title: [Validation for access recirculation and access flow rate measurement by contrast-enhanced ultrasonography during hemodialysis].
abstract: To evaluate the feasibility and accuracy of contrast-enhanced ultrasonography (CEUS) for the measurement of hemodialysis access recirculation (AR) and access flow rate (Qa), a two pump system was used to simulate access and dialyzer flow. AR and Qa under different conditions, such as reversal connection of dialysis lines and the needle orientation, were compared with each other. The value of access flow and recirculation flow were calculated based on the formulas introduced in this paper, and the correlation and consistency between true flow rate and calculated values were analyzed. The measured R correlated well with true value of flow rate (r = 0.57, P = 0.038, Qa > Qb; r = 0.95, P = 0.001, Qa < Qb). The Bland-altman test showed good agreement between the calculated value based on CEUS and true values. The CEUS can be used as a new advanced technology for AR and Qa measurement.
authors.affiliation: Department of Ultrasound, West China Hospital, Sichuan University Chengdu 610041, China.
authors.forename: Xiaoxi
authors.initials: X
authors.lastname: Sha
authors.forename: Ning
authors.initials: N
authors.lastname: Jiang
authors.forename: Wei
authors.initials: W
authors.lastname: Cai
authors.forename: Zhen
authors.initials: Z
authors.lastname: Ni
authors.forename: Luo
authors.initials: L
authors.lastname: Yan
authors.forename: Yulan
authors.initials: Y
authors.lastname: Peng
authors.forename: Lei
authors.initials: L
authors.lastname: Yu
authors.forename: Xiang
authors.initials: X
authors.lastname: Zhou
mesh_terms: D001166:Arteriovenous Shunt, Surgical; D001783:Blood Flow Velocity; D003198:Computer Simulation; D003287:Contrast Media; D006801:Humans; D007676:Kidney Failure, Chronic / Q000097:blood / Q000628:therapy*; D008954:Models, Biological; D008991:Monitoring, Physiologic / Q000295:instrumentation; D012039:Regional Blood Flow; D006435:Renal Dialysis / Q000379:methods; D014463:Ultrasonography
chemical_list: D003287:Contrast Media