Intrarenal Resistive Index as Determined by Doppler Ultrasonography The peak systolic velocity and the minimal diastolic velocity were motivated in each patient in several representative interlobar arteries with a multifrequency convex transducer . Outcomes of three measurements at three places in the kidney were averaged .20 Intraobserver, intrasession interobserver and variation, intrasession variation were 4.3 percent and 3.3 percent, respectively. Resistive-index values were not used for clinical management. Pretransplantation specimens had been obtained by means of wedge biopsy. All biopsy specimens one of them study were examined by one pathologist, according to the revised Banff criteria .21,22 The score on the Chronic Allograft Damage Index was calculated for all post-transplantation biopsy specimens as the sum of the histologic scores for interstitial irritation, interstitial fibrosis, tubular atrophy, increase in mesangial matrix, glomerulosclerosis, and vascular intimal proliferation.23 The CADI, calculated for early protocol-specified biopsies, correlates with graft survival and is a surrogate end stage for transplantation outcome.23 Statistical Analysis To assess the clinical determinants and the temporal evolution of the resistive index, we used a mixed-model repeated-measures evaluation.While elevated PSA levels don’t always mean malignancy, when you have been diagnosed with the disease, it is critical to follow the correct course of treatment. With the advancement of both medical science and technology, nowadays there are improved and more effective methods of prostate cancer surgery, robotic surgery being one of these. Although more expensive than traditional laparoscopic surgery, robotic surgery has even more advantages in the next areas: Better Results Robotic prostate cancer surgery provides better and clinically excellent results in comparison to traditional laparoscopic surgery.