Journal of Shandong University (Health Sciences) ›› 2018, Vol. 56 ›› Issue (12): 68-72.doi: 10.6040/j.issn.1671-7554.0.2018.722

Previous Articles    

Effects of body mass index and renal subcutaneous depth on the results of virtual touch tissue imaging quantification in renal transplant patients

SHENG Xuan1, WANG Yonge1, GUO Dan1, LAN Meng1, FAN Fengjing2, DING Hongyu2   

  1. 1. Taishan Medical University, Taian 271000, Shandong, China;
    2. Department of Ultrasound, Qianfoshan Hospital Affiliated to Shandong University, Jinan 250014, Shandong, China
  • Published:2022-09-27

PDF (PC)

43

Abstract: Objective Effects of the BMI and the subcutaneous depth of the transplanted kidney on results of virtual touch tissue imaging quantification(VTIQ)were studied by analyzing the quality control pattern images in VTIQ of patients with different somatotypes. Methods A total of 119 patients undergoing renal transplantation and postoperatively reexaminated as normal were selected from November 2017 to May 2018 in Qianfoshan Hospital Affiliated to Shandong University. Firstly, the height and weight of the patients were measured and the body mass index(BMI)value was calculated. Then the region of interest(ROI)was selected from the transplanted kidney cortex to measure the distance from the surface of the transplanted kidney to the body surface which was defined as a subcutaneous depth of the transplanted kidney. Finally, VTIQ was used to obtain the image in quality control mode and the images were divided into grades A, B and C according to the quality. Patients BMI and grades of images quality were recorded as BMI group, subcutaneous depths of transplanted kidneys and grades of images quality were recorded as Depth group, and the datas of two groups were statistically analyzed. Results The image quality of VTIQ quality control mode of transplanted kidney was different between the patients with different BMI and the different subcutaneous depth of the transplanted kidney(P<0.05). 山 东 大 学 学 报 (医 学 版)56卷12期 -盛璇,等.移植肾患者体质量指数与移植肾皮下深度对声触诊组织量化成像结果的影响 \=-ROC curves of two groups showed that AUC(BMI group)was greater than AUC(Depth group), the cut-off value between grades B and C was 23.99, the sensitivity was 0.800, and the specificity was 0.731. Conclusion The images quality of the VTIQ quality control model of transplanted kidney is related to the BMI and subcutaneous depth of the transplanted kidney. The greater the BMI or subcutaneous depth are, the worse the quality of the transplanted kidney quality control images is, that means the lower accuracy of the measured VTIQ results. Compared with the subcutaneous depth of transplanted kidney, the BMI of patient has a higher accuracy in the evalution of VTIQ results.

Key words: Kidney transplantation, Virtual touch tissue imaging quantification, Elastography, Quality control, Body mass index, Subcutaneous depth of the transplanted kidney

CLC Number: 

  • R445.1
[1] Tabriziani H, Lipkowitz MS, Vuong N. Chronic kidney disease, kidney transplantation and oxidative stress: a new look to successful kidney transplantation [J]. Clin Kidney J, 2018, 11(1): 130-135.
[2] Solez K, Colvin RB, Racusen LC, et al. Banff-05 meeting report: differential diagnosis of chronic allograft injury and elimination of chronic allograft nephropathy(CAN)[J]. Am J Transplant, 2007, 7(3): 518-526.
[3] 李嫚,刘好田,柳澄,等.基于超声弹性成像技术诊断移植肾慢性排斥反应的探索[J].中国医疗设备, 2012, 27(10): 162-165. LI Man, LIU Haotian, LIU Cheng, et al. Exploration of diagnosis of chronic rejection after kidney transplant based on ultrasonic elastrography[J]. China Medical Devices, 2012, 27(10): 162-165.
[4] Monaco AP, Burke JF Jr, Ferguson RM, et al. Current thinking on chronic renal allograft rejection: issues, concerns, and recommendations from a 1997 roundtable discussion[J]. Am J Kidney Dis, 1999, 33(1): 150-160.
[5] Furness PN, Taub N. Convergence of European Renal Transplant Pathology Assessment Procedures Project. International variation in the interpretation of renal transplant biopsies: report of the CERTPAP Project[J]. Kidney Int, 2001, 60(5): 1998-2012.
[6] Naesens M, Kuypers DR, De Vusser K, et al. Chronic histological damage in early indication biopsies is an independent risk factor for late renal allograft failure[J]. Am J Transplant, 2013, 13(1): 86-99.
[7] Seron D, Moreso F. Protocol biopsies in renal transplantation: prognostic value of structural monitoring [J]. Kidney Int, 2007, 72(6): 690-697.
[8] Tsochatzis EA, Gurusamy KS, Ntaoula S, et al. Elastography for the diagnosis of severity of fibrosis in chronic liver disease: a meta-analysis of diagnostic accuracy [J]. J Hepatol, 2011, 54(4): 650-659.
[9] Mao F, Xu HX, Zhou H, et al. Assessment of virtual touch tissue imaging quantification and the ultrasound thyroid imaging reporting and data system in patients with thyroid nodules referred for biopsy [J]. J Ultrasound Med, 2018, 37(3): 725-736.
[10] Zhang Y, Zhao CK, Li XL, et al. Virtual touch tissue imaging and quantification: value in malignancy prediction for complex cystic and solid breast lesions [J]. Sci Rep, 2017, 7(1): 7807-7817.
[11] Stock KF, Klein BS, Vo Cong MT, et al. ARFI-based tissue elasticity quantification in comparison to histology for the diagnosis of renal transplant fibrosis [J]. Clin Hemorheol Microcirc, 2010, 46(2-3): 139-148.
[12] Kahn J, Slowinski T, Thomas A, et al. TSI ultrasound elastography for the diagnosis of chronic allograft nephropathy in kidney transplanted patients [J]. J Ultrason, 2013, 13(54): 253-262.
[13] Ozkan F, Yavuz YC, Inci MF, et al. Interobserver variability of ultrasound elastography in transplant kidneys: correlations with clinical-Doppler parameters [J]. Ultrasound Med Biol, 2013, 39(1): 4-9.
[14] Wang HK, Lai YC, Lin YH, et al. Acoustic radiation force impulse imaging of the transplant kidney: correlation between cortical stiffness and arterial resistance in early post-transplant period [J]. Transplant Proc, 2017, 49(5): 1001-1004.
[15] 刘妍,刘聪聪,时丹丹,等.声触诊组织定量分析在肾移植术后慢性移植肾肾病诊断中的价值[J].山东大学学报(医学版), 2013, 51(8): 78-81. LIU Yan, LIU Congcong, SHI Dandan, et al. Value of virtual touch tissue quantification in the diagnosis of chronic allograft nephropathy after renal transplantation [J]. Journal of Shandong University(Health Sciences), 2013, 51(8): 78-81.
[16] 姚春晓,傅宁华,杨斌,等.声触诊组织定量分析在慢性肾病中应用的初步探讨[J].中国超声医学杂志, 2009, 25(12): 1169-1172. YAO Chunxiao, FU Ninghua, YANG Bin, et al. Clinical application of virtual touch quantization in patients with nephropathy[J]. Chinese J Ultrasound Med, 2009, 25(12): 1169-1172.
[17] 傅宁华,杨斌,姚春晓,等.声触诊组织定量分析评估慢性肾病患者肾脏弹性[J].中华医学超声杂志, 2010, 7(12): 2122-2126. FU Ninghua, YANG Bin, YAO Chunxiao, et al. A pilot study of virtual touch quantization in patients with chronic kidney disease [J]. Chin J Med Ultrasound, 2010, 7(12): 2122-2126.
[18] 曾碧丹,祝志敏,陈菲,等.超声弹性成像定量分析技术诊断慢性移植肾肾病的临床应用研究[J].中国临床医学影像杂志, 2014, 25(3): 179-181. ZENG Bidan, ZHU Zhimin, CHEN Fei, et al. Quantitative analysis of ultrasonic elastography in the diagnosis of chronic allograft nephropathy: a clinical application study [J]. J Chin Clin Med Imaging, 2014, 25(3): 179-181.
[19] Syversveen T, Brabrand K, Midtvedt K, et al. Assessment of renal allograft fibrosis by acoustic radiation force impulse quantification: a pilot study[J]. Transpl Int, 2011, 24(1): 100-105.
[20] Juhan L, Young TO, Dong JJ, et al. Acoustic radiation force impulse measurement in renal transplantation: a prospective, longitudinal study with protocol biopsies [J]. Medicine, 2015, 94(39): 1590-1596.
[21] 戴茜,刘明辉,郭勇,等.移植肾纤维化的声触诊定量评估[J].中南大学学报(医学版), 2014, 39(2): 173-177. DAI Xi, LIU Minghui, GUO Yong, et al. Noninvasive evaluation of renal allograft fibrosis by virtual touch tissues quantification [J]. J Cent South Univ(Med Sci), 2014, 39(2): 173-177.
[22] Lukenda V, Mikolasevic I, Racki S, et al. Transient elastography: a new noninvasive diagnostic tool for assessment of chronic allograft nephropathy[J]. Int Urol Nephrol, 2014, 46(7): 1435-1440.
[23] Early H, Aguilera J, Cheang E, et al. Challenges and considerations when using shear wave elastography to evaluate the transplanted kidney, with pictorial review [J]. J Ultrasound Med, 2017, 36(9): 1771-1782.
[24] Bota S, Bob F, Sporea I, et al. Factors that influence kidney shear wave speed assessed by acoustic radiation force impulse elastography in patients without kidney pathology[J]. Ultrasound Med Biol, 2015, 41(1): 1-6.
[25] Wang Z, Yang H, Suo C, et al. Application of ultrasound elastography for chronic allograft dysfunction in kidney transplantation[J]. J Ultrasound Med, 2017, 36(9): 1759-1769.
[1] Guowei TAO,Fang WANG,Xiangyi DONG,Yaxuan XU,Linli ZHAO,Beibei HU. Diagnosis of adenomyosis using ultrasound and magnetic resonance imaging [J]. Journal of Shandong University (Health Sciences), 2022, 60(7): 56-65.
[2] Hui TIAN,Shuhai LI,Lin LI,Lei QI,Ming LU,Chuanle CHENG. Quality control of minimally invasive esophagectomy in Qilu Hospital [J]. Journal of Shandong University (Health Sciences), 2021, 59(9): 78-82.
[3] Fengjie ZHENG,Yuwen SONG,Aili SUN,Zhe PAN,Dianhui WANG,Nengjun LOU,Li LYU,Xianghua ZHUANG,Shihong CHEN. Correlation between diabetic peripheral neuropathy and sarcopenia [J]. Journal of Shandong University (Health Sciences), 2021, 59(6): 38-44.
[4] LIU Xiaofei, LIANG Ying, ZHANG Congxi, WANG Juan, PAN Yun, XU Jiawei, CHANG Chun, DONG Liang. Association of serum leptin with induced sputum eosinophils in 92 asthmatic patients [J]. Journal of Shandong University (Health Sciences), 2020, 1(9): 27-33.
[5] LI Liang, GE Na, SUN Xiao, LI Jie, ZHU Jiang, LI Zhongliang. Value of VTQ and VTIQ on differentation of benign and malignant breast masses [J]. Journal of Shandong University (Health Sciences), 2018, 56(4): 70-75.
[6] ZHANG Suping, WANG Ze, ZHOU Yali, LI Jing, LU Xilan, BAI Hongwei, SHI Yuhua. Clinical effects of body mass index on ovulation induction treatment with letrozole among women with polycystic ovary syndrome [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2017, 55(5): 81-85.
[7] LIU Yan, LIU Cong-cong, SHI Dan-dan, SUN Xiao, LI Jie. Value of virtual touch tissue quantification in the diagnosis of chronic allograft nephropathy after renal transplantation [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2013, 51(8): 78-81.
[8] SUN Ya-wen1, GAO You-mei1, TANG Fang2, XUE Fu-zhong1, ZhANG Cheng-qi2, YU Hong-xia1. Association of dietary patterns with measurement index of healthy women in Jinan [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2013, 51(11): 98-101.
[9] SONG Xuan, HAO Hong-sheng, L Guo-ping, SUN Li-juan, LU Xiao-heng. Observation of the reflux characteristics of reflux esophagitis in patients with different body mass indexes using multichannel intraluminal impedance [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2013, 51(1): 71-74.
[10] LIANG Kai1, HOU Xin-guo1, WANG Xin-hua2, SONG Yun-sheng2, JING Qing-ping3, QU Yong4, SUN Yu1, SONG Jun1, DONG Xiao-lin1, XU Yu-xin1, LI Zhen. Predictive values of anthropometric parameters on
glucose metabolism disorders [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2012, 50(9): 59-62.
[11] ZHANG Xiu-zhen, LIU Li, LIU Qian. Relativity of serum leptin level and response to antiviral
therapy in patients with chronic hepatitis B [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2012, 50(9): 96-99.
[12] ZHENG Rong-hua, SHI Yu-hua, SHENG Yan, GAO Qin, GAO Xuan, CHEN Zi-Jiang . Changing Characteristics of peripheral white blood cell counts in patients with polycystic ovary syndrome [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2012, 50(7): 78-80.
[13] LIN Shao-qian1, HE Pi-shan2, LI Jun1, LIU Da-cong3, GAO Li-jie1, JIA Xing-bing4, LI Hui1, LIU Dong-mei1, WANG Zhi-ping1. Overweight, obesity and risk factors in children aged 7-12 years
old in rural areas of Shandong Province [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2012, 50(6): 125-.
[14] LI Jian-zhi1， LI Jie1, XIONG Chun-mei1, ZHANG Mei-fang2, ZHENG Xue2, ZHANG Ling-yun2,ZHANG Guo-quan2, SUN Ai-hua1， SHAN Rong1. Clinical value of Fibroscan stiffness measurement and ultrasonography
in diagnosing chronic hepatitis B-related fibrosis [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2012, 50(10): 115-.
[15] XIAO Jing, LI Jie, SHI Dan-dan,WANG Meng, ZHANG Kai-ning， LI Hai-ying, ZHOU Wei. Comparison of values of the area ratio and the Itoh scoring system with  sonoelastography in the diagnosis of breast lesions [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2011, 49(6): 149-151.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
No Suggested Reading articles found!
Copyright 2018 © Editorial office of Journal of Shandong University (Health Sciences)
Supported by Beijing Magtech Co.Ltd