Radiology, Vol 156, 165-167, Copyright © 1985 by Radiological Society of North America
Renal transplants in children: long-term follow-up using sonography
DS Babcock, TL Slovis, BK Han, P McEnery and DR McWilliams
Sonographic findings more than 1 year after transplantation for 16 children
with renal transplants were reviewed to determine the appearance of the
transplant on long-term follow-up and to correlate its sonographic
appearance with its function. The appearance of the transplant varied
considerably, and there was no association between renal function and renal
volume, shape, parenchymal echogenicity, or central sinus echoes. Renal
size and donor age were negatively associated. In children, a change in
renal size greater than the usual 90%-130% of baseline volume seen in
adults is a normal adaptation of the transplanted kidney to the recipient
body size. Sonography was not useful for diagnosing chronic rejection or
predicting function in the pediatric transplant patient.
