Value of sonography in the diagnosis of mild, moderate and severe vesicoureteral reflux in children
Joint Authors
Gheysari, Alaleh
Merikhi, Ali
Khami, Salmam
Tayari, Nazila
Azhir, Afshin
Adibi, Atoosa
Source
Saudi Journal of Kidney Diseases and Transplantation
Issue
Vol. 24, Issue 2 (30 Apr. 2013), pp.297-302, 6 p.
Publisher
Saudi Center for Organ Transplantation
Publication Date
2013-04-30
Country of Publication
Saudi Arabia
No. of Pages
6
Main Subjects
Topics
Abstract EN
his study was conducted to determine the positive predictive value (PPV) of gray scale sonography in the diagnosis of mild, moderate and severe vesicoureteral reflux (VUR).
This cross-sectional descriptive analytic study was conducted in the University Clinic of Isfahan University of Medical Sciences in 2008.
The study was performed on children aged two to 12 years ; female children with febrile urinary tract infection (UTI) and clinical suspicion of VUR and males with history of UTI and VUR who attended follow-up during the six months study period were selected.
Non-cooperative patients were excluded from the study.
A total of 90 patients were studied.
The data gathering method was sequential.
The following sonographic parameters were assessed in all the study patients: antero-posterior pelvic diameter, distal ureteric diameter and stasis of urinary system, which were measured at rest and during and after the Valsalva maneuver.
Also, the vesicoureteral junction distance and distance of vesicoureteral junction to the midline were measured on both sides at rest.
We then referred them for radionuclide cystography (RNC) and the results of the two methods were compared.
Data were analyzed with SPSS program and t-test and chi square formulas were used.
The sensitivity of ultrasound in the diagnosis of VUR was 70.9 % and the specificity was 51.4 %.
Thus, the PPV was 69.64 % and the negative predictive value was 52.94 %.
Although the most definite diagnosis of VUR is made with micrurating cystoureterography or RNC, sonography may be used as the first step in evaluation for VUR, especially in high-grade VUR.
American Psychological Association (APA)
Adibi, Atoosa& Gheysari, Alaleh& Azhir, Afshin& Merikhi, Ali& Khami, Salmam& Tayari, Nazila. 2013. Value of sonography in the diagnosis of mild, moderate and severe vesicoureteral reflux in children. Saudi Journal of Kidney Diseases and Transplantation،Vol. 24, no. 2, pp.297-302.
https://search.emarefa.net/detail/BIM-328979
Modern Language Association (MLA)
Adibi, Atoosa…[et al.]. Value of sonography in the diagnosis of mild, moderate and severe vesicoureteral reflux in children. Saudi Journal of Kidney Diseases and Transplantation Vol. 24, no. 2 (2013), pp.297-302.
https://search.emarefa.net/detail/BIM-328979
American Medical Association (AMA)
Adibi, Atoosa& Gheysari, Alaleh& Azhir, Afshin& Merikhi, Ali& Khami, Salmam& Tayari, Nazila. Value of sonography in the diagnosis of mild, moderate and severe vesicoureteral reflux in children. Saudi Journal of Kidney Diseases and Transplantation. 2013. Vol. 24, no. 2, pp.297-302.
https://search.emarefa.net/detail/BIM-328979
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 301-302
Record ID
BIM-328979