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Author Spotlight: Developing a Bedside Protocol for Kidney and Genitourinary Ultrasonography
Published on: June 21, 2024
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Imaging of the Pediatric Urinary System
Ellen M Chung1, Karl A Soderlund2, Kimberly E Fagen2
1Department of Radiology and Radiological Sciences, F. Edward Hébert School of Medicine, Uniformed Services University of the Health Sciences, 4301 Jones Bridge Road, Bethesda, MD 20814, USA; Pediatric Radiology Section, American Institute for Radiologic Pathology, 1100 Wayne Avenue, Silver Spring, MD 20910, USA.
Radiologic Clinics of North America
|January 28, 2017
Summary
Pediatric urinary tract imaging is advancing with radiation-free methods and a better grasp of urinary tract infections, reflux, and scarring. New classifications for fetal urinary tract dilation and cystic diseases are also emerging.
Area of Science:
- Pediatric Radiology
- Urology
- Medical Imaging
Background:
- Urinary tract infections (UTIs) and vesicoureteral reflux (VUR) are common in children.
- Renal scarring is a significant complication of UTIs and VUR.
- Accurate imaging is crucial for diagnosis and management of pediatric urinary tract abnormalities.
Purpose of the Study:
- To review recent advancements in pediatric urinary tract imaging.
- To highlight new understanding of UTI, VUR, and renal scarring relationships.
- To discuss updated classifications and diagnostic criteria for pediatric urinary tract conditions.
Main Methods:
- Literature review of recent studies in pediatric urinary tract imaging.
- Analysis of evolving concepts in pediatric urology and radiology.
- Synthesis of new nomenclature and risk-based classifications.
Main Results:
- Development of non-ionizing radiation imaging alternatives.
- Enhanced understanding of dysfunctional voiding's role in UTI, VUR, and scarring.
- Establishment of consensus nomenclature for fetal urinary tract dilation.
- Advances in understanding renal cystic diseases.
- Proposed modification of Bosniak criteria for pediatric renal cysts.
Conclusions:
- Pediatric urinary tract imaging is rapidly evolving with a focus on safety and accuracy.
- New classifications and criteria improve the diagnosis and management of pediatric urinary tract conditions.
- Continued research is vital for optimizing imaging and understanding of pediatric uropathies.
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