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Related Experiment Videos

Pediatric voiding cystourethrography: a pictorial guide.

S K Fernbach1, K A Feinstein, M B Schmidt

  • 1Department of Radiology, Evanston Hospital, IL 60201, USA.

Radiographics : a Review Publication of the Radiological Society of North America, Inc
|February 22, 2000
PubMed
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Voiding cystourethrography (VCUG) is a key imaging test for pediatric urinary issues. Proper VCUG techniques optimize disease visualization and minimize radiation exposure in children.

Area of Science:

  • Pediatric radiology
  • Urogenital imaging

Background:

  • Voiding cystourethrography (VCUG) is frequently used in children with prenatal hydronephrosis, urinary tract infections, and voiding dysfunction.
  • Variations in VCUG technique aim to improve disease detection and reduce radiation dose.

Purpose of the Study:

  • To describe optimal techniques for performing voiding cystourethrography in children.
  • To highlight key imaging elements for assessing the urinary tract and identifying common pathologies.

Main Methods:

  • Review of standard and modified VCUG procedures.
  • Emphasis on imaging protocols for bladder filling, voiding, and urethral assessment.
  • Discussion of specific views and patient positioning for optimal visualization.

Main Results:

Related Experiment Videos

  • Recommended imaging includes assessment of spine, pelvis, bladder, reflux, and urethra.
  • Specific techniques like steep oblique imaging and voiding around the catheter are emphasized.
  • Post-void imaging of renal fossae is crucial for detecting missed reflux.

Conclusions:

  • Adherence to standardized VCUG techniques allows for accurate diagnosis of common pediatric urinary tract abnormalities.
  • Proper technique minimizes radiation exposure while maximizing diagnostic yield.
  • Radiologists' familiarity with variations and proper application of techniques is essential.