Association between Quantitative Classification of Renal Surface Nodularity and Early Renal Injury in Patients with Arterial Hypertension

Background. This study sought to explore the association between quantitative classification of renal surface nodularity (qRSN) based on computed tomography (CT) imaging and early renal injury (ERI) in patients with arterial hypertension. Methods. A total of 143 patients with a history of hypertensi...

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Main Authors: Jun Zhou, Jiule Ding, Jie Chen, Qiong Wu, Dehui Xiang, Wei Xing
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:International Journal of Hypertension
Online Access:http://dx.doi.org/10.1155/2022/1553700
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author Jun Zhou
Jiule Ding
Jie Chen
Qiong Wu
Dehui Xiang
Wei Xing
author_facet Jun Zhou
Jiule Ding
Jie Chen
Qiong Wu
Dehui Xiang
Wei Xing
author_sort Jun Zhou
collection DOAJ
description Background. This study sought to explore the association between quantitative classification of renal surface nodularity (qRSN) based on computed tomography (CT) imaging and early renal injury (ERI) in patients with arterial hypertension. Methods. A total of 143 patients with a history of hypertension were retrospectively enrolled; clinical information (age, sex, hypertension grade, and hypertension course), laboratory tests, and qRSN were collected or assessed. The subjects were divided into an ERI group (n = 60) or a control group (CP, n = 83) according to ERI diagnosis based on the following criteria: cystatin C > 1.02 mg/L. Univariate analysis and multiple logistic regression were used to assess the association between ERI and qRSN. A receiver operating characteristic curve (ROC) was performed to compare multiple logistic regression models with or without qRSN for differentiating the ERI group from the control group. Results. In univariate analysis, hypertension grade, hypertension course, triglycerides (TG), and qRSN were related to ERI in patients with arterial hypertension (all P<0.1), with strong interrater agreement of qRSN. Multiple logistic regression analysis showed an area under the ROC curve of 0.697 in the model without qRSN and 0.790 in the model with qRSN, which was significantly different (Z = 2.314, P=0.021). Conclusion. CT imaging-based qRSN was associated with ERI in patients with arterial hypertension and may be an imaging biomarker of early renal injury.
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spelling doaj-art-44a7082ef9184613a162a4bd07d568db2025-02-03T06:13:36ZengWileyInternational Journal of Hypertension2090-03922022-01-01202210.1155/2022/1553700Association between Quantitative Classification of Renal Surface Nodularity and Early Renal Injury in Patients with Arterial HypertensionJun Zhou0Jiule Ding1Jie Chen2Qiong Wu3Dehui Xiang4Wei Xing5Department of RadiologyDepartment of RadiologyDepartment of RadiologyDepartment of RadiologySchool of Electronics and Information EngineeringDepartment of RadiologyBackground. This study sought to explore the association between quantitative classification of renal surface nodularity (qRSN) based on computed tomography (CT) imaging and early renal injury (ERI) in patients with arterial hypertension. Methods. A total of 143 patients with a history of hypertension were retrospectively enrolled; clinical information (age, sex, hypertension grade, and hypertension course), laboratory tests, and qRSN were collected or assessed. The subjects were divided into an ERI group (n = 60) or a control group (CP, n = 83) according to ERI diagnosis based on the following criteria: cystatin C > 1.02 mg/L. Univariate analysis and multiple logistic regression were used to assess the association between ERI and qRSN. A receiver operating characteristic curve (ROC) was performed to compare multiple logistic regression models with or without qRSN for differentiating the ERI group from the control group. Results. In univariate analysis, hypertension grade, hypertension course, triglycerides (TG), and qRSN were related to ERI in patients with arterial hypertension (all P<0.1), with strong interrater agreement of qRSN. Multiple logistic regression analysis showed an area under the ROC curve of 0.697 in the model without qRSN and 0.790 in the model with qRSN, which was significantly different (Z = 2.314, P=0.021). Conclusion. CT imaging-based qRSN was associated with ERI in patients with arterial hypertension and may be an imaging biomarker of early renal injury.http://dx.doi.org/10.1155/2022/1553700
spellingShingle Jun Zhou
Jiule Ding
Jie Chen
Qiong Wu
Dehui Xiang
Wei Xing
Association between Quantitative Classification of Renal Surface Nodularity and Early Renal Injury in Patients with Arterial Hypertension
International Journal of Hypertension
title Association between Quantitative Classification of Renal Surface Nodularity and Early Renal Injury in Patients with Arterial Hypertension
title_full Association between Quantitative Classification of Renal Surface Nodularity and Early Renal Injury in Patients with Arterial Hypertension
title_fullStr Association between Quantitative Classification of Renal Surface Nodularity and Early Renal Injury in Patients with Arterial Hypertension
title_full_unstemmed Association between Quantitative Classification of Renal Surface Nodularity and Early Renal Injury in Patients with Arterial Hypertension
title_short Association between Quantitative Classification of Renal Surface Nodularity and Early Renal Injury in Patients with Arterial Hypertension
title_sort association between quantitative classification of renal surface nodularity and early renal injury in patients with arterial hypertension
url http://dx.doi.org/10.1155/2022/1553700
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