صحت تشخيصي سونوگرافي با رزوليشن بالا براي تشخيص هايپر پاراتيروئيديسم ثانويه در بيماران با نارسائي مزمن كليه

اناری, حسن and بشردوست, بهمن and پورعیسی, مسعود and رفاهی, سهیلا (1390) صحت تشخيصي سونوگرافي با رزوليشن بالا براي تشخيص هايپر پاراتيروئيديسم ثانويه در بيماران با نارسائي مزمن كليه. Acta Medica Iranica ــ 49 (8). pp. 527-530. شاپا 0044-6025

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The Diagnostic Accuracy of High Resolution Ultrasound Imaging for Detection of Secondary Hyperparathyroidism in Patients with Chronic Renal Failure

English Abstract

Ultrasound is one of the preferred modalities for evaluation of the parathyroid glands. This study was undertaken to determine the accuracy of high resolution ultrasound for secondary hyperparathyroidism in patients with chronic renal failure. From March 2008 to March 2009, ninety-one hemodialysis patients were examined by high resolution ultrasound (14 MHz) of the parathyroid glands in comparison to parathyroid hormone level. 43.9% of patients showed enlarged parathyroid glands with an average of 8.7 mm. The mean parathyroid hormone level of patients with enlarged parathyroid glands on sonography was 503 ± 450 pg/ml. We observed a significant correlation between parathyroid hormone level and enlarged parathyroid glands (P<0.0001). Sensitivity and specificity of sonography for detection of secondary hyperparathyroidism were 62.5% and 85.7% respectively. In conclusion, our study showed that high resolution sonography is a useful noninvasive method for the evaluation of secondary hyperparathyroidism in patients on hemodialysis and that sonographically enlarged glands may be a measure of severity of secondary hyperparathyroidism.

Item Type:Article
زبان سند : انگلیسی
نویسنده اول :حسن اناری
نویسنده مسئول :سهیلا رفاهی
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Uncontrolled Keywords:سونوگرافي با رزوليشن بالا ، نارسائي مزمن كليه ، همودياليز ، هايپرپاراتيروئيديسم ثانويه
کلیدواژه ها (انگلیسی):High resolution ultrasound , Secondary hyperparathyroidism , Chronic renal failure , Hemodialysis
Subjects:WJ Urogenital System
WN Radiology . Diagnostic Imaging
Divisions:Faculty of Medicine > Department of Internal Medicine , Cardiology , Infectious
Faculty of Medicine > Department of Radiology
Faculty of Medicine > Department of Basic Sciences > Department of Medical Physics
ID Code:2687
Deposited By: Dr Soheila Refahi
Deposited On:17 Aug 1390 13:10
Last Modified:04 Nov 1391 08:49

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