Color Flow Doppler Sonography
in the Diagnosis of
Vesicoureteric Reflux

Salih, Mustafa A.; Baltacı, Sümer; Kılıç, Sahir; Anafarta, Kadri; Bedük, Yaşar

doi:10.1159/000475350

Cited by 40 publications

(26 citation statements)

References 6 publications

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“…Fourteen studies assessed the diagnostic accuracy of cystosonography, 123,124,144,149,165,179,187,191,195,199,202,213 or other contrast-enhanced techniques, 115,197 using a variety of contrast agents. All but one of these studies used MCUG as the reference standard.…”

Section: Contrast-enhanced Ultrasoundmentioning

confidence: 99%

Clinical effectiveness and cost-effectiveness of tests for the diagnosis and investigation of urinary tract infection in children: a systematic review and economic model

Whiting¹,

Westwood²,

Bojke³

et al. 2006

Health Technol Assess

133

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The results of the systematic review were used to derive an algorithm for the diagnosis of UTI in children under 5. This algorithm represents the conclusions of the review in terms of effective practice. There were insufficient data to propose an algorithm for the further investigation of UTI in children under 5. The quality assessment highlighted several areas that could be improved upon in future diagnostic accuracy studies.

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Section: Contrast-enhanced Ultrasoundmentioning

confidence: 99%

Clinical effectiveness and cost-effectiveness of tests for the diagnosis and investigation of urinary tract infection in children: a systematic review and economic model

Whiting¹,

Westwood²,

Bojke³

et al. 2006

Health Technol Assess

133

View full text Add to dashboard Cite

show abstract

“…Colour Doppler sonography (CDS) improved sonographic VUR diagnosis, particularly in patients with reflecting particles in the urine. Some authors report on CDS allowing VUR detection in patients with clear urine; however, this technique is timeconsuming, equipment/investigator dependent, and tends to work only in dilated ureters [87,88,89]. Finally, various bladder-filling techniques have been introduced for US cystography or reflux sonography (cystosonography, CS).…”

Section: Other Methods For Vur Evaluationmentioning

confidence: 99%

Cystography in infants and children: a critical appraisal of the many forms with special regard to voiding cystourethrography

Riccabona

2002

Eur Radiol

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The aim of this study was to describe and discuss the various forms of cystography and their clinical value. Conventional fluoroscopic voiding cystourethrography (VCU), radionuclide cystography and the various sonographic cystographic approaches, including echo-enhanced cystosonography (EECS), are described. Their indications, potential, benefit and setbacks/restrictions are discussed with regard to the literature and the constantly changing clinical demand. With the introduction of EECS a new and reliable tool has been established to be useful for follow-up and screening for vesico-ureteral reflux (VUR); however, with the growing importance of functional disturbances a reliable method to evaluate both function and anatomy/VUR as offered by modified VCU is mandatory, and thus VCU remains to play a major part in evaluating children with urinary tract infection, suspected VUR, hydronephrosis or functional bladder disturbances. While EECS offers a new method for certain indications, such as follow-up examinations in VUR or screening, VCU remains an irreplaceable tool for evaluating anatomy (particularly the male urethra) and bladder function (if performed using the modified technique).

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“…The findings were characterised according to the literature [2,3] as low-grade reflux, in cases of no coexisting dilatation of ureters and pelvis, and advanced reflux when hydronephrosis was present. Presence of reflux with incipient dilatation of ureters and pelvis was characterised as reflux of mild grade, whereas coexisting prominent dilatation of ureters and obvious dilatation of pelvis was characterised as reflux of moderate grade [2,3]. The aforementioned findings correlated with the data, which had been graded from retrograde cystography.…”

Section: Methodsmentioning

confidence: 99%

“…Keywords Vesicoureteral refluxĆ olour flow Doppler sonographyŚ pinal cord injury strating VUR in infants and children [2,3,4,5,6], but never according to our knowledge in adult patients with spinal cord injury. Herein we present the results of our study comparing investigation of VUR in adult spinally injured patients with colour flow Doppler sonography (CFDS) and standard retrograde cystography.…”

mentioning

confidence: 99%

Investigation of vesicoureteral reflux with colour Doppler sonography in adult patients with spinal cord injury

Papadaki¹,

Vlychou²,

Zavras³

et al. 2001

Eur Radiol

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The aim of the study was to evaluate prospectively the performances of colour Doppler sonography for detection of vesicoureteral reflux in adult patients with neurogenic bladder due to spinal cord injury. One hundred eighty-seven adult patients who had developed neurogenic bladder due to spinal cord injury underwent retrograde cystography and sonographic evaluation by B-mode and colour flow Doppler sonography (CFDS). Results of both examinations were analyzed independently by two radiologists. Representative images of the sonographic evaluations were recorded on videotape and CD-Rom. CFDS detected reflux in 20 ureters while retrograde cystography revealed vesicoureteral reflux (VUR) in 25 ureters of a total of 374 ureters, which were examined by both methods. Sonography detected all cases of grades IV and V of reflux, 7 of 8 (87.5%) of grade III, 5 of 6 (83.3%) of grade II, and 4 of 7 (57.14%) of grade I. There were 6 false-positive and 5 false-negative findings with Doppler examination compared with retrograde cystography. Therefore, sensitivity and specificity of sonographic examination were 80 and 98.28%, respectively, with a positive predictive value of 76.92%. Colour flow Doppler sonography can play an important role in detection of VUR in spinally injured adult patients with neurogenic bladder and can be an effective imaging tool for follow-up.

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Color Flow Doppler Sonography in the Diagnosis of Vesicoureteric Reflux

Cited by 40 publications

References 6 publications

Clinical effectiveness and cost-effectiveness of tests for the diagnosis and investigation of urinary tract infection in children: a systematic review and economic model

Clinical effectiveness and cost-effectiveness of tests for the diagnosis and investigation of urinary tract infection in children: a systematic review and economic model

Cystography in infants and children: a critical appraisal of the many forms with special regard to voiding cystourethrography

Investigation of vesicoureteral reflux with colour Doppler sonography in adult patients with spinal cord injury

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