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Ultrasound-estimated bladder weight in healthy children
Boris Brkljacić1, Andrea Cvitković Kuzmić, Romana Dmitrović
1Department of Radiology, University Hospital Dubrava, Medical School, University of Zagreb, Avenija G.Suska 6, 10000 Zagreb, Croatia. boris.brkljacic@zg.htnet.hr
Insights
This study introduces a new ultrasound-based formula to estimate bladder weight in children, accounting for bladder shape. The formula, UEBW = Age + 8.4, correlates well with age for assessing bladder wall hypertrophy.
Area of Science:
- Pediatric Urology
- Medical Imaging
- Biometry
Background:
- Accurate assessment of bladder weight is crucial for diagnosing pediatric bladder conditions.
- Traditional methods for estimating bladder weight are often invasive or lack precision.
- Ultrasonography offers a non-invasive approach, but requires accurate estimation formulas.
Purpose of the Study:
- To develop and validate a novel ultrasonographically-derived formula for estimating bladder weight in healthy children.
- To incorporate bladder shape variations into the weight estimation formula for improved accuracy.
- To establish a correlation between ultrasound-estimated bladder weight (UEBW) and children's age.
Main Methods:
- Ultrasonographic bladder examination was performed on 92 healthy children using a 5-MHz transducer.
- Bladders were categorized by shape (round, ellipsoid, cuboid, triangular, undefined), and three diameters were measured.
- A modified formula incorporating shape-specific correction coefficients was used to calculate UEBW. Linear regression analysis determined the relationship between UEBW and age.
Main Results:
- A statistically significant correlation (r=0.78, p<0.05) was found between UEBW and children's age.
- A simplified formula, UEBW = Age + 8.4, was derived for clinical use.
- The study successfully categorized bladder shapes and applied correction coefficients for accurate UEBW calculation.
Conclusions:
- The proposed simple formula allows for non-invasive, age-dependent calculation of normal ultrasound-estimated bladder weight in children.
- This method provides an objective and quantitative tool for assessing the degree of bladder wall hypertrophy.
- Further research is warranted to explore the utility of this method in detecting pathological bladder conditions.
Abstract:
Bladder weight in healthy children was determined ultrasonographically using a modified formula that takes into account the different shapes of the urinary bladder. Ultrasonographic examination of the bladder was performed on 92 healthy children (56 boys, 36 girls) with a 5-MHz transducer. Bladders were categorized into five groups according to shape, and three bladder diameters were measured. Ultrasound-estimated bladder weight (UEBW) was calculated according to the formula modified for bladder shape. Correction coefficients were used: 0.55 for round shape, 0.79 for ellipsoid, 0.92 for cuboid, 0.62 for triangular, and 0.78 for undefined shape. Twenty-three children had a round bladder (25%), 22 cuboid (24%), 21 ellipsoid (22.8%), 25 triangular (27.2%), and 1 child had an undefined bladder shape. Using linear regression analysis, a formula was derived for the calculation of normal values of the UEBW by age: UEBW (in grams) = A x 0.995 + 8.405 ( A=age in years). For simplicity in clinical use, the formula was modified to UEBW= A + 8.4. A statistically significant correlation was observed between UEBW and age ( r=0.78, p<0.05). UEBW correlates significantly with children's age. This simple formula is proposed for noninvasive calculation of normal UEBW by age that may be used for the objective and quantitative assessment of the degree of bladder wall hypertrophy. Further studies are needed to evaluate the potential of this method in the detection of pathological bladder conditions.
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