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Erschienen in: European Radiology 7/2005

01.07.2005 | Pediatric

Imaging strategies in pediatric urinary tract infection

verfasst von: Jean-Nicolas Dacher, Anne Hitzel, Fred E. Avni, Pierre Vera

Erschienen in: European Radiology | Ausgabe 7/2005

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Abstract

This article is focused on the controversial topic of imaging strategies in pediatric urinary tract infection. A review of the recent literature illustrates the complementary roles of ultrasound, diagnostic radiology and nuclear medicine. The authors stress the key role of ultrasound which has recently been debated. The commonly associated vesicoureteric reflux has to be classified as congenital or secondary due to voiding dysfunction. A series of frequently asked questions are addressed in a second section. The proposed answers are not the product of a consensus but should rather be considered as proposals to enrich the ongoing debate concerning the evaluation of urinary tract infection in children.
Literatur
1.
Zurück zum Zitat Jodal U (1994) Urinary tract infections (UTI): significance, pathogenesis, clinical features and diagnosis. In: Postelthwaite RJ (ed) Clinical pediatric nephrology, 2nd edn. Butterworth-Heineman, Oxford, pp 151–159 Jodal U (1994) Urinary tract infections (UTI): significance, pathogenesis, clinical features and diagnosis. In: Postelthwaite RJ (ed) Clinical pediatric nephrology, 2nd edn. Butterworth-Heineman, Oxford, pp 151–159
2.
Zurück zum Zitat Jodal U, Lindberg U (1999) Guidelines for management of children with UTI and VUR. Recommendations from a Swedish state of the art conference. Acta Paediatr 431:87–89 Jodal U, Lindberg U (1999) Guidelines for management of children with UTI and VUR. Recommendations from a Swedish state of the art conference. Acta Paediatr 431:87–89
3.
Zurück zum Zitat Hellerstein S (1995) Urinary tract infection: old and new concepts. Pediatr Clin N Am 42:1433–1457 Hellerstein S (1995) Urinary tract infection: old and new concepts. Pediatr Clin N Am 42:1433–1457
4.
Zurück zum Zitat Hoberman A, Charron M, Hickey RW, Baskin M, Kearney DH, Wald ER (2003) Imaging studies after a first febrile urinary tract infection in young children. N Engl J Med 348:195–202CrossRefPubMed Hoberman A, Charron M, Hickey RW, Baskin M, Kearney DH, Wald ER (2003) Imaging studies after a first febrile urinary tract infection in young children. N Engl J Med 348:195–202CrossRefPubMed
5.
Zurück zum Zitat Moorthy I, Joshi N, Cook JV, Warren M (2003) Antenatal hydronephrosis: negative predictive value of normal postnatal ultrasound: a 5-year study. Clin Radiol 58:964–970 Moorthy I, Joshi N, Cook JV, Warren M (2003) Antenatal hydronephrosis: negative predictive value of normal postnatal ultrasound: a 5-year study. Clin Radiol 58:964–970
6.
Zurück zum Zitat Phan V, Traubici J, Hershenfield B, Stephens D, Rosenblum ND, Geary DF (2003) Vesicoureteral reflux in infants with isolated antenatal hydronephrosis. Pediatr Nephrol 18:1224–1228CrossRefPubMed Phan V, Traubici J, Hershenfield B, Stephens D, Rosenblum ND, Geary DF (2003) Vesicoureteral reflux in infants with isolated antenatal hydronephrosis. Pediatr Nephrol 18:1224–1228CrossRefPubMed
7.
Zurück zum Zitat Anderson NG, Wright S, Abbott GD, Wells JE, Mogridge N (2003) Fetal renal pelvic dilatation: poor predictor of familial vesico–ureteral reflux. Pediatr Nephrol 18:902–905 Anderson NG, Wright S, Abbott GD, Wells JE, Mogridge N (2003) Fetal renal pelvic dilatation: poor predictor of familial vesico–ureteral reflux. Pediatr Nephrol 18:902–905
8.
Zurück zum Zitat Nishisaki A (2003) Imaging studies after a first febrile urinary tract infection in young children (comment). N Engl J Med 348:1812 Nishisaki A (2003) Imaging studies after a first febrile urinary tract infection in young children (comment). N Engl J Med 348:1812
9.
Zurück zum Zitat Dacher JN, Mandell J, Lebowitz RL (1992) Urinary tract infections in infants in spite of prenatal diagnosis of hydronephrosis. Pediatr Radiol 22:401–405 Dacher JN, Mandell J, Lebowitz RL (1992) Urinary tract infections in infants in spite of prenatal diagnosis of hydronephrosis. Pediatr Radiol 22:401–405
10.
Zurück zum Zitat Dacher JN, Pfister C, Monroc M, Eurin D, Le Dosseur P (1996) Power Doppler sonographic pattern of acute pyelonephritis in children. Am J Roentgenol 166:1451–1455 Dacher JN, Pfister C, Monroc M, Eurin D, Le Dosseur P (1996) Power Doppler sonographic pattern of acute pyelonephritis in children. Am J Roentgenol 166:1451–1455
11.
Zurück zum Zitat Riccabona M, Fotter R (2004) Urinary tract infection in infants and children: an update with special regard to the changing role of reflux. Eur Radiol 14:L78–L88 Riccabona M, Fotter R (2004) Urinary tract infection in infants and children: an update with special regard to the changing role of reflux. Eur Radiol 14:L78–L88
12.
Zurück zum Zitat Alon US, Ganapathy S (1999) Should renal ultrasonography be done routinely in children with urinary tract infection? Clin Pediatr 38:21–25 Alon US, Ganapathy S (1999) Should renal ultrasonography be done routinely in children with urinary tract infection? Clin Pediatr 38:21–25
13.
Zurück zum Zitat Morin D, Veyrac C, Kotzki PO et al. (1999) Comparison of ultrasound and DMSA scintigraphy changes in acute pyelonephritis. Pediatr Nephrol 13:219–222 Morin D, Veyrac C, Kotzki PO et al. (1999) Comparison of ultrasound and DMSA scintigraphy changes in acute pyelonephritis. Pediatr Nephrol 13:219–222
14.
Zurück zum Zitat Hitzel A, Liard A, Vera P, Manrique A, Menard JF, Dacher JN (2002) Color and power Doppler sonography versus DMSA scintigraphy in acute pyelonephritis and in prediction of renal scarring. J Nucl Med 43:27–32PubMed Hitzel A, Liard A, Vera P, Manrique A, Menard JF, Dacher JN (2002) Color and power Doppler sonography versus DMSA scintigraphy in acute pyelonephritis and in prediction of renal scarring. J Nucl Med 43:27–32PubMed
15.
Zurück zum Zitat Dacher JN, Avni EF, François A et al. (1999) Renal sinus hyperechogenicity in acute pyelonephritis: description and pathological correlation. Pediatr Radiol 29:179–182 Dacher JN, Avni EF, François A et al. (1999) Renal sinus hyperechogenicity in acute pyelonephritis: description and pathological correlation. Pediatr Radiol 29:179–182
16.
Zurück zum Zitat Dacher JN, Savoye-Collet C (2004) Urinary tract infection and functional bladder sphincter disorders in children. Eur Radiol 14:L101–L106 Dacher JN, Savoye-Collet C (2004) Urinary tract infection and functional bladder sphincter disorders in children. Eur Radiol 14:L101–L106
17.
Zurück zum Zitat Paltiel HJ, Rupich RC, Kiruluta HG et al. (1992) Enhanced detection of vesico–ureteral reflux in infants and children with use of cyclic voiding cystourethrography. Radiology 184:753–755PubMed Paltiel HJ, Rupich RC, Kiruluta HG et al. (1992) Enhanced detection of vesico–ureteral reflux in infants and children with use of cyclic voiding cystourethrography. Radiology 184:753–755PubMed
18.
Zurück zum Zitat Franchi-Abella S, Waguet J, Aboun M, Sariego F, Pariente D (2000) Cyclic filling cystourethrography in the study of febrile urinary tract infection in children. J Radiol 81:1615–1618 Franchi-Abella S, Waguet J, Aboun M, Sariego F, Pariente D (2000) Cyclic filling cystourethrography in the study of febrile urinary tract infection in children. J Radiol 81:1615–1618
19.
Zurück zum Zitat Darge K (2002) Diagnosis of vesicoureteric reflux with ultrasonography. Pediatr Nephrol 17:52–60CrossRefPubMed Darge K (2002) Diagnosis of vesicoureteric reflux with ultrasonography. Pediatr Nephrol 17:52–60CrossRefPubMed
20.
Zurück zum Zitat Allen TD (1992) Commentary: voiding dysfunction and reflux. J Urol 148:1706–1707 Allen TD (1992) Commentary: voiding dysfunction and reflux. J Urol 148:1706–1707
21.
Zurück zum Zitat Fotter R (2001) Functional disorders of the urinary tract. In: Fotter R (ed) Pediatric uroradiology. Springer, Berlin, Heidelberg, New York, pp 185–200 Fotter R (2001) Functional disorders of the urinary tract. In: Fotter R (ed) Pediatric uroradiology. Springer, Berlin, Heidelberg, New York, pp 185–200
22.
Zurück zum Zitat Badachi Y, Pietrera P, Liard A, Pfister C, Dacher JN (2002) Vesicoureteric reflux and dysfunctional voiding in children. J Radiol 83:1823–1827 Badachi Y, Pietrera P, Liard A, Pfister C, Dacher JN (2002) Vesicoureteric reflux and dysfunctional voiding in children. J Radiol 83:1823–1827
23.
Zurück zum Zitat Goldraich NP, Goldraich IH (1995) Update on DMSA renal scanning in children with urinary tract infection. Pediatr Nephrol 9:221–226 Goldraich NP, Goldraich IH (1995) Update on DMSA renal scanning in children with urinary tract infection. Pediatr Nephrol 9:221–226
24.
Zurück zum Zitat Piepsz A, Colarinha P, Gordon I et al. (2001) Paediatric Committee of the European Association of Nuclear Medicine. Guidelines for 99 mTc-DMSA scintigraphy in children. Eur J Nucl Med 28(3):37–41 Piepsz A, Colarinha P, Gordon I et al. (2001) Paediatric Committee of the European Association of Nuclear Medicine. Guidelines for 99 mTc-DMSA scintigraphy in children. Eur J Nucl Med 28(3):37–41
25.
Zurück zum Zitat Piepsz A, Blaufox MD, Gordon I et al. (1999) Consensus on renal cortical scintigraphy in children with urinary tract infection. Scientific Committee of Radionuclides in nephrourology. Semin Nucl Med 29:160–174PubMed Piepsz A, Blaufox MD, Gordon I et al. (1999) Consensus on renal cortical scintigraphy in children with urinary tract infection. Scientific Committee of Radionuclides in nephrourology. Semin Nucl Med 29:160–174PubMed
26.
Zurück zum Zitat Fleming JS, Cosgriff PS, Houston AS, Jarritt PH, Skrypniuk JV, Whalley DR (1998) UK audit of relative renal function measurement using DMSA scintigraphy. Nucl Med Commun 19:989–997 Fleming JS, Cosgriff PS, Houston AS, Jarritt PH, Skrypniuk JV, Whalley DR (1998) UK audit of relative renal function measurement using DMSA scintigraphy. Nucl Med Commun 19:989–997
27.
Zurück zum Zitat Majd M, Rushton HG (1992) Renal cortical scintigraphy in the diagnosis of acute pyelonephritis. Semin Nucl Med 22:98–111PubMed Majd M, Rushton HG (1992) Renal cortical scintigraphy in the diagnosis of acute pyelonephritis. Semin Nucl Med 22:98–111PubMed
28.
Zurück zum Zitat Patel K, Charron M, Hoberman A, Brown ML, Rogers KD (1993) Intra- and interobserver variability in interpretation of DMSA scans using a set of standardized criteria. Pediatr Radiol 23:506–509 Patel K, Charron M, Hoberman A, Brown ML, Rogers KD (1993) Intra- and interobserver variability in interpretation of DMSA scans using a set of standardized criteria. Pediatr Radiol 23:506–509
29.
Zurück zum Zitat Ditchfield MR, Grimwood K, Cook DJ et al. (2004) Persistent renal cortical scintigram defects in children 2 years after urinary tract infection. Pediatr Radiol 34:465–471 Ditchfield MR, Grimwood K, Cook DJ et al. (2004) Persistent renal cortical scintigram defects in children 2 years after urinary tract infection. Pediatr Radiol 34:465–471
30.
Zurück zum Zitat Hitzel A, Liard A, Dacher JN et al. (2004) Quantitative analysis of 99 m Tc-DMSA during acute pyelonephritis for prediction of long term renal scarring. J Nucl Med 45:285–289 Hitzel A, Liard A, Dacher JN et al. (2004) Quantitative analysis of 99 m Tc-DMSA during acute pyelonephritis for prediction of long term renal scarring. J Nucl Med 45:285–289
31.
Zurück zum Zitat Lonergan GJ, Pennington DJ, Morrison JC et al. (1998) Childhood pyelonephritis: comparison of gadolinium enhanced MR imaging and renal cortical scintigraphy for diagnosis. Radiology 207:377–384PubMed Lonergan GJ, Pennington DJ, Morrison JC et al. (1998) Childhood pyelonephritis: comparison of gadolinium enhanced MR imaging and renal cortical scintigraphy for diagnosis. Radiology 207:377–384PubMed
32.
Zurück zum Zitat Naseer SR, Steinhardt GF (1997) New renal scars in children with urinary tract infections, vesico–ureteral reflux and voiding dysfunction: a prospective evaluation. J Urol 158:566–568 Naseer SR, Steinhardt GF (1997) New renal scars in children with urinary tract infections, vesico–ureteral reflux and voiding dysfunction: a prospective evaluation. J Urol 158:566–568
33.
Zurück zum Zitat Pfister C, Dacher JN, Gaucher S, Liard-Zmuda A, Grise P, Mitrofanoff P (1999) The usefulness of minimal urodynamic evaluation and pelvic floor biofeedback in children with chronic voiding dysfunction. Br J Urol 84:1054–1057 Pfister C, Dacher JN, Gaucher S, Liard-Zmuda A, Grise P, Mitrofanoff P (1999) The usefulness of minimal urodynamic evaluation and pelvic floor biofeedback in children with chronic voiding dysfunction. Br J Urol 84:1054–1057
34.
Zurück zum Zitat Rohrschneider WK, Haufe S, Clorius JH, Tröger J (2003) MR to assess renal function in children. Eur Radiol 13:1033–1045 Rohrschneider WK, Haufe S, Clorius JH, Tröger J (2003) MR to assess renal function in children. Eur Radiol 13:1033–1045
35.
Zurück zum Zitat Wennerstrom M, Hansson S, Hedner T, Himmelmann A, Jodal U (2000) Ambulatory blood pressure 16–26 years after the first urinary tract infection. J Hypertens 18:485–491 Wennerstrom M, Hansson S, Hedner T, Himmelmann A, Jodal U (2000) Ambulatory blood pressure 16–26 years after the first urinary tract infection. J Hypertens 18:485–491
Metadaten
Titel
Imaging strategies in pediatric urinary tract infection
verfasst von
Jean-Nicolas Dacher
Anne Hitzel
Fred E. Avni
Pierre Vera
Publikationsdatum
01.07.2005
Erschienen in
European Radiology / Ausgabe 7/2005
Print ISSN: 0938-7994
Elektronische ISSN: 1432-1084
DOI
https://doi.org/10.1007/s00330-005-2702-4

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