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Related Concept Videos

Imaging Studies V: Intravenous Urography and Retrograde Pyelography01:22

Imaging Studies V: Intravenous Urography and Retrograde Pyelography

IntroductionIntravenous Urography (IVU) and Retrograde Pyelography (RP) are important diagnostic imaging techniques used to evaluate the urinary system. These methods help identify structural abnormalities, obstructions, and functional issues in the kidneys, ureters, and bladder. Both procedures use iodine-based contrast media to enhance the visibility of urinary tract structures on X-ray images, though they differ in their methods and indications.1. Intravenous Urography (IVU)Intravenous...
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 II: Ultrasonography01:24

Imaging Studies II: Ultrasonography

IntroductionUltrasonography, or renal ultrasound, is a noninvasive medical imaging technique that uses high-frequency sound waves to visualize the kidneys, ureters, bladder, and surrounding tissues.Indications for Urinary System UltrasonographyUrinary system ultrasonography is indicated in various clinical scenarios, such as:Kidney Stones (Urolithiasis): To detect and monitor the size and presence of kidney or urinary tract stones.Hydronephrosis: To assess the dilation of the renal pelvis and...
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...
Imaging Studies IV: Magnetic Resonance Imaging01:27

Imaging Studies IV: Magnetic Resonance Imaging

Introduction:Magnetic Resonance Imaging, or MRI, can include a specialized imaging technique of the urinary system known as Magnetic Resonance Urography (MRU). This radiation-free technique uses strong magnetic fields and radio waves to produce detailed images with the help of a computer. MRU is particularly effective for visualizing fluid-filled structures like the kidneys, ureters, and bladder.Applications of MRI in the Genitourinary SystemKidneys and Ureters: MRI detects tumors, cysts,...
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...

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[Imaging techniques and vesicoureteral reflux].

Ignacio Alonso Usabiaga1, Cristina Bravo Bravo, Pascual García-Herrera Taillefer

  • 1Sección de Radiología Pediátrica, Hospital Materno Infantil Carlos Haya, Málaga, España. ialonsousa@gmail.com

Archivos Espanoles De Urologia
|May 22, 2008
PubMed
Summary

Vesicoureteral reflux (VUR) diagnosis is shifting. Ultrasound is now the preferred imaging technique for pediatric VUR, moving beyond traditional methods like VCUG, with updated protocols considering prenatal diagnosis.

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Area of Science:

  • Pediatric Urology
  • Diagnostic Imaging
  • Nephrology

Background:

  • Vesicoureteral reflux (VUR) is a common pediatric condition with ongoing debate in diagnosis and management.
  • Current practices involve pediatricians, urologists, nephrologists, and radiologists.

Purpose of the Study:

  • To update the use of imaging techniques for VUR diagnosis and follow-up.
  • To propose a standardized work-up protocol for pediatric VUR.

Main Methods:

  • Bibliographic review of VUR imaging modalities.
  • Description of techniques: VCUG, ultrasound, IVU, bladder-ultrasound, DMSA, MRI.
  • Presentation of expert working group experience.

Main Results:

  • VUR concepts and management algorithms have evolved.
  • Distinction between congenital renal lesions and acquired lesions post-UTI.
  • VUR is increasingly viewed as secondary to UTI, prompting less invasive diagnostics.

Conclusions:

  • Ultrasound, enhanced by technological advances, is now the primary imaging technique for pediatric VUR, surpassing VCUG.
  • Prenatal diagnosis significantly impacts urinary tract anomaly management, altering work-up algorithms.