临床医生的观点,对儿童的成像决策与膀外流:一个定性研究
Shireen E Hayatghaibi1, Andrew T Trout1, Ramesh Iyer2
1Department of Radiology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA; University of Cincinnati, Cincinnati, OH, USA.
Journal of pediatric urology
|November 19, 2025
概括
临床医生优先考虑患者因素,而不是辐射风险和成本,在对儿童进行膀脉逆流 (VUR) 的成像时. 需要对这些因素有更好的了解,才能做出更好的VUR成像决策.
科学领域:
- 儿科成像诊断 儿科成像诊断
- 泌尿病学中的医疗决策
- 放射学和辐射安全.
背景情况:
- 膀回流 (VUR) 诊断涉及多种成像选项,如VCUG,核囊膜学和ceVUS.
- 临床医生对儿科VUR成像的决策受各种因素的影响.
研究的目的:
- 调查临床因素,辐射风险和成本如何影响儿科VUR的成像选择.
- 了解医疗保健提供者关于VUR成像的决策过程.
主要方法:
- 定性研究涉及采访两个学术儿童医院的儿科医生和子专家.
- 采访是使用指南进行的,由两名盲人编码员转录和编码.
- 编码的数据被归纳为类别,并在各机构和各专业进行了比较.
主要成果:
- 临床因素 (年龄,性别,疾病严重程度,尿路感染复发) 是VUR成像决定的主要驱动因素.
- 临床医生对辐射暴露和成本的了解有限,往往使其成为次要问题.
- 父母对辐射的担忧促使人们转向低辐射或无辐射成像选项.
结论:
- 临床患者因素始终指导VUR成像选择.
- 临床医生对辐射暴露和成像成本的理解不足以在决策中一致纳入.
- 未来的干预措施应侧重于提高临床医生的辐射知识和VUR成像成本.
相关概念视频
Imaging Studies V: Intravenous Urography and Retrograde Pyelography
995
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...
995
Imaging Studies VI: Voiding Cystourethrography and Cystography
1.1K
Voiding Cystourethrography (VCUG) and Cystography are specialized radiographic procedures used to examine the structure and function of the bladder and urethra.Voiding Cystourethrography (VCUG)A Voiding Cystourethrogram (VCUG) is a diagnostic imaging procedure that assesses the anatomy and function of the lower urinary tract. It focuses on the bladder, bladder neck, and urethra, helping detect abnormalities such as vesicoureteral reflux (VUR)—the backward or reverse flow of urine into the...
1.1K
Imaging Studies I: Kidney, Ureter, and Bladder Studies
246
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...
246
Imaging Studies II: Ultrasonography
330
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...
330
Imaging Studies III: Computed Tomography
268
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...
268
Imaging Studies VII: Vascular Imaging
294
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...
294


