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Updated: Jul 10, 2026

Ultrasonography of the Adult Male Urinary Tract for Urinary Functional Testing
Published on: August 14, 2019
[Recommended diagnostic imaging tests in urinary tract infections]
C Ochoa Sangrador1, E Formigo Rodríguez,
1Servicio de Pediatría, Hospital Virgen de la Concha, Zamora, España. cochoas@meditex.es
This review examines diagnostic imaging for childhood urinary tract infections (UTIs). Evidence suggests a shift from routine imaging to individualized approaches based on clinical judgment and patient factors for better diagnostic yield.
Area of Science:
- Pediatric Nephrology
- Diagnostic Imaging
- Infectious Diseases
Background:
- Urinary tract infections (UTIs) are common in children.
- Diagnostic imaging plays a role in evaluating UTIs.
- Current strategies for imaging use are under review.
Purpose of the Study:
- To review the scientific evidence on diagnostic imaging tests for childhood UTIs.
- To assess the technical validity and diagnostic yield of these tests.
- To propose an optimized approach for imaging in pediatric UTIs.
Main Methods:
- Systematic review of scientific evidence on diagnostic imaging for pediatric UTIs.
- Analysis of technical validity and diagnostic yield of imaging modalities.
- Evaluation of cost-effectiveness, efficacy, and risks associated with imaging tests.
Main Results:
- Sufficient evidence exists on the technical validity of various imaging tests for pediatric UTIs.
- The overall diagnostic yield and clinical importance of some imaging tests remain unclear.
- Estimations suggest certain diagnoses derived from imaging have limited clinical significance.
Conclusions:
- Routine use of imaging tests for childhood UTIs may not be optimal.
- An individually-tailored approach to diagnostic imaging is recommended.
- Test indication should consider clinical information, patient/family preferences, and risk-benefit analysis.
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Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care
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Acute Pyelonephritis II: Diagnostic Studies and Management

