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Reduction in voiding cystourethrographies after the introduction of contrast enhanced sonographic reflux diagnosis
- Source :
- Pediatric Radiology. 31:790-795
- Publication Year :
- 2001
- Publisher :
- Springer Science and Business Media LLC, 2001.
-
Abstract
- Voiding urosonography (VUS) using the intravesical application of an US contrast medium (Levovist) has been shown to have very high sensitivity and specificity in the diagnosis of vesicoureteric reflux (VUR) compared to voiding cystourethrography (VCUG). To determine the extent of reduction of VCUGs after adding VUS to the diagnostic algorithm of VUR. Over 2 years, 449 children (162 boys, 287 girls) were referred for diagnosis of possible VUR. The selection of a particular reflux examination was based on pre-defined criteria. VUS was performed primarily in girls and follow-up cases. The indications for VCUG were as follows: (a) boys – first examination for VUR, (b) specific request for urethra or bladder imaging, (c) girls – when VUR was diagnosed in the VUS and no VCUG had been done previously, and (d) inadequate VUS. VCUGs were primarily carried out in 141 cases. VUSs were performed in 308 patients. In 69 of these patients a VCUG followed during the same examination session. Thus 239 of 449 patients underwent only VUS, resulting in reduction of the VCUGs by 53 %. The number of VCUGs was significantly reduced as a result of the implementation of VUS as part of the routine diagnostic imaging modality for VUR. Consequently, the number of children that would have been exposed to ionising radiation was reduced by over half.
- Subjects :
- Adult
Male
medicine.medical_specialty
Adolescent
media_common.quotation_subject
Contrast Media
urologic and male genital diseases
Sensitivity and Specificity
Urination
Vesicoureteral reflux
Cystourethrography
Polysaccharides
medicine
Vesicoureteric reflux
Humans
Radiology, Nuclear Medicine and imaging
Prospective Studies
Child
Ultrasonography
media_common
Neuroradiology
Vesico-Ureteral Reflux
business.industry
Infant, Newborn
Reflux
Infant
medicine.disease
female genital diseases and pregnancy complications
Contrast medium
Urethra
medicine.anatomical_structure
Child, Preschool
Fluoroscopy
Pediatrics, Perinatology and Child Health
Female
Radiology
business
Subjects
Details
- ISSN :
- 14321998 and 03010449
- Volume :
- 31
- Database :
- OpenAIRE
- Journal :
- Pediatric Radiology
- Accession number :
- edsair.doi.dedup.....e884ac16054d72e632c743dddb5988dd