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Real-time sonographic detection of vesicoureteral reflux in children

R M Kessler, D H Altman

    AJR. American Journal of Roentgenology
    |June 1, 1982
    PubMed

    Insights

    Real-time contrast sonography effectively detects vesicoureteral reflux (VUR) in children. This imaging technique aids in managing VUR by visualizing reflux and assessing kidney health.

    Area of Science:

    • Pediatric Nephrology
    • Diagnostic Imaging
    • Urology

    Background:

    • Vesicoureteral reflux (VUR) is a significant condition in children, potentially leading to kidney damage.
    • Accurate diagnosis is crucial for timely management and prevention of complications.
    • Conventional methods for VUR detection can be invasive.

    Purpose of the Study:

    • To evaluate the efficacy of real-time and contrast sonography in diagnosing VUR in pediatric patients.
    • To compare sonographic findings with cystourethrography results.
    • To assess the potential of sonography as a primary diagnostic tool for VUR.

    Main Methods:

    • Real-time sonography and contrast-enhanced sonography were employed.
    • Fifty-five pediatric kidneys were examined during the filling phase of cystourethrography.
    • Positive sonographic findings included microbubble visualization in the renal collecting system or collecting system dilatation.

    Main Results:

    • Out of 15 positive cystograms (grade II or greater reflux), 13 were correctly identified by sonography.
    • Sonography demonstrated a high concordance rate with cystourethrography for detecting significant VUR.
    • The technique allowed for simultaneous assessment of renal size and parenchymal scarring.

    Conclusions:

    • Real-time contrast sonography is a valuable tool for evaluating VUR in children.
    • This non-invasive method aids in the management of pediatric VUR.
    • Sonography offers a comprehensive assessment of renal anatomy and reflux status.

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