The correlation between GFR and unit renal volume in infants with hydronephrosis measured by two imaging methods

The purpose of this study was to investigate the correlation between GFR and unit renal volume in infants with congenital hydronephrosis measured by Tc-99m-DMSA static renal imaging and ultrasonography. According to the classification of hydronephrosis, 38 infants aged 0-12 months with congenital hydronephrosis were divided into six groups: healthy kidney groups, mild hydronephrosis groups, and severe hydronephrosis groups. Within one week, all patients underwent ultrasound, diuretic dynamic renal imaging, static renal imaging and lateral imagings of both kidneys after static renal imaging respectively. Pediatric renal volume was calculated using the improved formula length x width x thickness x 0.674, and then the renal function in per unit volume (GFR/unit volume, ml/cm(3)) was obtained. All statistical analysis was done with SPSS Statistics version 24.0. The renal function in per unit volume was a minimum of 1.62 ml/cm(3) in left healthy kidney in static renal imaging, but the renal function in per unit volume was a maximum value of 2.20 ml/cm(3) in right healthy kidney in ultrasonography. There was a strong positive correlation observed between GFR and renal volume in left healthy kidney group and left and right kidneys with mild hydronephrosis groups (r=0.865, r=0.872, r=0.822). A moderate positive correlation was found between GFR and renal volume in right healthy kidney group and left and right kidneys wih severe hydronephrosis groups (r=0.783, r=0.542, r=0.798). GFR in per unit volume ranged from 1.62 to 2.20 ml/cm(3) in healthy kidney, and was significantly higher in right kidney as compared to in left kidney, and also decreased with the progression of hydronephrosis.