Vesicoureteral reflux grading in contrast-enhanced voiding urosonography

Darge, Kassa; Troeger, Jochen

doi:10.1016/s0720-048x(02)00114-6

Cited by 107 publications

(67 citation statements)

References 26 publications

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“…Transabdominal and transperineal scanning of the urethra is performed throughout. The diagnosis and grading of VUR is determined by the presence of echogenic microbubbles from the ultrasound contrast in the upper urinary tract (40). In newborns and infants, who tend to void before maximum filling bladder capacity is reached, ceVUS examination is repeated in a cyclical manner, with performance of successive cycles of bladder filling after voiding, until ceVUS examination is appropriately completed.…”

Section: Contrast-enhanced Voiding Urosonographymentioning

confidence: 99%

Contrast-enhanced voiding urosonography (ceVUS) as a diagnostic tool in evaluation of vesicoureteral reflux

Roić

Palčić

et al. 2016

Pedaiatr Today

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Section: Contrast-enhanced Voiding Urosonographymentioning

confidence: 99%

Contrast-enhanced voiding urosonography (ceVUS) as a diagnostic tool in evaluation of vesicoureteral reflux

Roić

Palčić

et al. 2016

Pedaiatr Today

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“…The second-generation UCA is used in small doses (16). The grading of VUR is similar to X-ray voiding cystourethrography -five grades (17). Some authors used the three-grade system, similar to radionuclide voiding cystography, or the upgraded three-grade system (18).…”

Section: Contrast-enhanced Voiding Cysto-urethro Sonographymentioning

confidence: 99%

Contrast-enhanced ultrasonography in children

Ključevšek

2016

Pedaiatr Today

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Development of ultrasound contrast agents (UCAs) opened the possibility of a new radiation-free diagnostic technique called contrast-enhanced ultrasonography (CEUS) in pediatric imaging. First, the safety profile of CEUS is discussed, followed by the description of common clinical applications. UCAs are not registered for individuals younger than 18 years and their current use is off-label. The published studies concerning UCA safety have shown the high safety profile of UCAs. Following intravenous application of UCAs, only one severe anaphylactic reaction has been reported in children, along with some mild adverse reactions, while during intravesical application no adverse effect related to UCAs has been reported. The main indication in the pediatric population for UCA application is voiding urosonography (VUS). The generally accepted standard VUS procedure is described together with its role in the urodiagnostic algorithm. The intravenous application of UCA is less widespread, but it is slowly gaining popularity among pediatric radiologists as a problem solving method. Unfortunately, there has been no standardization of the procedure and there are no official recommendations regarding the dose of UCAs, which should be appropriately adjusted according to the patient's weight or age, and to the probe. The review of the published literature concerning intravenous CEUS is presented. A step forward towards functional imaging is dynamic CEUS, which enables quantification of enhancement. In addition, the role of the EFSUMB Paediatric Registry Data Base is presented. Conclusion -CEUS examinations have opened new prospects in ultrasound and have become promising non-invasive radiation-free method in children,

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“…Az MCU és MSC megegyezik a refl ux kizárásában és észlelésében, de az MSC érzékenyebb, és ez utóbbival több és sok esetben magasabb fokozatú refl ux látható, mint MCU-val [24,25,26,27,28,29,30].…”

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Ultrasound examination in childhood: opportunities and new ways

Kis

2014

Orvosi Hetilap

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Az ultrahangvizsgálat jelentősége és fontossága a modern képalkotó vizsgálatok (CT, MR, izotóp, PET/CT) elterjedésével csökkent, nemritkán csak mint első tájékozódó vizsgálat jelenik meg. A legújabb sokszeletes spirál-CT-kkel a képalkotás másodpercek alatt elvégezhető, ami a jelentős sugárterheléssel járó vizsgálatok számának drámai növe-kedéséhez vezetett, gyermekkorban is. Ugyanakkor nem feledkezhetünk meg arról, hogy az elmúlt években jelentős fejlődés történt az ultrahang-technológiában, a képminőség egyre jobb. A gyermekek ideális alanyai a vizsgálatnak, miután az esetek nagy részében testtömegük kisebb, kevesebb zsírt tartalmaz, így könnyen vizsgálhatók magas frekvenciájú transzducerrel, aminek következtében sokkal részletgazdagabb, jobb felbontású képek nyerhetők, mint ál-talában felnőtteknél. Megfelelő készülék és gyakorlott, gyermekradiológiában tapasztalt vizsgáló esetében csaknem valamennyi testtájék vizsgálható, mindenképpen első választandó módszer, amely legtöbbször elegendő (esetleg röntgenvizsgálattal kiegészítve) a megfelelő diagnózis felállítására. A közlemény azokkal a lehetőségekkel foglalkozik, ahol a modern ultrahangkészülékek birtokában az ultrahangvizsgálat elegendő a pontos diagnózishoz. Orv. Hetil., 2014, 155(4), 132-140. Kulcsszavak: ultrahangvizsgálat, szonocisztográfi a, nekrotizáló enterocolitis Ultrasound examination in childhood: opportunities and new waysEveryday use of the modern imaging techniques such as CT, MRI, isotope, PET/CT decreased the reputation and importance of ultrasound. In some cases, ultrasound is only the fi rst exploratory imaging method. Using the latest multi-slice CT, imaging can be performed in seconds, which led to a dramatic increase in the number of CT exams. However, this also means a signifi cant radiation exposure to children, while US still harmless in this regard. In addition, signifi cant progress has been made in ultrasound technology in recent years, which led an improvement in image quality. Children are ideal subjects for US examination as they usually have smaller weight with less body fat. Thus, ultrasound examination is easy to perform with a high frequency transducer resulting in much more detailed and higher resolution than in adults. With adequate equipment and experienced examiner in pediatric radiology, almost all parts of the body can be examined, making this technique as the fi rst (sometimes together with X-ray) and, in most cases, the ultimate imaging exam for the diagnosis. This article will discuss the possibilities where ultrasound performed with a modern device is suffi cient for an accurate diagnosis. Keywords: ultrasound, urosonography, necrotising enterocolitisKis, É. [Ultrasound examination in childhood: opportunities and new ways]. Orv. Hetil., 2014, 155(4), 132-140. (Beérkezett: 2013 elfogadva: 2013. december 12.) A szerkesztőség felkérésére készült közlemény. Rövidítések CCAM = congenitalis cysticus adenomatoid malformatio; CPAM = congenitalis pulmonalis légúti malformatio; HIE = hypoxiás-ischaemiás encephalopathia; ...

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Vesicoureteral reflux grading in contrast-enhanced voiding urosonography

Cited by 107 publications

References 26 publications

Contrast-enhanced voiding urosonography (ceVUS) as a diagnostic tool in evaluation of vesicoureteral reflux

Contrast-enhanced voiding urosonography (ceVUS) as a diagnostic tool in evaluation of vesicoureteral reflux

Contrast-enhanced ultrasonography in children

Ultrasound examination in childhood: opportunities and new ways

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