Nomograms of total renal volume, urinary bladder volume and bladder wall thickness index in 3,376 children with a

Vivian Yee-fong Leung1, Winnie Chiu-wing Chu, Chung-kwong Yeung

  • 1Department of Diagnostic Radiology and Organ Imaging, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, New Territories, Hong Kong.

Pediatric Radiology
|December 16, 2006
PubMed

Insights

This study presents new nomograms for total renal volume, bladder volume index (BVI), and bladder volume wall thickness index (BVWI) in children. These ultrasound-based references aid in assessing bladder dysfunction noninvasively.

Area of Science:

  • Pediatric Urology
  • Medical Imaging
  • Diagnostic Sonography

Background:

  • Urinary bladder volume index (BVI) and bladder volume wall thickness index (BVWI) correlate with urodynamic studies in children with bladder dysfunction.
  • Previous studies indicated BVI and BVWI as useful indicators in children with enuresis and urinary tract infections.
  • This research expands on prior work by including a wider age range of normal pediatric subjects.

Purpose of the Study:

  • To develop nomograms for total renal volume, maximum BVI, and BVWI.
  • To establish reference ranges for a Chinese pediatric population from birth through adolescence.
  • To provide standardized ultrasound-based metrics for pediatric urinary tract assessment.

Main Methods:

  • A standardized sonography protocol was applied to consecutive pediatric subjects with normal urinary tracts.
  • Data on total renal volume, BVI, and BVWI were collected.
  • Nomograms were constructed using the collected data.

Main Results:

  • Nomograms for total renal volume, BVI, and BVWI were successfully created, utilizing data from 3,376 pediatric subjects.
  • All measured parameters demonstrated a consistent increase with age.
  • The study established age-specific reference ranges for these key urinary tract metrics.

Conclusions:

  • The developed nomograms for total renal volume, BVI, and BVWI serve as valuable references.
  • These noninvasive sonographic tools can aid in the study of bladder dysfunction in children.
  • The findings support the use of dynamic sonography for functional assessment in pediatric urology.
Abstract

Related Concept Videos

Urodynamic Studies: Uroflowmetry01:19

Urodynamic Studies: Uroflowmetry

Uroflowmetry is a non-invasive urodynamic test designed to measure various aspects of urination, including volume, flow rate, and the time to void. This test is crucial for diagnosing and assessing conditions such as bladder outlet obstruction, bladder dysfunction, incomplete bladder emptying, incontinence, and urinary tract blockages caused by benign prostatic hyperplasia (BPH) and urethral strictures.Pre-Test Instructions:Before a uroflowmetry test, patients are typically advised to drink...
Imaging Studies VI: Voiding Cystourethrography and Cystography01:22

Imaging Studies VI: Voiding Cystourethrography and Cystography

Voiding Cystourethrography (VCUG) and Cystography are specialized radiographic procedures used to examine the structure and function of the bladder and urethra.Voiding Cystourethrography (VCUG)A Voiding Cystourethrogram (VCUG) is a diagnostic imaging procedure that assesses the anatomy and function of the lower urinary tract. It focuses on the bladder, bladder neck, and urethra, helping detect abnormalities such as vesicoureteral reflux (VUR)—the backward or reverse flow of urine into the...
Imaging Studies I: Kidney, Ureter, and Bladder Studies01:28

Imaging Studies I: Kidney, Ureter, and Bladder Studies

Kidney, Ureter, and Bladder (KUB) StudiesKidney, Ureter, and Bladder (KUB) studies are standard diagnostic imaging procedures used to assess the anatomy of the urinary system. They are commonly utilized for patients experiencing abdominal pain or urinary symptoms. By using a simple X-ray of the abdomen, KUB studies can reveal structural and pathological abnormalities within the kidneys, ureters, and bladder. These studies are particularly valuable in diagnosing kidney stones, urinary...
Urinary Bladder01:23

Urinary Bladder

The urinary bladder is a hollow, muscular sac that temporarily stores urine before it is expelled from the body. It can hold approximately 600 mL of urine prior to micturition. The bladder is retroperitoneal and located behind the pubic symphysis in the pelvic floor.
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...
Imaging Studies III: Computed Tomography01:27

Imaging Studies III: Computed Tomography

DefinitionComputed Tomography (CT) of the genitourinary (GU) tract is a non-invasive imaging modality that utilizes X-rays and computer processing to generate detailed cross-sectional images of the urinary system, encompassing the kidneys, ureters, bladder, and adjacent structures such as the adrenal glands.PurposeCT scans of the GU tract serve several diagnostic and therapeutic purposes, including:Diagnosis of Urinary Tract Diseases: Detects kidney stones, tumors, cysts, and congenital...
Anatomy of the Genitourinary System II: Bladder and Urethra01:19

Anatomy of the Genitourinary System II: Bladder and Urethra

The lower urinary system consists of the urinary bladder and urethra, which are essential in storing and expelling urine from the body. Together with the internal and external sphincters, these structures work together to regulate urination effectively.Anatomy of the BladderThe urinary bladder is a muscular, stretchable organ behind the pubic bone and in front of the rectum. In females, the bladder is positioned anterior to the vagina and inferior to the uterus, while in males, it is located...