Radiology
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text (PDF)
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Ditchfield, M. R.
Right arrow Articles by Cahill, S.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Ditchfield, M. R.
Right arrow Articles by Cahill, S.

Radiology, Vol 190, 413-415, Copyright © 1994 by Radiological Society of North America

ARTICLES

Vesicoureteral reflux: an accurate predictor of acute pyelonephritis in childhood urinary tract infection?

MR Ditchfield, JF De Campo, DJ Cook, TM Nolan, HR Powell, R Sloane, K Grimwood and S Cahill
Department of Radiology, Royal Childrens Hospital, Melbourne, Australia.

PURPOSE: To determine the association between vesicoureteral reflux (VUR) and the presence of acute pyelonephritis in children with urinary tract infections. MATERIALS AND METHODS: The authors studied 150 consecutive patients less than 5 years of age with their first proved urinary tract infection. All patients underwent renal cortical scintigraphy (with technetium-99m dimercaptosuccinic acid or Tc-99m gluconate) and voiding cystourethrography (VCUG) to identify the presence of cortical defects and VUR, respectively. RESULTS: Of 300 kidneys, 88 (29.3%) had a cortical defect at scintigraphy. Fifty-four of the 88 patients (61%) did not have VUR demonstrated at VCUG. Conversely, 72 of the 300 kidneys (24%) had VUR; of these, 38 (53%) had no cortical defect. The sensitivity of VCUG in helping predict a defect was 38.6%, and the specificity was 82.1%. CONCLUSION: VUR (as shown by VCUG) and renal cortical scintigraphic defects frequently occur independently of each other. Renal cortical scintigraphy may be a more accurate predictor of patients at risk for scarring.


This article has been cited by other articles:


Home page
 PediatricsHome page
E. H. Garin, F. Olavarria, V. G. Nieto, B. Valenciano, A. Campos, and L. Young
Clinical Significance of Primary Vesicoureteral Reflux and Urinary Antibiotic Prophylaxis After Acute Pyelonephritis: A Multicenter, Randomized, Controlled Study
Pediatrics, March 1, 2006; 117(3): 626 - 632.
[Abstract] [Full Text] [PDF]

Home page
 RadioGraphicsHome page
W. H. McAlister, S. K. Fernbach, K. A. Feinstein, and M. B. Schmidt
Invited Commentary • Authors' Response
RadioGraphics, January 1, 2000; 20(1): 168 - 171.
[Full Text] [PDF]

Home page
 CLIN PEDIATRHome page
D. L. Rosenfeld, M. Fleischer, A. Yudd, and T. Makowsky
Current Recommendations for Children With Urinary Tract Infections
Clinical Pediatrics, May 1, 1995; 34(5): 261 - 264.
[PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
RADIOLOGY RADIOGRAPHICS RSNA JOURNALS ONLINE
Copyright © 1994 by the Radiological Society of North America.