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[Effect of vesicoureteral reflux on kidney density in children]
1Universitätskinderklinik Wein.
Insights
Kidney echogenicity increases with the severity of vesicoureteric reflux (VUR) in children. Higher grades of VUR (4-5) showed significantly increased renal density on ultrasound.
Area of Science:
- Pediatric Nephrology
- Diagnostic Imaging
- Renal Ultrasound
Context:
- Vesicoureteric reflux (VUR) is a common condition in children.
- Assessing renal parenchymal changes is crucial for VUR management.
- Renal echogenicity is a non-invasive ultrasound marker.
Purpose:
- To investigate the correlation between renal echogenicity and the severity of VUR in pediatric patients.
- To determine if ultrasound-detected renal echogenicity can serve as an indicator of VUR grade.
Summary:
- This study analyzed renal echogenicity in 59 children diagnosed with VUR.
- A positive correlation was observed between increased renal echogenicity and higher grades of VUR.
- Children with VUR grades 4-5 exhibited significantly increased renal density on ultrasound.
Impact:
- Findings suggest that renal echogenicity can be a valuable indicator of VUR severity.
- This may aid in non-invasive assessment and monitoring of kidney damage in children with VUR.
- Enhanced ultrasound interpretation could improve diagnostic accuracy for VUR-related renal changes.
Abstract:
In 59 children with vesicoureteric reflux (VUR) renal echogenicity was analyzed. The density of the kidneys increase with the intensity of the VUR. The children with VUR grade 1 and 2 mainly showed a normal report. In 50% of the cases with VUR grade 3, a normal report was also found, whereas in the other 50% echogenicity was increased to 1 and 2. Highly significant increases in renal density were seen in ultrasound in children with VUR grade 4-5.