Sabina Vasquez Quadra, Giovanni Gambaro, Gian Ludovico Rapaccini

Research output: Contribution to journalArticlepeer-review

Abstract

Purpose: To compare contrast-enhanced ultrasonography (CEUS)-derived time-intensity (TI) curves with histological findings in kidneys of patients affected by chronic glomerulonephritides (GN) in the early stage of disease. Methods: Research ethics committee approval and patient written informed consent were obtained. Thirty-one patients who showed clinical and laboratory signs of GN, with preserved renal function, were consecutively enrolled. They underwent kidney CEUS, from which TI curves were obtained, and kidney biopsy. TI curves were compared with clinical data, ultrasound (US) Doppler, and histological parameters. Results: The persistence of contrast agent signal during the wash-out phase was found to be correlated with the degree of disease activity (p = 0.016) and in particular with the presence of mesangial hyperplasia (p = 0.008). No correlation was observed between TI curves and clinical or Doppler US-derived parameters. Conclusions: The persistence of contrast agent signal in the wash-out phase of CEUS appears to reflect a disturbance of perfusion in glomerular capillaries in the early stages of GN. We found that the histological element directly correlated with the prolonged wash-out was mesangial hyperplasia.

Original languageEnglish
Pages (from-to)81-87
Number of pages7
JournalJournal of Ultrasound
Volume21
Issue number2
DOIs
Publication statusPublished - Jun 1 2018

Keywords

  • CEUS
  • Glomerulonephritis
  • Kidney
  • Nephropathy
  • Ultrasonography

ASJC Scopus subject areas

  • Internal Medicine
  • Radiology Nuclear Medicine and imaging

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