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Quantitative assessment of bladder wall vascularity index in children with acute cystitis using superb microvascular

Fatih Ates1, Mehmet Sedat Durmaz2, Alaaddin Yorulmaz3

  • 1Department of Radiology, Medicine Faculty, Selçuk University, Konya, Turkey. fatih_ates81@hotmail.com.

Journal of Ultrasound
|January 16, 2021
PubMed

Insights

Color superb microvascular imaging (cSMI) effectively diagnoses acute cystitis (AC) in children. The vascularization index (VI) of the bladder wall is significantly higher in children with AC, aiding diagnosis.

Area of Science:

  • Pediatric imaging
  • Urology
  • Medical diagnostics

Background:

  • Acute cystitis (AC) is a common pediatric urinary tract infection.
  • Accurate diagnosis of AC in children is crucial for timely treatment.
  • Current diagnostic methods may have limitations in pediatric populations.

Purpose of the Study:

  • To evaluate the effectiveness of the vascularization index (VI) using color superb microvascular imaging (cSMI) for assessing the anterior urinary bladder wall in pediatric patients with acute cystitis (AC).

Main Methods:

  • 157 children with confirmed AC and 150 healthy children underwent cSMI.
  • Two-dimensional cSMI VI (2DcSMIVI) was used to measure vascularization of the anterior bladder wall.
  • 2DcSMIVI values were compared between groups, and correlation with bladder wall thickness (BWT) was analyzed.

Main Results:

  • Mean 2DcSMIVI values were significantly higher in children with AC compared to healthy controls (p<0.001).
  • A cutoff value of 3.25% 2DcSMIVI demonstrated 93% sensitivity and 92% specificity for AC diagnosis.
  • A significant positive correlation was found between 2DcSMIVI values and BWT (p<0.001).

Conclusions:

  • Two-dimensional cSMI VI is an effective imaging method for diagnosing AC in children.
  • cSMI offers a sensitive and specific approach to pediatric cystitis assessment.
  • This technique aids in differentiating between symptomatic and asymptomatic bladder conditions in pediatric patients.
Abstract

Keywords:
Acute cystitisSuperb microvascular imagingUltrasonographyUrinary bladderVascularity index

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