Volume 3, Issue 6, November 2015, Page: 114-129
Ultrasonography and CT Guided Percutaneous Renal Biopsy in Diagnosis of Renal Parenchymal Diseases
Atef Hammad Teama, Radiodiagnosis & Medical Imaging Department, Faculty of Medicine, Tanta University, Tanta, Egypt
Kamal Mohamed Okasha, Internal Medicine, Faculty of Medicine, Tanta University, Tanta, Egypt
Sameh Ahmed Khodair, Radiodiagnosis & Medical Imaging Department, Faculty of Medicine, Tanta University, Tanta, Egypt
Rehab Mohamed EL-Nagar, Radiodiagnosis & Medical Imaging Department, Faculty of Medicine, Tanta University, Tanta, Egypt
Received: Oct. 23, 2015;       Accepted: Nov. 3, 2015;       Published: Nov. 19, 2015
DOI: 10.11648/j.ijmi.20150306.13      View  4578      Downloads  88
Abstract
Objective: to evaluate the role of US &CT guided percutanous renal biopsy (PRB) in diagnosis and monitoring of renal parenchymal diseases. Patients &Methods: This study included 30 patients who were presented by and/or known cases of renal parenchymal disease referred for US and/or CT guided PRB for etiological & histopathological diagnosis. The histopathological results were correlated with clinical, US & laboratory data for each patient. Results: Out of those 30 patients; 29 patients had adequate PRB (29/30) (96.7%) for histopatholgical diagnosis. Out of those 29 patients; 23 showed increase in renal cortical echogenicity (13 with GI, 8 with GII, &2 with GIII) & 6 cases showed normal echogenicity (G0). The lupus nephritis was the most accounted diagnosis (16/29) (55.2%)(7 with GI, 5 with GII, 4 with G0 cortical echogenicity). The glomerular changes were depicted in 25 cases (13 with GI, 7 with GII, 2 with GIII, 3 with G0), tubular changes in 21 cases (10 with GI, 7 with GII, 2 with GI, 2 with G0), and interstitial changes in 24 cases (12 with GI, 8 with GII, 2 with GIII, 2 with G0). Post biopsy complications (minor) were accounted only in 2 cases (2/30) (6.7%). Conclusions: Ultrasound PRB is the standard method for most non-focal renal biopsies as it has the advantage of real-time needle placement without radiation & fundamental procedure for diagnosis, monitoring &treatment of RPD. US and CT guided PRB is generally considered safe with minimal risk.
Keywords
Ultrasound Guided, Renal Biopsy, CT Guided, Renal Parenchymal Disease
To cite this article
Atef Hammad Teama, Kamal Mohamed Okasha, Sameh Ahmed Khodair, Rehab Mohamed EL-Nagar, Ultrasonography and CT Guided Percutaneous Renal Biopsy in Diagnosis of Renal Parenchymal Diseases, International Journal of Medical Imaging. Vol. 3, No. 6, 2015, pp. 114-129. doi: 10.11648/j.ijmi.20150306.13
Copyright
Copyright © 2015 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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