Skip to main content
Have a personal or library account? Click to login
Factors influencing renal shear wave elastography: effects of probe orientation, respiration, corticomedullary differentiation, and hydration Cover

Factors influencing renal shear wave elastography: effects of probe orientation, respiration, corticomedullary differentiation, and hydration

Open Access
|Jun 2026

References

  1. Sigrist RMS, Liau J, El Kaffas A, Chammas MC, Willmann JK. Ultrasound elastography – review of techniques and clinical applications. Theranostics. Mar 7;7(5):1303–1329. doi: 10.7150/thno.18650.
  2. Taljanovic MS, Gimber LH, Becker GW, Latt LD, Klauser AS, Melville DM et al. Shear-wave elastography – basic physics and musculoskeletal applications. Radiographics. 2017 May-Jun;37(3):855–870. doi: 10.1148/rg.2017160116.
  3. Platz Batista da Silva N, Scharf G, Lürken L, Verloh N, Schleder S, Stroszczynski C, et al. Different ultrasound shear-wave elastography techniques as novel imaging-based approaches for quantitative evaluation of hepatic steatosis – preliminary findings. Tomography. 2023 Mar 16;9(2):681–692. doi: 10.3390/tomography9020054.
  4. Aksakal M, Oktar SO, Sendur HN, Esendaglı G, Ozenirler S, Cindoruk M, Hızel K. Diagnostic performance of 2D shear wave elastography in predicting liver fibrosis in patients with chronic hepatitis B and C: a histopathological correlation study. Abdom Radiol (NY). 2021 Jul;46(7):3238–3244. doi: 10.1007/s00261-021-03019-6.
  5. Samir AE, Dhyani M, Vij A, Bhan AK, Halpern EF, Méndez-Navarro J, et al. Shear-wave elastography for the estimation of liver fibrosis in chronic liver disease: determining accuracy and ideal site for measurement. Radiology. 2015 Mar;274(3):888–896. doi: 10.1148/radiol.14140839.
  6. Ayonrinde OT, Zelesco M, Welman CJ, Abbott S, Adris N. Clinical relevance of shear wave elastography compared with transient elastography and other markers of liver fibrosis. Intern Med J. 2022 Apr;52(4):640–650. doi: 10.1111/imj.15603.
  7. Iyama T, Sugihara T, Takata T, Isomoto H. Renal ultrasound elastography: a review of previous reports on chronic kidney diseases. Appl Sci. 2021;11(20):9677. doi: 10.3390/app11209677.
  8. Cè M, Felisaz PF, Alì M, Re Sartò GV, Cellina M. Ultrasound elastography in chronic kidney disease: a systematic review and meta-analysis. J Med Ultrason (2001). 2023 Jul;50(3):381–415. doi: 10.1007/s10396-023-01304-z.
  9. Bruno C, Caliari G, Zaffanello M, Brugnara M, Zuffante M, Cecchetto M, et al. Acoustic radiation force impulse (ARFI) in the evaluation of the renal parenchymal stiffness in paediatric patients with vesicoureteral reflux: preliminary results. Eur Radiol. 2013 Dec;23(12):3477–3484. doi: 10.1007/s00330-013-2959-y.
  10. Göya C, Hamidi C, Ece A, Okur MH, Taşdemir B, Çetinçakmak MG, et al. Acoustic radiation force impulse (ARFI) elastography for detection of renal damage in children. Pediatr Radiol. 2015 Jan;45(1):55–61. doi: 10.1007/s00247-014-3072-3.
  11. Karabulut B, Bayram G, Oztorun CI, Ozcift B, Tiryaki TH. Can freehand elastosonography be an alternative to renal scintigraphy in pediatric vesicoureteral reflux cases? Eur J Pediatr Surg. 2019 Oct;29(5):470–474. doi: 10.1055/s-0038-1673706.
  12. Kalyoncu Ucar A, Cicek RY, Alis D, Akbas S, Arioz Habibi H, Arslan MU, et al. Shear wave elastography in the evaluation of the kidneys in pediatric patients with unilateral vesicoureteral reflux. J Ultrasound Med. 2019 Feb;38(2):379–385. doi: 10.1002/jum.14698.
  13. Salan A, Menzilcioglu MS, Guler AG, Doğan K. Comparison of shear-wave elastography and dimercaptosuccinic-acid renal cortical scintigraphy in pediatric patients. Nucl Med Commun. 2023;44(8):691–696. doi: 10.1097/MNM.0000000000001717.
  14. Reddy C, Sai V, Shah U, Babu R. Utility of ultrasound elastography in postoperative follow-up of children with unilateral ureteropelvic junction obstruction. Indian J Urol. 2020 Apr-Jun;36(2):101–105. doi: 10.4103/iju.IJU_379_19.
  15. Ferraioli G, Barr RG, Farrokh A, Radzina M, Cui XW, Dong Y, et al. How to perform shear wave elastography. Part I. Med Ultrason. 2022 Feb 16;24(1):95–106. doi: 10.11152/mu-3217.
  16. Palabiyik FB, Inci E, Turkay R, Bas D. Evaluation of liver, kidney, and spleen elasticity in healthy newborns and infants using shear wave elastography. J Ultrasound Med. 2017 Oct;36(10):2039–2045. doi: 10.1002/jum.14202.
  17. Çalışkan E, Atay G, Kara M, Sütçü M, Bayramoğlu Z, Hançerli Törün S, et al. Comparative evaluation of liver, spleen, and kidney stiffness in HIV-monoinfected pediatric patients via shear wave elastography. Turk J Med Sci. 2019 Jun 18;49(3):899–906. doi: 10.3906/sag-1811-87.
  18. Săftoiu A, Gilja OH, Sidhu PS, Dietrich CF, Cantisani V, Amy D, et al. The EFSUMB guidelines and recommendations for the clinical practice of elastography in non-hepatic applications: update 2018. Ultraschall Med. 2019 Aug;40(4):425–453. doi: 10.1055/a-0838-9937.
  19. Dietrich CF, Bamber J, Berzigotti A, Bota S, Cantisani V, Castera L, et al. EFSUMB guidelines and recommendations on the clinical use of liver ultrasound elastography, update 2017 (long version). Ultraschall Med. 2017 Aug;38(4):e48. English. doi: 10.1055/a-0641-0076. Erratum for: Ultraschall Med. 2017 Aug;38(4):e16–e47. doi: 10.1055/s-0043-103952.
  20. Ferraioli G, Barr RG, Farrokh A, Radzina M, Cui XW, Dong Y, et al. How to perform shear wave elastography. Part II. Med Ultrason. 2022 May 25;24(2):196–210. doi: 10.11152/mu-3342.
  21. Feldman RD. Renal response to water loading. J Clin Invest 1958;37(5):629–638.
  22. Robertson GL. The regulation of vasopressin function in health and disease. Recent Prog Horm Res. 1976;33:333–385. doi: 10.1016/B978-0-12-571133-3.50015-5.
  23. Gennisson JL, Grenier N, Combe C, Tanter M. Supersonic shear wave elastography of in vivo pig kidney: influence of blood pressure, urinary pressure and tissue anisotropy. Ultrasound Med Biol. 2012 Sep;38(9):1559–1567. doi: 10.1016/j.ultrasmedbio.2012.04.013.
  24. Leong SS, Wong JHD, Md Shah MN, Vijayananthan A, Jalalonmuhali M, Mohd Sharif NH, et al. Stiffness and anisotropy effect on shear wave elastography: a phantom and in vivo renal study. Ultrasound Med Biol. 2020 Jan;46(1):34–45. doi: 10.1016/j.ultrasmedbio.2019.08.011.
  25. Ries M, Jones RA, Basseau F, Moonen CT, Grenier N. Diffusion tensor MRI of the human kidney. J Magn Reson Imaging. 2001 Jul;14(1):42–49. doi: 10.1002/jmri.1149.
  26. Saini S, Kumar V, Koteshwara P. Role of diffusion tensor imaging in renal parenchymal changes. Indian J Radiol Imaging. 2018 Apr–Jun;28(2):175–181. doi: 10.4103/ijri.IJRI_128_17.
  27. Pai Panandiker AS, Sharma S, Naik MH, Wu S, Hua C, Beltran C, et al. Novel assessment of renal motion in children as measured via four-dimensional computed tomography. Int J Radiat Oncol Biol Phys. 2012 Apr 1;82(5):1771–6. doi: 10.1016/j.ijrobp.2011.03.046.
  28. Hong EK, Choi YH, Cheon JE, Kim WS, Kim IO, Kang SY. Accurate measurements of liver stiffness using shear wave elastography in children and young adults and the role of the stability index. Ultrasonography. 2018 Jul;37(3):226–232. doi: 10.14366/usg.17025.
  29. Goertz RS, Egger C, Neurath MF, Strobel D. Impact of food intake, ultrasound transducer, breathing maneuvers and body position on acoustic radiation force impulse (ARFI) elastometry of the liver. Ultraschall Med. 2012;33(4):380–385. doi: 10.1055/s-0032-1312816.
  30. Kaya M, Gürün E. Do deep inspiration breath-holds and free-breathing affect pancreatic tissue stiffness in shear wave elastography? Abdom Radiol (NY). 2022 Jul;47(7):2390–2396. doi: 10.1007/s00261-022-03535-z.
  31. Postek G, Zalewski P, Sadowska-Krawczenko I. Two-dimensional shear wave elastography for assessing liver, spleen, and kidneys in healthy newborns. J Ultrason. 2025 Apr 23;25(100):20250010. doi: 10.15557/jou.2025.0010.
  32. Dittmann F, Tzschätzsch H, Hirsch S, Barnhill E, Braun J, Sack I, Guo J. Tomoelastography of the abdomen: Tissue mechanical properties of the liver, spleen, kidney, and pancreas from single MR elastography scans at different hydration states. Magn Reson Med. 2017 Sep;78(3):976–983. doi: 10.1002/mrm.26484.
  33. Gandhi D, Kalra P, Raterman B, Mo X, Dong H, Kolipaka A. Magnetic resonance elastography-derived stiffness of the kidneys and its correlation with water perfusion. NMR Biomed. 2020 Apr;33(4):e4237. doi: 10.1002/nbm.4237.
  34. Liu X, Li N, Xu T, Sun F, Li R, Gao Q, et al. Effect of renal perfusion and structural heterogeneity on shear wave elastography of the kidney: an in vivo and ex vivo study. BMC Nephrol. 2017 Aug 8;18(1):265. doi: 10.1186/s12882-017-0679-2.
  35. Muttray J, Mehrabi A, Hafezi M, Saffari A, Bui-Ta TTT, Meyburg J, et al. ARFI shear-wave elastography with simulation of acute urinary tract obstruction in an ex vivo porcine kidney model. Diagn Interv Radiol. 2018 Sep;24(5):308–315. doi: 10.5152/dir.2018.17353.
  36. Gao J, Thai A, Lee J, Fowlkes JB. Ultrasound shear wave elastography and doppler sonography to assess the effect of hydration on human kidneys: a preliminary observation. Ultrasound Med Biol. 2020 May;46(5):1179–1188. doi: 10.1016/j.ultrasmedbio.2020.01.011.
  37. Bhatia A, Dua A, Mehta V, Chhabra M, Sodhi KS, Saxena AK. 2D shear wave elastography for evaluation of renal cortex and medulla: stiffness values in healthy children. Abdom Radiol (NY). 2023;48(10):3183–3188. doi: 10.1007/s00261-023-04001-0.
  38. Leong SS, Jalalonmuhali M, Md Shah MN, Ng KH, Vijayananthan A, Hisham R, Wong JHD. Ultrasound shear wave elastography for the evaluation of renal pathological changes in adult patients. Br J Radiol. 2023 Mar 1;96(1144):20220288. doi: 10.1259/bjr.20220288.
DOI: https://doi.org/10.15557/jou.2026.0015 | Journal eISSN: 2451-070X | Journal ISSN: 2084-8404
Language: English
Submitted on: Aug 16, 2025
Accepted on: Jan 21, 2026
Published on: Jun 30, 2026
Published by: MEDICAL COMMUNICATIONS Sp. z o.o.
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2026 Andrzej Materniak, Grzegorz Jędrzejewski, Andrzej Paweł Wieczorek, Magdalena Woźniak, published by MEDICAL COMMUNICATIONS Sp. z o.o.
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.