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In order to determine whether sonographic parenchymal changes and volume changes are reliable predictors of acute transplant rejection, 36 recipients of renal allografts were studied. The significance of graft volume changes was evaluated, since most previous studies have not utilized routine immediate postoperative baseline scans for comparison to follow-up scans. All patients had baseline scans within 24 hours of the transplant. All 24 acute rejection patients had biopsy proof of rejection within three days of the follow-up scans. Seven clinically normal and five clinically designated acute tubular necrosis (ATN) patients were studied for comparison. A retrospective blind review utilizing three sonologists and previously described criteria combined with calculated volume changes demonstrated an overall sensitivity of 85 per cent and specificity of 94 per cent for the detection of acute rejection. The kidneys with acute rejection had an average volume increase of 73 per cent vs. 27 per cent for ATN patients and 24 per cent for normal patients, a statistically significant difference.
G J Raiss, and
R L Bree, and
R E Schwab, and
S R Schultz, and
N G Salem, and
B F Rosenberg
November 1986,
Radiology,
G J Raiss, and
R L Bree, and
R E Schwab, and
S R Schultz, and
N G Salem, and
B F Rosenberg
November 1989,
Clinical radiology,
G J Raiss, and
R L Bree, and
R E Schwab, and
S R Schultz, and
N G Salem, and
B F Rosenberg
January 1989,
Urologic radiology,
G J Raiss, and
R L Bree, and
R E Schwab, and
S R Schultz, and
N G Salem, and
B F Rosenberg
January 2019,
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G J Raiss, and
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S R Schultz, and
N G Salem, and
B F Rosenberg
January 1968,
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G J Raiss, and
R L Bree, and
R E Schwab, and
S R Schultz, and
N G Salem, and
B F Rosenberg
December 1971,
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G J Raiss, and
R L Bree, and
R E Schwab, and
S R Schultz, and
N G Salem, and
B F Rosenberg
September 1975,
Military medicine,
G J Raiss, and
R L Bree, and
R E Schwab, and
S R Schultz, and
N G Salem, and
B F Rosenberg
August 1970,
Australasian annals of medicine,
G J Raiss, and
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R E Schwab, and
S R Schultz, and
N G Salem, and
B F Rosenberg
September 1987,
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G J Raiss, and
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B F Rosenberg
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Surgery, gynecology & obstetrics,
