General | Renal ultrasound: From acute injury to transplant kidneys
Tracks
Rm 5 | Virtual
General
| Saturday, May 30, 2026 |
| 1:50 PM - 2:30 PM |
| Rm 5 | First Floor |
Speaker
Dr Pamela Parker
Consultant Sonographer
Hull University Teaching Hospitals NHS Trust
Acute renal injury
1:50 PM - 2:10 PMBiography
Dr Pamela Parker |
Hull University Teaching Hospitals NHS Trust
Pamela's expertise spans general medical, urogenital, and prostate imaging, with a special focus on contrast-enhanced and fusion-guided ultrasound. Her passion for innovation in medical imaging has led to a distinguished career, including her recent PhD focused on prostate cancer surveillance.
Pamela is a past President of the British Medical Ultrasound Society (BMUS) and has played a key role in promoting a career framework for professional sonographers. One of her most impactful projects has been the exploration of micro-ultrasound (microUS) as an alternative to MRI in active surveillance of prostate cancer.
Dr Sudhakar Kattoju
Radiologist-Senior Consultant
Apollo Hospitals
A new methodology for the identification of chronic kidney disease (CKD) through renal tissue elasticity and fat quantification using a sonographic algorithm
2:10 PM - 2:20 PMPresentation Synopsis / Abstract
Introduction: Chronic Kidney Disease (CKD) shows alterations in renal sinus fat echogenicity and kidney stiffness.
Methods: Sequoia ultrasound transducer C 5-1 used for sonoelastography and fat sinus percentage on 824 participants (412 cases, 412 controls).
Results: Mean ± SD age: 58.87 ± 15.39 and 53.71 ± 18.25 years for the cases and control participants. 80.6% and 19.4% male: female for each group. 61.3% and 67.7% of the participants have diabetes and hypertension in cases. There were no comorbidities in the control group. Renal cortex size was smaller in cases (0.54 ± 0.16 cm) than in controls (10.19 ± 1.22 cm) and conversely, renal sinus size was larger in cases (2.77 ± 0.53 cm) vs. controls (19.58 ± 2.93 cm). This indicated cortical thinning and sinus expansion in cases. In cases, compared to controls, kidneys were smaller (8.56 ± 2.27 cm vs. 97 ± 8.13 cm). Cases showed grade 2 (74.2%), grade 1 (9.7%) and grade 3 (16.1%) echogenicity, compared to normal echogenicity in controls (P-value < 0.001). Resistive index was higher in cases (0.81 ± 0.08) than controls (0.74 ± 0.01), suggesting increased resistance. Cortical elasticity was lower in cases (0.78 ± 0.17) than controls (1.83 ± 0.25), renal sinus elasticity was higher in cases (1.83 ± 0.24) than controls (0.78 ± 0.11). Cases show higher renal sinus fat percentage (18.48 ± 5.28% vs. 5.45 ± 1.61%) and greater brightness (grade 2, 64.5%).
Conclusion: Quantitative measures of kidney stiffness and sinus fat in showed significant differences between cases and controls.
Methods: Sequoia ultrasound transducer C 5-1 used for sonoelastography and fat sinus percentage on 824 participants (412 cases, 412 controls).
Results: Mean ± SD age: 58.87 ± 15.39 and 53.71 ± 18.25 years for the cases and control participants. 80.6% and 19.4% male: female for each group. 61.3% and 67.7% of the participants have diabetes and hypertension in cases. There were no comorbidities in the control group. Renal cortex size was smaller in cases (0.54 ± 0.16 cm) than in controls (10.19 ± 1.22 cm) and conversely, renal sinus size was larger in cases (2.77 ± 0.53 cm) vs. controls (19.58 ± 2.93 cm). This indicated cortical thinning and sinus expansion in cases. In cases, compared to controls, kidneys were smaller (8.56 ± 2.27 cm vs. 97 ± 8.13 cm). Cases showed grade 2 (74.2%), grade 1 (9.7%) and grade 3 (16.1%) echogenicity, compared to normal echogenicity in controls (P-value < 0.001). Resistive index was higher in cases (0.81 ± 0.08) than controls (0.74 ± 0.01), suggesting increased resistance. Cortical elasticity was lower in cases (0.78 ± 0.17) than controls (1.83 ± 0.25), renal sinus elasticity was higher in cases (1.83 ± 0.24) than controls (0.78 ± 0.11). Cases show higher renal sinus fat percentage (18.48 ± 5.28% vs. 5.45 ± 1.61%) and greater brightness (grade 2, 64.5%).
Conclusion: Quantitative measures of kidney stiffness and sinus fat in showed significant differences between cases and controls.
Biography
Dr Sudhakar Kattoju |
Apollo Hospitals
Dr. Sudhakar Kattoju
MBBS, DMRD, DNB(RADIODIOGNOSIS)
HEAD - SONO Doppler elastography MSK
Apollo main hospitals
Chennai- 600006.
India.
Experience: 36 years MRI, CT, radiology, sono Doppler elastography.
Fellowship training-Thomas Jefferson University, Philadelphia, USA.
Senior scientific advisor Siemens, GE, Philips.
Kol- Siemens, GE, Philips.
Papers and workshops presented- 44
Papers published- 42
RSNA - 7 papers
ECR - 3 papers
Scientific researcher in advanced ultrasound, Doppler, elastography and MSK and UDFF
Mrs Carolyn Garlick
Sonographer Educator
Zedu Ultrasound Training Solutions
Don't be a plonker!
2:20 PM - 2:30 PMPresentation Synopsis / Abstract
Introduction: Ultrasound survey of the abdomen is a powerful tool for detecting free fluid in trauma and non-trauma settings. Its accuracy relies heavily on scanning technique. A common and avoidable error is keeping the transducer fixed in one position during assessment. This talk will highlight why systematic probe movement and landmark identification are essential for diagnostic accuracy. Good ultrasound practice means “don’t be a plonker”.
Method: Rather than “probe parking”, this talk will provide a systematic approach to assessing the RUQ, LUQ and pelvis including two illustrative case studies demonstrating clinically significant abdominal pathology. Key anatomical landmarks will be identified, and the inclusion of the symphysis pubis as a vital landmark for assessment of fluid in the pelvis will be discussed.
Results: A systemic sweep rather than static imaging improves detection of gravity-dependent fluid collections and may detect other significant abdominal pathologies.
Conclusion: Abdominal survey for free fluid is a dynamic examination. A fixed probe approach is inconsistent with best practice and increases the risk of missed pathology. Systematic and multiwindow scanning is essential for accurate and clinically meaningful assessments.
Take Home Message: Don’t be a plonker! Move the probe, scan systematically and include essential anatomical landmarks.
Method: Rather than “probe parking”, this talk will provide a systematic approach to assessing the RUQ, LUQ and pelvis including two illustrative case studies demonstrating clinically significant abdominal pathology. Key anatomical landmarks will be identified, and the inclusion of the symphysis pubis as a vital landmark for assessment of fluid in the pelvis will be discussed.
Results: A systemic sweep rather than static imaging improves detection of gravity-dependent fluid collections and may detect other significant abdominal pathologies.
Conclusion: Abdominal survey for free fluid is a dynamic examination. A fixed probe approach is inconsistent with best practice and increases the risk of missed pathology. Systematic and multiwindow scanning is essential for accurate and clinically meaningful assessments.
Take Home Message: Don’t be a plonker! Move the probe, scan systematically and include essential anatomical landmarks.
Biography
Mrs Carolyn Garlick |
Zedu Ultrasound Training Solutions
Carolyn has more than 20 years ultrasound experience in both public and private sectors and has developed a specific interest in women’s and children’s health. Carolyn is passionate about ultrasound and places a high value on learning. Carolyn is currently working as a sonographer educator at a private ultrasound training centre in Melbourne and continues to work one-day a week in a clinical setting.
When not working you may find Carolyn building creations with Duplo, digging in the dirt or reading stories to her small grandchildren. The recent purchase of a camper trailer may mean she can’t be located at all!
