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Updated: Jun 9, 2026

Point-of-Care Kidney and Genitourinary Ultrasound in Adults: Image Acquisition
Published on: June 21, 2024
Performing renography in children with antenatally detected pelvi-ureteric junction stenosis: errors, pitfalls,
Insights
This guide shares practical insights from clinicians involved in pediatric renography guidelines. It highlights best practices, common errors, and unresolved issues in acquisition and processing for better kidney function assessments.
Area of Science:
- Pediatric Nephrology
- Nuclear Medicine
Background:
- Renography is crucial for assessing pediatric kidney function.
- Established guidelines exist for renography in children.
- Practical application of these guidelines can be challenging.
Purpose of the Study:
- To provide a practical guide based on clinical experience with pediatric renography guidelines.
- To share insights on acquisition and processing aspects of renography.
- To address common pitfalls, errors, and areas of controversy in pediatric renography.
Main Methods:
- The authors draw upon their direct experience in developing pediatric renography guidelines.
- Focus is on practical aspects of data acquisition and image processing.
- Discussion includes common errors, overlooked pitfalls, and areas lacking consensus.
Main Results:
- Identified key areas for good practice in pediatric renography acquisition and processing.
- Highlighted common errors and potential pitfalls to avoid during renography.
- Outlined areas with multiple valid approaches and controversial points lacking definitive evidence.
Conclusions:
- Practical experience offers valuable insights beyond guideline text.
- Adherence to best practices in acquisition and processing is essential for reliable renography.
- Further research is needed to resolve controversial aspects of pediatric renography.
Abstract:
The aim of this work is to present to the reader the practical experience of three clinicians having actively participated to the publication of the guidelines on renography in children. The present publication should be considered as a practical guide. We have underlined good practice, obvious errors to avoid, common pitfalls which might be overlooked, some items for which more than one reasonable solution exists and finally a few controversial points, for which there is still no agreement and no solid evidence to resolve these issues. This paper is only focused on the aspects of acquisition and processing and will not cover the clinical aspects, namely the interpretation of the renogram in terms of renal obstruction or, more precisely, in terms of risk of renal deterioration.
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