State-of-the-Art Renal Imaging in Children

Bernarda Viteri1,2,3, Juan S Calle-Toro2, Susan Furth4,3

  • 1Division of Nephrology, Department of Pediatrics and viterib@email.chop.edu.

Pediatrics
|January 10, 2020
PubMed

Insights

Pediatricians can now better diagnose kidney and urinary tract disorders using advanced imaging. This guide clarifies novel techniques, their uses, and risks for improved congenital anomaly detection in children.

Area of Science:

  • Pediatric Nephrology
  • Medical Imaging Technology
  • Urology

Background:

  • Modern technology has driven rapid advancements in pediatric renal and urinary tract disorder diagnostics.
  • General pediatricians and neonatologists are key in identifying renal anomalies early.
  • A knowledge gap exists regarding novel imaging modalities' applicability, indications, and nephrotoxic risks.

Purpose of the Study:

  • To describe the clinical impact of congenital anomalies of the kidneys and urinary tract (CAKUT).
  • To detail pediatric-specific renal imaging techniques.
  • To provide a practical guideline for diagnosing kidney and urinary tract disorders in children.

Main Methods:

  • Review of recent technological advancements in renal imaging.
  • Analysis of clinical impact of CAKUT.
  • Compilation of pediatric-specific imaging protocols and guidelines.

Main Results:

  • Novel imaging modalities offer enhanced diagnostic capabilities for pediatric renal conditions.
  • Understanding indications and risks is crucial for safe and effective use.
  • Guidelines are established for practical diagnosis of kidney and urinary tract disorders.

Conclusions:

  • Advanced imaging significantly improves the diagnosis of pediatric kidney and urinary tract disorders.
  • A clear understanding of new techniques and their associated risks is essential for clinicians.
  • This guideline aids pediatricians and neonatologists in managing renal anomalies effectively.

Related Concept Videos

Imaging Studies VII: Vascular Imaging01:19

Imaging Studies VII: Vascular Imaging

DefinitionRenal angiography, also known as renal arteriography, is an imaging technique used to obtain a comprehensive view of blood flow and the vascular structure of blood vessels in the kidneys and surrounding areas.PurposeRenal angiography detects blood vessel abnormalities in the kidneys, such as aneurysms, stenosis, thrombosis, vascular tumors, and renal artery stenosis. It evaluates kidney function and guides interventional treatments like angioplasty or stent placement.Pre-Procedure...
253
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...
272
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...
229
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...
863
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,...
198
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...
204