Étude scanographique multibarrette des voies excrétrices avec ou sans hyperdiurèse

Claebots, C.; Puech, P; Delomez, J.; Devos, Patrick; Lemaître, L.

doi:10.1016/s0221-0363(07)74048-9

Cited by 6 publications

(2 citation statements)

References 21 publications

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“…There are several techniques to improve opacification and distention of urinary tracts in CTU, including oral and intravenous hydration, use of compression belts and administration of diuretics [1, 2, 8, 20, 31, 32]. Also, reduction of contrast layering effect may result in improving diagnostic accuracy of CTU [17, 20, 33].…”

Section: Discussionmentioning

confidence: 99%

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Influence of furosemide on contrast medium distribution in computed tomography urography of high-grade hydronephrosis in children

Bombiński

Brzewski

Warchoł

et al. 2018

Cent european J Urol

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IntroductionDiuretics improve visualization of the urinary tract in computed tomography urography in adults, as well as in magnetic resonance urography in adults and children. Also, diuretics can help to diagnose upper urinary tract obstruction in intravenous urography, ultrasonography or dynamic scintigraphy. However, there are still missing data on evaluation of furosemide usefulness in computed tomography urography examinations in children with suspected congenital anomalies of the urinary tracts.The aim of this study was to compare the homogeneity of contrast medium distribution in high-grade hydronephrosis in pediatric computed tomography urographies performed with and without use of diuretic (furosemide).Materials and methodWe have restrospectively analyzed computed tomography urography image series performed in the Department of Pediatric Radiology, in children with suspected congenital anomalies of the kidney and the urinary tract. Kidney units with high-grade hydronephrosis were divided in two groups: non-furosemide (n = 25) and furosemide (n = 28) group, where diuretic in dose 1 mg/kg, with maximum 20 mg, was administered intravenously 3–5 min before contrast medium administration. Subjective image quality and diagnostic confidence were evaluated by two independent radiologists and compared between study groups.ResultsThere were no significant differences in subjective image quality and diagnostic confidence between furosemide and non-furosemide groups.ConclusionsAddition of furosemide to computed tomography urography does not improve homogeneity of contrast medium distribution in hydronephrotic kidneys in children.

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Section: Discussionmentioning

confidence: 99%

“…There are different proposed doses of furosemide, varying between 5 mg and 40 mg [2, 12, 13, 32]. In children, it should be adapted to the patient's weight, and in our department a standard dose was 1 mg/kg, with maximum 20 mg.…”

Section: Discussionmentioning

confidence: 99%