Ruth Lim1. 1. Division of Pediatric Radiology and Division of Nuclear Medicine Molecular Imaging, Department of Radiology, Massachusetts General Hospital and Harvard Medical School, 34 Fruit Street, Boston, MA 02114, USA. rlim@partners.org
Abstract
OBJECTIVE: Pediatric patients with urinary tract infection (UTI) undergo imaging tests to detect vesicoureteral reflux (VUR) in the belief that VUR correlates to risk of renal scarring. This article describes recent evolution and controversies in the management of UTI and VUR. CONCLUSION: Multitechnique imaging of UTI and VUR is complex and controversial. Evolution in practice patterns is motivated by the desire to rationally minimize unnecessary interventions and radiation exposure. Ongoing evidence-based research is needed to further improve practice guidelines.
OBJECTIVE: Pediatric patients with urinary tract infection (UTI) undergo imaging tests to detect vesicoureteral reflux (VUR) in the belief that VUR correlates to risk of renal scarring. This article describes recent evolution and controversies in the management of UTI and VUR. CONCLUSION: Multitechnique imaging of UTI and VUR is complex and controversial. Evolution in practice patterns is motivated by the desire to rationally minimize unnecessary interventions and radiation exposure. Ongoing evidence-based research is needed to further improve practice guidelines.
Authors: Owen J Arthurs; Andrea D Edwards; Ilse Joubert; Martin J Graves; Pat A K Set; David J Lomas Journal: Eur Radiol Date: 2011-04-17 Impact factor: 5.315
Authors: L S Wong; K S Tse; T W Fan; K Y Kwok; T K Tsang; H S Fung; W Chan; K W Lee; M W Y Leung; N S Y Chao; K W Tang; S C H Chan Journal: Eur J Pediatr Date: 2014-08 Impact factor: 3.183
Authors: Michala Holm Reichkendler; Ronan M G Berg; Robin de Nijs; Hanne Nørgaard; Ida Maria Schmidt; Lise Borgwardt Journal: Eur J Nucl Med Mol Imaging Date: 2019-11-15 Impact factor: 9.236