Diagnosis of vesicoureteral reflux with echo-enhanced voiding urosonography

被引:35
作者
Darge, K
Dutting, T
Zieger, B
Mohring, K
Troger, J
机构
[1] Univ Heidelberg, Radiol Klin, Abt Padiat Radiol, D-69120 Heidelberg, Germany
[2] Univ Heidelberg, Urol Abt, Chirurg Klin, Heidelberg, Germany
来源
RADIOLOGE | 1998年 / 38卷 / 05期
关键词
vesicoureteral reflux; ultrasonography; echo-enhanced voiding urosonography; Levovist (R); voiding cystourethrography;
D O I
10.1007/s001170050372
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Aim: To ascertain the diagnostic efficacy of reflux sonography with the application of the echo-enhancing agent Levovist(R) in comparison with X-ray voiding cystourethrography (VCUG). Patients and methods: Echo-enhanced voiding urosonography (VUS) and VCUG were performed successively in one examination session in 114 children referred for the investigation of possible vesicoureteral reflux (VUR). After sonography of the urinary tract the bladder was filled with normal saline and Levovist(R) was administered. Reflux was diagnosed when hyperechogenic,floating microbubbles appeared in the ureters or renal pelvises. Results: A total of 226 kidney-ureter units were available for analysis. Reflux was diagnosed in 80 units. All grades of reflux were represented. In 15 kidney-ureter units VUR was diagnosed with echo-enhanced VUS but was not seen at VCUG. The contrary was true in 3 units. High sensitivity and specificity in comparison to the VCUG could be attributed to the echo-enhanced VUS. The long imaging window attainable with Levovist(R) makes the documentation of convincing images possible, contributing to the high diagnostic efficacy. Conclusion: Echo-enhanced VUS is comparable to VCUG in the diagnosis of reflux.
引用
收藏
页码:405 / 409
页数:5
相关论文
共 14 条
[1]  
ALZEN G, 1994, EUR RADIOL, V4, P142
[2]  
BELMAN AB, 1995, UROL CLIN N AM, V22, P139
[3]   VOIDING CYSTOURETHROGRAPHY IN CHILDREN - VALUE OF DIGITAL FLUOROSCOPY IN REDUCING RADIATION-DOSE [J].
CLEVELAND, RH ;
CONSTANTINOU, C ;
BLICKMAN, JG ;
JARAMILLO, D ;
WEBSTER, E .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1992, 158 (01) :137-142
[4]  
DARGE K, 1996, RADIOLOGY, V201, P242
[5]  
Hofmann V, 1981, Z Urol Nephrol, V74, P249
[6]   RELIABILITY OF VOIDING CYSTOURETHROGRAPHY TO DETECT REFLUX [J].
JEQUIER, S ;
JEQUIER, JC .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1989, 153 (04) :807-810
[7]   Lower urinary tract abnormalities in children with multicystic dysplastic kidney [J].
Karmazyn, B ;
Zerin, JM .
RADIOLOGY, 1997, 203 (01) :223-226
[8]   INTERNATIONAL SYSTEM OF RADIOGRAPHIC GRADING OF VESICOURETERIC REFLUX [J].
LEBOWITZ, RL ;
OLBING, H ;
PARKKULAINEN, KV ;
SMELLIE, JM ;
TAMMINENMOBIUS, TE .
PEDIATRIC RADIOLOGY, 1985, 15 (02) :105-109
[9]   Pyelonephritis and vesicoureteral reflux after renal transplantation in young children [J].
Neuhaus, TJ ;
Schwobel, M ;
Schlumpf, R ;
Offner, G ;
Leumann, E ;
Willi, U .
JOURNAL OF UROLOGY, 1997, 157 (04) :1400-1403
[10]   ENHANCED DETECTION OF VESICOURETERAL REFLUX IN INFANTS AND CHILDREN WITH USE OF CYCLIC VOIDING CYSTOURETHROGRAPHY [J].
PALTIEL, HJ ;
RUPICH, RC ;
KIRULUTA, HG .
RADIOLOGY, 1992, 184 (03) :753-755