کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4162825 1274291 2010 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Non-invasive vesicoureteral reflux imaging
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی پریناتولوژی (پزشکی مادر و جنین)، طب اطفال و بهداشت کودک
پیش نمایش صفحه اول مقاله
Non-invasive vesicoureteral reflux imaging
چکیده انگلیسی

ObjectiveTo evaluate non-invasive and non-ionizing methods of determining the presence of vesicoureteral reflux (VUR) and to preview upcoming ideas that have the potential of finding VUR non-invasively.Materials and methodsWe performed a PubMed search using the terms ‘vesicoureteral reflux/radiography’, ‘vesicoureteral reflux/ultrasonography’ and ‘magnetic resonance imaging/urologic disease’. We also included information from a recent American Academy of Pediatrics meeting and our own research.ResultsVoiding ultrasonography is non-radiating and has undergone significant improvements recently. Best results require instillation of contrast through invasive catheter placement, and doubts regarding sensitivity and specificity are significant. Magnetic resonance cystograms are best with catheter-instilled contrast. They are expensive, require anesthesia or sedation, and are impractical. Horizon technologies include magnetic resonance cystogram with gadolinium ‘activation’ within the bladder. Another promising completely non-invasive method includes warming the bladder with microwaves and measuring kidney temperatures before and after warming. Detection of a rise in kidney temperatures would indicate VUR.ConclusionsVoiding cystourethrography remains the gold standard in reflux diagnosis but is invasive and submits the child to ionizing radiation. Developing technologies need improvements and further research before they may have a role in significantly decreasing voiding cystourethrography use or replacing it completely.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Pediatric Urology - Volume 6, Issue 6, December 2010, Pages 543–549
نویسندگان
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