PMID- 30211684 OWN - NLM STAT- MEDLINE DCOM- 20190108 LR - 20230928 IS - 1305-3612 (Electronic) IS - 1305-3825 (Print) IS - 1305-3825 (Linking) VI - 24 IP - 5 DP - 2018 Sep TI - ARFI shear-wave elastography with simulation of acute urinary tract obstruction in an ex vivo porcine kidney model. PG - 308-315 LID - 10.5152/dir.2018.17353 [doi] AB - METHODS: A total of 20 heparinized pig kidneys were investigated at 10 intrapelvic hydrostatic pressure steps (0-90 mmHg). SWE (ARFI; Virtual TouchTM IQ, Siemens) measurements were taken at three different measuring regions and in two measuring sequences using a linear ultrasonography probe (9L4, Siemens). Median values of 10 shear-wave speed (SWS) measurements were calculated for each pressure step. Logarithmic transformed median SWS values were analyzed in a linear mixed model. RESULTS: SWS increased significantly with increasing intrapelvic pressure. Median SWS for all kidneys in both measuring sequences and all measuring regions was 1.47 m/s (interquartile range [IQR], 0.38 m/s) at 0 mmHg, 1.94 m/s (IQR, 0.42 m/s) at 30 mmHg, 2.07 m/s (IQR, 0.43 m/s) at 60 mmHg, 2.24 m/s (IQR, 0.49 m/s) at 90 mmHg. The correlation between pelvic pressure increase and median SWS values for the central parenchyma was significantly higher compared with the peripheral parenchyma. CONCLUSION: Acutely increased renal pelvic pressure correlates with increasing SWS values in ARFI elastography in an ex vivo porcine kidney model. FAU - Muttray, Jens AU - Muttray J AD - Division of Pediatric Radiology, Clinic of Diagnostic and Interventional Radiology University of Heidelberg School of Medicine, Heidelberg, Germany. FAU - Mehrabi, Arianeb AU - Mehrabi A AD - Department of Visceral and Transplantation Surgery , University of Heidelberg School of Medicine, Heidelberg, Germany. FAU - Hafezi, Mohammadreza AU - Hafezi M AD - Department of Visceral and Transplantation Surgery ,University of Heidelberg School of Medicine, Heidelberg, Germany. FAU - Saffari, Arash AU - Saffari A AD - Department of Visceral and Transplantation Surgery ,University of Heidelberg School of Medicine, Heidelberg, German. FAU - Bui-Ta, Thi Thanh Tam AU - Bui-Ta TTT AD - Division of Pediatric Radiology, Clinic of Diagnostic and Interventional Radiology, University of Heidelberg School of Medicine, Heidelberg, Germany. FAU - Meyburg, Jochen AU - Meyburg J AD - Clinic I, Center for Pediatrics and Adolescent Medicine, University of Heidelberg School of Medicine, Heidelberg, Germany. FAU - Wuhl, Elke AU - Wuhl E AD - Division of Pediatric Nephrology, Clinic I, Center for Pediatrics and Adolescent Medicine, University of Heidelberg School of Medicine, Heidelberg, Germany. FAU - Schenk, Jens Peter AU - Schenk JP AD - Division of Pediatric Radiology, Clinic of Diagnostic and Interventional Radiology University of Heidelberg School of Medicine, Heidelberg, Germany. LA - eng PT - Journal Article PL - Turkey TA - Diagn Interv Radiol JT - Diagnostic and interventional radiology (Ankara, Turkey) JID - 101241152 SB - IM MH - Animals MH - Elasticity Imaging Techniques/*methods MH - Kidney/*anatomy & histology/diagnostic imaging/physiopathology MH - Models, Animal MH - Parenchymal Tissue/*diagnostic imaging/physiopathology MH - Pelvis/physiology MH - Pressure MH - Swine MH - Ultrasonography/methods MH - Urinary Tract/*pathology PMC - PMC6135057 COIS- Conflict of interest disclosure The authors declared no conflicts of interest. EDAT- 2018/09/14 06:00 MHDA- 2019/01/09 06:00 PMCR- 2018/09/01 CRDT- 2018/09/14 06:00 PHST- 2018/09/14 06:00 [entrez] PHST- 2018/09/14 06:00 [pubmed] PHST- 2019/01/09 06:00 [medline] PHST- 2018/09/01 00:00 [pmc-release] AID - dir-24-5-308 [pii] AID - 10.5152/dir.2018.17353 [doi] PST - ppublish SO - Diagn Interv Radiol. 2018 Sep;24(5):308-315. doi: 10.5152/dir.2018.17353.