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Published on: June 23, 2015
Magnetic resonance imaging of the dysplastic renal moiety and ectopic ureter
V M Gylys-Morin1, E Minevich, L D Tackett
1Department of Radiology, Cincinnati Children's Hospital Medical Center, Ohio 45229-3039, USA.
Insights
Magnetic resonance imaging (MRI) accurately diagnosed dysplastic renal moieties and ectopic ureters in children when other imaging failed. MRI aids in surgical planning for these complex pediatric urinary tract anomalies.
Area of Science:
- Pediatric Radiology
- Urology
- Medical Imaging
Background:
- Dysplastic renal moieties and ectopic ureters present diagnostic challenges in children.
- Conventional imaging may fail to fully delineate complex urinary tract anatomy.
Purpose of the Study:
- To determine the role of magnetic resonance imaging (MRI) in evaluating symptomatic children with suspected dysplastic renal moieties and ectopic ureters.
- To assess MRI's diagnostic accuracy compared to conventional methods.
Main Methods:
- Retrospective review of clinical, imaging, cystoscopic, surgical, and histological data from 6 children (ages 1-15).
- Analysis of MRI findings in relation to subsequent surgical and cystoscopic outcomes.
Main Results:
- MRI provided detailed multiplanar images of dysplastic renal moieties, aiding diagnosis and predicting surgical findings.
- MRI identified ectopic ureter insertion sites missed by cystoscopy in 3 of 5 patients.
- MRI accurately characterized pelvic cystic structures as tortuous distal ureters.
Conclusions:
- MRI is a valuable tool for diagnosing dysplastic renal moieties and ectopic ureters in children.
- MRI can facilitate diagnosis, guide cystoscopy, and assist in preoperative planning for these conditions.
Purpose:
We determined the role of magnetic resonance imaging (MRI) in symptomatic children with clinically suspected and radiologically occult dysplastic renal moieties and ectopic ureters.
Materials And Methods:
We reviewed clinical, imaging, cystoscopic, surgical and histological findings in 6 symptomatic children 1 to 15 years old with dysplastic renal moieties.
Results:
After multiple conventional imaging studies failed to delineate urinary tract anatomy MRI provided detailed multiplanar images of dysplastic renal moieties that were diagnostic and predictive of subsequent intraoperative findings. Dysplastic upper pole moieties identified in 4 children were associated with ectopic ureters inserting into the vagina, prostatic urethra, bladder neck and bladder neck ureterocele in each. A solitary kidney with contralateral blind-ending ectopic ureters inserted into the bladder base in 2 cases. Pelvic cystic structures visualized by ultrasound in 3 patients were tortuous distal ureters on MRI. MRI specifically identified ureteral insertion sites that were not evident in 3 of the 5 patients who underwent cystoscopy.
Conclusions:
MRI may facilitate diagnosis, guide cystoscopy and aid in preoperative planning in children with poorly functioning renal moieties and ectopic ureters.
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