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Diagnostic Accuracy of Ureteric Jet Angle Measurement Using Color Doppler Ultrasonography in Children With

Cameron Gemmell1, Christopher Edwards2,3, Tristan Reddan2,4

  • 1University of Queensland, St Lucia, Queensland, Australia.

Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine
|August 5, 2024
PubMed

Insights

Color Doppler sonography

Area of Science:

  • Pediatric nephrology
  • Diagnostic imaging
  • Urology

Background:

  • Vesico-ureteric reflux (VUR) is a common condition in children.
  • Accurate diagnosis of VUR is crucial for appropriate management and prevention of renal scarring.
  • Current diagnostic methods have limitations, necessitating exploration of alternative techniques.

Approach:

  • A systematic review was conducted to evaluate the diagnostic accuracy of ureteric jet angles using color Doppler sonography for VUR in children.
  • Six databases were searched, identifying 13 eligible studies.
  • The Quality Assessment of Diagnostic Accuracy Studies (QUADAS-2) tool was used to assess the risk of bias and applicability of the included studies.

Key Points:

  • Most studies indicated a correlation between increasing ureteric jet angle and VUR severity.
  • Significant variations in reporting and sonographic techniques were observed across studies.
  • These variations precluded a meta-analysis of the data.

Conclusions:

  • Ureteric jet angle sonography shows potential as a non-invasive VUR triaging tool in pediatric patients.
  • Further high-quality research with standardized methodologies is essential to confirm its diagnostic utility.
  • Robust investigations are needed to establish definitive guidelines for its use in clinical practice.

Keywords:
Doppler ultrasound imagingchildultrasonographyureteric jetvesico‐ureteral reflux

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