THE DIAGNOSTIC VALUE OF DYNAMIC MAGNETIC RESONANCE UROGRAPHY INCHILDREN WITH URINARY TRACT INFECTION

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ZARABI VIDA; NOORBAKHSH SAMILEH; RAHIM ZADEH NAHID; SAMIMI KAVEH; GHAFORI MAHYAR; JAFARIAN ALI; TABATABAEI AZARDOKHT

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Journal: Tehran University Medical Journal Year:2011 | Volume:69 | Issue:2 Page(s): 105-111

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Title

THE DIAGNOSTIC VALUE OF DYNAMIC MAGNETIC RESONANCE UROGRAPHY INCHILDREN WITH URINARY TRACT INFECTION

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Keywords

DMSA SCANQ3

IVPQ3

KUBQ2

MRUQ2

URINARY TRACT ANOMALIESQ2

URINARY TRACTINFECTIONSQ2

VCUGQ2

Abstract

Background: Urinary tract infection 0 in children causes renal scarring and permanentdamage to the organ. In this study, we compared the diagnostic value of magneticresonance urogram for URINARY TRACT ANOMALIES with other conventional imagingmethods in children with UTI.Methods: In this case-control study, 190 children (mean age 3.23±3.59 yrs) with UTIwere recruited from the Pediatric Ward of Rasul-e-Akram Hospital during 2007-2009. The patients were divided into two groups based on the applied imaging technique: MRU (cases) and conventional imaging groups (controls).Results: Abnormal imaging detection rates for Ultrasonography were 32%, X-ray ofkidneys, ureters and bladder (KUB) 9%, Intravenous Pyelogram (IVP) 26%, VoidingCystoure therogram (VCUG) 54%, Dimercaptosuccinic Acid scan (DMSA) indicatingnon-obstructive (reflux) uropathy in 76% (mean age 3.5 yrs) and MRU 43% (mean age1.6 yrs), respectively. A meaningful correlation was observed between MRU and DMSAscan with IVP results (Kappa=0.75). KUB and Ultrasonography had similar results incases with abnormal MRU and DMSA SCAN (P=0.121). MRU had strong agreement withVCUG and IVP for the detection of obstructive uropathy and scar due to congenitalmalformation even during intrauterine life but not with sonography results.Conclusion: Sonography had poor results for the diagnosis of URINARY TRACT ANOMALIES incomparison with MRU. Use of dynamic MRU for the diagnosis of congenital anomalies(hydronephrosis, obstruction, pyelonephritis, renal scar) in children with UTI seems tobe of better help, although higher costs and the need for sedation during MRU still areits disadvantages.

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APA: Copy

ZARABI, VIDA, NOORBAKHSH, SAMILEH, RAHIM ZADEH, NAHID, SAMIMI, KAVEH, GHAFORI, MAHYAR, JAFARIAN, ALI, & TABATABAEI, AZARDOKHT. (2011). THE DIAGNOSTIC VALUE OF DYNAMIC MAGNETIC RESONANCE UROGRAPHY INCHILDREN WITH URINARY TRACT INFECTION. TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ), 69(2), 105-111. SID. https://sid.ir/paper/39581/en

Vancouver: Copy

ZARABI VIDA, NOORBAKHSH SAMILEH, RAHIM ZADEH NAHID, SAMIMI KAVEH, GHAFORI MAHYAR, JAFARIAN ALI, TABATABAEI AZARDOKHT. THE DIAGNOSTIC VALUE OF DYNAMIC MAGNETIC RESONANCE UROGRAPHY INCHILDREN WITH URINARY TRACT INFECTION. TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ)[Internet]. 2011;69(2):105-111. Available from: https://sid.ir/paper/39581/en

IEEE: Copy

VIDA ZARABI, SAMILEH NOORBAKHSH, NAHID RAHIM ZADEH, KAVEH SAMIMI, MAHYAR GHAFORI, ALI JAFARIAN, and AZARDOKHT TABATABAEI, “THE DIAGNOSTIC VALUE OF DYNAMIC MAGNETIC RESONANCE UROGRAPHY INCHILDREN WITH URINARY TRACT INFECTION,” TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ), vol. 69, no. 2, pp. 105–111, 2011, [Online]. Available: https://sid.ir/paper/39581/en

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