Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Riccabona, M; Fotter, R.
Modern imaging technology for childhood urinary tract infection].
Radiologe. 2005; 45(12):1078-1084
Doi: 10.1007/s00117-005-1249-3
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- Führende Autor*innen der Med Uni Graz
- Riccabona Michael
- Co-Autor*innen der Med Uni Graz
- Fotter Richard
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- Abstract:
- Imaging in childhood urinary tract infection (UTI) is still a matter of debate. There are established guidelines, however new knowledge and the changed medical environment have enhanced this ongoing discussion. These new insights have impacted therapy and consequently the imaging algorithm. Modern imaging methods -- particularly MRI and modern ultrasound (US) -- are less invasive with a lower radiation burden. Additionally, it has been shown that VUR is a poor predictor for renal scarring out, which affects long-term results. Furthermore, the majority of UT malformations is depicted by prenatal US. The most crucial aspect of improving long-term outcome appears to be the early and reliable depiction of UTI and effective treatment to prevent renal scarring. This review tries to present this new knowledge and to discuss the potential of modern imaging. Recent changes in imaging algorithms are highlighted and an outcome-oriented algorithm that addresses these recent developments is proposed, without lightly abandoning established standards. It consists of an orienting US and -- for depiction of renal involvement -- amplitude coded color Doppler sonography or renal static scintigraphy (considered the gold standard, particularly for evaluating scars); in future MRI may play a role. Based on this concept, only patients with renal damage as well as patients with complex urinary tract malformations or intractable recurrent UTI may have to undergo VCUG.
- Find related publications in this database (using NLM MeSH Indexing)
- Age Factors -
- Algorithms -
- Child -
- Female -
- Humans -
- Kidney - radiography Kidney - radionuclide imaging Kidney - ultrasonography
- Magnetic Resonance Imaging -
- Male -
- Recurrence -
- Tomography, X-Ray Computed -
- Ultrasonography, Doppler, Color -
- Urethra - radiography
- Urinary Tract Infections - diagnosis Urinary Tract Infections - radiography
- Urination -
- Urography -
- Find related publications in this database (Keywords)
- modern imaging
- ultrasound
- magnetic resonance imaging (MRI)
- renal scintigraphy
- urinary tract infection
- childhood