CORRELATION OF ULTRASOUND AND RENAL SCINTIGRAPHY IN CHILDREN WITH UNILATERAL HYDRONEPHROSIS IN PRIMARY WORK-UP

被引:13
作者
NITZSCHE, EU
ZIMMERHACKL, LB
HAWKINS, RA
STOVER, B
FRANKENSCHMIDT, A
SIGMUND, G
CHOI, Y
HOH, CK
MOSER, EA
机构
[1] Division of Nuclear Medicine and Special Biophysics, Department of Radiological Science, UCLA School of Medicine, Los Angeles, 90024-1721, CA
[2] Department of Nuclear Medicine, Albert-Ludwigs-University, School of Medicine, Freiburg
[3] Department of Pediatrics, Albert-Ludwigs-University, School of Medicine, Freiburg
[4] Department of Radiodiagnostics, Albert-Ludwigs-University, School of Medicine, Freiburg
[5] Department of Urology, Albert-Ludwigs-University, School of Medicine, Freiburg
关键词
ULTRASOUND; RENAL SCINTIGRAPHY; HYDRONEPHROSIS; DILATATION;
D O I
10.1007/BF00864377
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Ultrasound accurately detects hydronephrosis in infants and children, while nuclear medicine techniques quantify relative renal function in addition to characterizing the urodynamic relevance of hydronephrosis. This prospective study was undertaken to examine the relationship between ultrasound morphological findings and relative renal function, quantified with dynamic technetium-99m mercaptotriacetylglycine imaging, in the initial diagnostic workup of children with unilateral hydronephrosis. The ultrasound grade of hydronephrosis and relative renal function ipsilateral to the hydronephrosis were inversely related, indicating that with more severe hydronephrosis ultrasound fails to estimate the potential reduction of relative kidney function. Because renal function is not necessarily affected by hydronephrosis, renal scintigraphy is indicated to assess the functional status of hydronephrotic kidneys.
引用
收藏
页码:138 / 142
页数:5
相关论文
共 38 条
[1]  
Rosendahl H., Ultrasound screening for fetal urinary tract malformations: a prospective study in general population, Eur J Obstet Gynecol Reprod Biol, 36, pp. 27-33, (1990)
[2]  
Hoy Y.L., Saad F., Laberge I., Williot P., Pison C., Transitional hydronephrosis of the newborn and infant, J Urol, 144, pp. 579-583, (1990)
[3]  
Johnson H.J., Gleave M., Coleman G.U., Nadel H.R., Raffel J., Weckworth P.F., Neonatal renomegaly, J Urol, 138, pp. 1023-1027, (1987)
[4]  
Hoy Y.L., Williot P., Danais S., Transitional hydronephrosis: fact or fantasy?, J Urol, 136, pp. 339-341, (1985)
[5]  
Grignon A., Faliatrault D., Hoy Y.L., Robitaille P., Filion R., Boutin H., Leblond R., Ureteropelvic junction stenosis: antenatal ultrasonographic diagnosis, postnatal investigation and follow up, Radiology, 160, pp. 649-651, (1986)
[6]  
Moneer H.K., Megaureter, Urologic surgery in neonates and young infants, pp. 155-203, (1988)
[7]  
Medical versus surgical treatment of primary vesicoureteral reflux, Pediatrics, 67, pp. 392-400, (1981)
[8]  
Smellie J.M., Normand I.C.S., Experience of follow up of children with urinary tract infection, Urinary tract infection, pp. 123-138, (1986)
[9]  
Stephens F.D., Preliminary follow up study of 101 children with reflux treated conservatively, Renal infection and renal scarring, pp. 283-285, (1970)
[10]  
Rolleston G.L., Shannon F.T., Relationship of infantile vesicoureteric reflux to renal damage, BM J, 1, pp. 460-463, (1970)