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Ultrasonography of the Adult Male Urinary Tract for Urinary Functional Testing
Published on: August 14, 2019
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.
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.
Background:
We have previously shown that urinary bladder volume index (BVI = length x width x depth of bladder) and bladder volume wall thickness index (BVWI = BVI at full bladder/average bladder wall thickness) are useful indicators of bladder dysfunction in children with enuresis and urinary tract infection. These indices show a good correlation with urodynamic studies. We have expanded the study to include normal paediatric subjects with a wide age range. We illustrate a simple sonography protocol with nomograms of different parameters, which provide useful references for functional assessment in children with urological abnormalities.
Objective:
To construct nomograms of total renal volume, maximum BVI and BVWI based on a Chinese paediatric population with age range from newborn to adolescence.
Materials And Methods:
Sonography was performed in consecutive children with normal urinary tracts on imaging, using a standardized protocol. Data were collected for construction of nomograms for different parameters.
Results:
Nomograms of total renal volume, BVI and BVWI were constructed based on 3,376 consecutive paediatric subjects. All parameters consistently increased with age.
Conclusion:
Nomograms of total renal volume, BVI and BVWI could provide useful references for studying bladder dysfunction in children using noninvasive dynamic sonography.
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