correlation of hydronephrosis index to society of fetal urology hydronephrosis scale肾盂积水指数的相关性胎儿泌尿外科学会肾盂积水.pdfVIP

Hindawi Publishing Corporation Advances in Urology Volume 2009, Article ID 960490, 4 pages doi:10.1155/2009/960490 Research Article Correlation of Hydronephrosis Index to Society of Fetal Urology Hydronephrosis Scale Krishnan Venkatesan,1 Joel Green,2 Steven R. Shapiro,3, 4 and George F. Steinhardt1, 5 1 Department of Urology, School of Medicine, Wayne State University, Detroit, MI 48201, USA 2 Department of Surgery, College of Human Medicine, Michigan State University, Grand Rapids, MI 49503, USA 3 Section of Urology, Sutter Memorial Hospital, Sacramento, CA, 95819, USA 4 Pediatric Urology Medical Group, Inc., Santa Monica, CA, 90403, USA 5 Department of Pediatric Urology, Helen DeVos Children’s Hospital, Grand Rapids, MI 49503, USA Correspondence should be addressed to George F. Steinhardt, gsteinhardt@ Received 29 June 2008; Revised 3 November 2008; Accepted 16 December 2008 Recommended by Paddy Dewan Purpose. We seek to correlate conventional hydronephrosis (HN) grade and hydronephrosis index (HI). Methods. We examined 1207 hydronephrotic kidneys by ultrasound. HN was classified by Society of Fetal Urology guidelines. HN was then gauged using HI, a reproducible, standardized, and dimensionless measurement of renal area. We then calculated average HI for each HN grade. Results. Comparing HI to standard SFU HN grade, average HI is 89.3 for grade I; average HI is 83.9 for grade II; average HI is 73.0 for grade III; average HI is 54.6 for SFU grade IV. Conclusions. HI correlates well with SFU HN grade. The HI serves as a quantitative measure of HN. HI can be used to track HN over time. Versus conventional grading, HI may be more sensitive in defining severe (grades III and IV) HN, and in indicating resolving, stable, or worsening HN, thus providing more information