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Erschienen in: Pediatric Radiology 2/2007

01.02.2007 | Original Article

Nomograms of total renal volume, urinary bladder volume and bladder wall thickness index in 3,376 children with a normal urinary tract

verfasst von: Vivian Yee-fong Leung, Winnie Chiu-wing Chu, Chung-kwong Yeung, Biji Sreedhar, Ji-xian Liu, Eric Ming-chung Wong, Constantine Metreweli

Erschienen in: Pediatric Radiology | Ausgabe 2/2007

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Abstract

Background

We have previously shown that urinary bladder volume index (BVI = length × width × depth of bladder) and bladder volume wall thickness index (BVWI = BVI at full bladder/average bladder wall thickness) are useful indicators of bladder dysfunction in children with enuresis and urinary tract infection. These indices show a good correlation with urodynamic studies. We have expanded the study to include normal paediatric subjects with a wide age range. We illustrate a simple sonography protocol with nomograms of different parameters, which provide useful references for functional assessment in children with urological abnormalities.

Objective

To construct nomograms of total renal volume, maximum BVI and BVWI based on a Chinese paediatric population with age range from newborn to adolescence.

Materials and methods

Sonography was performed in consecutive children with normal urinary tracts on imaging, using a standardized protocol. Data were collected for construction of nomograms for different parameters.

Results

Nomograms of total renal volume, BVI and BVWI were constructed based on 3,376 consecutive paediatric subjects. All parameters consistently increased with age.

Conclusion

Nomograms of total renal volume, BVI and BVWI could provide useful references for studying bladder dysfunction in children using noninvasive dynamic sonography.
Literatur
1.
Zurück zum Zitat Leung VY, Chu WC, Yeung CK et al (2006) Ureteric jet Doppler waveform and bladder wall thickness in children with nocturnal enuresis. Pediatr Res 60:582–586PubMedCrossRef Leung VY, Chu WC, Yeung CK et al (2006) Ureteric jet Doppler waveform and bladder wall thickness in children with nocturnal enuresis. Pediatr Res 60:582–586PubMedCrossRef
2.
Zurück zum Zitat Yeung CK, Sreedhar B, Leung VY et al (2004) Ultrasound bladder measurements in patients with primary nocturnal enuresis: a urodynamic and treatment outcome correlation. J Urol 171:2589–2594PubMedCrossRef Yeung CK, Sreedhar B, Leung VY et al (2004) Ultrasound bladder measurements in patients with primary nocturnal enuresis: a urodynamic and treatment outcome correlation. J Urol 171:2589–2594PubMedCrossRef
4.
Zurück zum Zitat Griffith CJ, Murray A, Ramsden PD (1986) Accuracy and repeatability of bladder volume measurement using ultrasonic imaging. J Urol 136:808–812 Griffith CJ, Murray A, Ramsden PD (1986) Accuracy and repeatability of bladder volume measurement using ultrasonic imaging. J Urol 136:808–812
5.
Zurück zum Zitat Cole CJ, Freeman JV, Preece MA (1998) British 1990 growth reference centiles for weight, height, body mass index and head circumference fitted by maximum penalized likelihood. Stat Med 17:407–429PubMedCrossRef Cole CJ, Freeman JV, Preece MA (1998) British 1990 growth reference centiles for weight, height, body mass index and head circumference fitted by maximum penalized likelihood. Stat Med 17:407–429PubMedCrossRef
6.
Zurück zum Zitat Jequier S, Rousseau O (1987) Sonographic measurements of the normal bladder wall in children. AJR 149:563–566PubMed Jequier S, Rousseau O (1987) Sonographic measurements of the normal bladder wall in children. AJR 149:563–566PubMed
7.
Zurück zum Zitat Kaefer M, Barnewolt C, Retik AB et al (1997) The sonographic diagnosis of infravesical obstruction in children: evaluation of bladder wall thickness indexed to bladder filling. J Urol 157:989–991PubMedCrossRef Kaefer M, Barnewolt C, Retik AB et al (1997) The sonographic diagnosis of infravesical obstruction in children: evaluation of bladder wall thickness indexed to bladder filling. J Urol 157:989–991PubMedCrossRef
8.
Zurück zum Zitat Manieri C, Carter S, Romano G et al (1998) The diagnosis of bladder outlet obstruction in men by ultrasound measurement of bladder wall thickness. J Urol 159:761–765PubMedCrossRef Manieri C, Carter S, Romano G et al (1998) The diagnosis of bladder outlet obstruction in men by ultrasound measurement of bladder wall thickness. J Urol 159:761–765PubMedCrossRef
9.
Zurück zum Zitat Robinson D, Anders K, Cardozo L et al (2000) Can ultrasound replace ambulatory urodynamics when investigating women with irritative urinary symptoms? Br J Obstet Gynaecol 109:145 Robinson D, Anders K, Cardozo L et al (2000) Can ultrasound replace ambulatory urodynamics when investigating women with irritative urinary symptoms? Br J Obstet Gynaecol 109:145
10.
Zurück zum Zitat Ukimura O, Kojima M, Inui E et al (1998) Non-invasive evaluation of bladder compliance in children using ultrasound estimated bladder weight. J Urol 160:1459–1462PubMedCrossRef Ukimura O, Kojima M, Inui E et al (1998) Non-invasive evaluation of bladder compliance in children using ultrasound estimated bladder weight. J Urol 160:1459–1462PubMedCrossRef
11.
Zurück zum Zitat Wein AJ (2002) Pathophysiology and categorization of voiding dysfunction. In: Walsh PC, Retik AB, Vaughan ED et al (eds) Campbell’s urology, vol 2. Saunders, Philadelphia, pp 887–891 Wein AJ (2002) Pathophysiology and categorization of voiding dysfunction. In: Walsh PC, Retik AB, Vaughan ED et al (eds) Campbell’s urology, vol 2. Saunders, Philadelphia, pp 887–891
12.
Zurück zum Zitat Zderic SA, Chacko S, Disanto ME et al (2002) Voiding function and dysfunction. In: Gillenwater JY, Grayhack JT, Howards SS et al (eds) Adult and pediatric urology, vol 2. Lippincott Williams & Wilkins, Baltimore, pp 1098–1104 Zderic SA, Chacko S, Disanto ME et al (2002) Voiding function and dysfunction. In: Gillenwater JY, Grayhack JT, Howards SS et al (eds) Adult and pediatric urology, vol 2. Lippincott Williams & Wilkins, Baltimore, pp 1098–1104
13.
Zurück zum Zitat Brkljačić B, KuXmić AC, Dmitrović R (2004) Ultrasound-estimated bladder weight in healthy children. Eur Radiol 14:1596–1599PubMedCrossRef Brkljačić B, KuXmić AC, Dmitrović R (2004) Ultrasound-estimated bladder weight in healthy children. Eur Radiol 14:1596–1599PubMedCrossRef
14.
Zurück zum Zitat Kuzmić AC, Brkljačić B, Ivanlović D (2003) The impact of bladder shape on the ultrasonographic measurement of bladder volume in children. Pediatr Radiol 33:530–534PubMedCrossRef Kuzmić AC, Brkljačić B, Ivanlović D (2003) The impact of bladder shape on the ultrasonographic measurement of bladder volume in children. Pediatr Radiol 33:530–534PubMedCrossRef
15.
Zurück zum Zitat Roberts DS, Rendell B (1989) Postmicturition residual bladder volume in healthy babies. Arch Dis Child 64:825–828PubMedCrossRef Roberts DS, Rendell B (1989) Postmicturition residual bladder volume in healthy babies. Arch Dis Child 64:825–828PubMedCrossRef
16.
Zurück zum Zitat Nøgaard JP, van Gool JD, Hjalmas K et al (1998) Standardization and definitions in lower urinary tract dysfunction in children. International Children’s Continence Society. Br J Urol 81 [Suppl 3]:1–16 Nøgaard JP, van Gool JD, Hjalmas K et al (1998) Standardization and definitions in lower urinary tract dysfunction in children. International Children’s Continence Society. Br J Urol 81 [Suppl 3]:1–16
17.
Zurück zum Zitat Müller L, Bergström T, Hellström M et al (2000) Standardized ultrasound method for assessing detrusor muscle thickness in children. J Urol 164:134–138PubMedCrossRef Müller L, Bergström T, Hellström M et al (2000) Standardized ultrasound method for assessing detrusor muscle thickness in children. J Urol 164:134–138PubMedCrossRef
18.
Zurück zum Zitat Watanabe H, Kawauchi A (1995) Is small bladder capacity a cause of enuresis? Scand J Urol Nephrol Suppl 173:37–41PubMed Watanabe H, Kawauchi A (1995) Is small bladder capacity a cause of enuresis? Scand J Urol Nephrol Suppl 173:37–41PubMed
19.
Zurück zum Zitat Hamano S, Yamanishi T, Igarashi T et al (1999) Evaluation of functional bladder capacity in Japanese children. Int J Urol 6:226–228PubMedCrossRef Hamano S, Yamanishi T, Igarashi T et al (1999) Evaluation of functional bladder capacity in Japanese children. Int J Urol 6:226–228PubMedCrossRef
20.
Zurück zum Zitat Engström CF, Ringertz H (1984) Radiologic method to assess urinary bladder capacity and proportions in children. Acta Radiol 25:33–37 Engström CF, Ringertz H (1984) Radiologic method to assess urinary bladder capacity and proportions in children. Acta Radiol 25:33–37
21.
Zurück zum Zitat Zerin JM, Chen E, Ritchey ML et al (1993) Bladder capacity as measured at voiding cystourethrography in children: relationship to toilet training and frequency of micturition. Radiology 187:803–806PubMed Zerin JM, Chen E, Ritchey ML et al (1993) Bladder capacity as measured at voiding cystourethrography in children: relationship to toilet training and frequency of micturition. Radiology 187:803–806PubMed
22.
Zurück zum Zitat Treves ST, Zurakowski D, Bauer SB et al (1996) Functional bladder capacity measured during radionuclide cystography in children. Radiology 198:269–272PubMed Treves ST, Zurakowski D, Bauer SB et al (1996) Functional bladder capacity measured during radionuclide cystography in children. Radiology 198:269–272PubMed
23.
Zurück zum Zitat Fairhurst JJ, Rubin CM, Hyde I et al (1991) Bladder capacity in infants. J Pediatr Surg 26:55–57PubMedCrossRef Fairhurst JJ, Rubin CM, Hyde I et al (1991) Bladder capacity in infants. J Pediatr Surg 26:55–57PubMedCrossRef
24.
Zurück zum Zitat Schmidt IM, Main KM, Damgaard IN et al (2004) Kidney growth in 717 healthy children aged 0–18 months: a longitudinal cohort study. Pediatr Nephrol 19:992–1003PubMed Schmidt IM, Main KM, Damgaard IN et al (2004) Kidney growth in 717 healthy children aged 0–18 months: a longitudinal cohort study. Pediatr Nephrol 19:992–1003PubMed
25.
Zurück zum Zitat Oswald J, Schwentner C, Lunacek A et al (2004) Age and lean body weight related growth curves of kidneys using real-time 3-dimensional ultrasound in pediatric urology. J Urol 172:1991–1994PubMedCrossRef Oswald J, Schwentner C, Lunacek A et al (2004) Age and lean body weight related growth curves of kidneys using real-time 3-dimensional ultrasound in pediatric urology. J Urol 172:1991–1994PubMedCrossRef
26.
Zurück zum Zitat Heuer R, Sommer G, Shortliffe LD (2003) Evaluation of renal growth by magnetic resonance imaging and computerized tomography volumes. J Urol 170:1659–1663PubMedCrossRef Heuer R, Sommer G, Shortliffe LD (2003) Evaluation of renal growth by magnetic resonance imaging and computerized tomography volumes. J Urol 170:1659–1663PubMedCrossRef
Metadaten
Titel
Nomograms of total renal volume, urinary bladder volume and bladder wall thickness index in 3,376 children with a normal urinary tract
verfasst von
Vivian Yee-fong Leung
Winnie Chiu-wing Chu
Chung-kwong Yeung
Biji Sreedhar
Ji-xian Liu
Eric Ming-chung Wong
Constantine Metreweli
Publikationsdatum
01.02.2007
Verlag
Springer-Verlag
Erschienen in
Pediatric Radiology / Ausgabe 2/2007
Print ISSN: 0301-0449
Elektronische ISSN: 1432-1998
DOI
https://doi.org/10.1007/s00247-006-0376-y

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