Skip to main content
Log in

Urologic imaging in the pediatric patient

  • Published:
World Journal of Urology Aims and scope Submit manuscript

Summary

The development of newer imaging modalities and the expanded use of older techniques have substantially improved the care of the pediatric patient. In this article, we review the roles of sonography, voiding cystourethrography, excretory urography, and nuclear medicine studies in the evaluation of the most common pediatric urologic disorders, including urinary tract infection, obstructive and nonobstructive hydronephrosis, and vesicoureteral reflux. Recently developed techniques such as magnetic resonance imaging and color Doppler sonography are also discussed with respect to their use in evaluating upper-urinary-tract obstruction as well as the undescended testicle and testicular torsion. Areas of controversy are identified and rationales for current radiographic evaluation of these disorders are reviewed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Arger PH, Coleman BG, Mintz MC (1985) Routine fetal genitourinary tract screening. Radiology 156:485–489

    Google Scholar 

  2. Arnold AJ, Brownless SM, Carty HM, Rickwood AMK (1990) Detection of renal scarring by DMSA scanning — an experimental study. J Pediatr Surg 25:391–393

    Google Scholar 

  3. Burks DD, Markey BJ, Burkhard TK, Balsara ZN, Haluszka MM, Canning DA (1990) Suspected testicular torsion and ischemia: evaluation with color doppler sonography. Radiology 175:815–821

    Google Scholar 

  4. Clarke NW, Cough DCS, Cohen SJ (1989) Neonatal urological ultrasound: diagnostic inaccuracies and pitfalls. Arch Dis Child 64:578–580

    Google Scholar 

  5. Dietrich RB, Kangarloo H (1986) Kidneys in infants and children: evaluation with MR. Radiology 159:215–221

    Google Scholar 

  6. Elder JS (1989) Laparoscopy and Fowler-Stephens orchiopexy in the management of the impalpable testis. Urol Clin North Am 16:399–411

    Google Scholar 

  7. Farnsworth RH, Rossleigh MA, Leighton DM, Bass SJ, Rosenberg AR (1991) The detection of reflux nephropathy in infants by 99m-technetium dimercaptosuccinic acid studies. J Urol 145:542–546

    Google Scholar 

  8. Fenner MN, Rozhart DA, Texter JH (1991) Testicular scanning: evaluating the acute scrotum in the clinical setting. Urology 38:237–241

    Google Scholar 

  9. Jequier S, Jequier JC (1989) Reliability of voiding cystoure-thrography to detect reflux. AJR 153:807–810

    Google Scholar 

  10. Johnson CE, Elder JS, Judge NE, Adeeb FN, Grisoni ER, Fattlar DC (in press) Renal pelvic measurements on antenatal ultrasound as predictor of renal pathology

  11. Kier R, McCarthy S, Rosenfield AT, Rapaport S, Weiss RM (1988) Nonpalpable testes in young boys: evaluation with MR imaging. Radiology 169:429–433

    Google Scholar 

  12. McLorie GA, Aliabadi H, Churchill BM, Ash JM, Gilday DL (1989) 99m-Technetium-dimercaptosuccinic acid renal scanning and excretory urography in diagnosis of renal scars in children. J Urol 142:790–792

    Google Scholar 

  13. Palmer JM, Lindfors KK, Ordorica RC, Marder DM (1991) Diuretic Doppler sonography in postnatal hydronephrosis. J Urol 146:605–608

    Google Scholar 

  14. Paltiel HJ, Lebowitz RL (1989) Neonatal hydronephrosis due to primary vesicoureteral reflux: trends in diagnosis and treatment. Radiology 170:787–789

    Google Scholar 

  15. Rittenberg MH, Hulbert WC, Snyder HM, Duckett JW (1988) Protective factors in posterior urethral valves. J Urol 140:993–996

    Google Scholar 

  16. Russel CD, Thorstadt B, Yester MV, Stutzman M, Baker T, Dubovsky EV (1988) Comparison of technetium-99m MAG3 with iodine-131 hippuran by a simultaneous dual channel technique. J Nucl Med 29:1189–1193

    Google Scholar 

  17. Semelka RC, Hricak H, Tomei E, Floth A, Stoller M (1990) Obstructive nephropathy: evaluation with dynamic Gd-DTPA-enhanced MR imaging. Radiology 175:797–803

    Google Scholar 

  18. Strife JL, Bisset GS, Kirks DR, Schuleter FJ, Gelfand MJ, Babcock DS, Han BK (1989) Nuclear cystography and renal sonography: findings in girls with urinary tract infections. AJR 153:115–119

    Google Scholar 

  19. Tappin DM, Murphy AV, Mocan H, Shaw R, Beattie TA, McAllister TA, MacKenzie JR (1989) A prospective study of children with first acute symptomatic E. coli urinary tract infection. Early 99m-technetium dimercaptosuccinic acid scan appearances. Acta Paediatr Scand 78:923–929

    Google Scholar 

  20. Trambert MA, Mattrey RF, Levine D, Berthoty DP (1990) Subacute scrotal pain: evaluation of torsion versus epididymitis with MR imaging. Radiology 175:53–56

    CAS  PubMed  Google Scholar 

  21. Verber IG, Strudley MR, Meller ST (1989) 99m-Tc dimercaptosuccinic acid (DMSA) scan as first investigation of urinary tract infection. Arch Dis Child 63:1320–1325

    Google Scholar 

  22. Verboven M, Ingels M, Delree M, Piepsz A (1990) 99m-Tc-DMSA scinitigraphy in acute urinary tract infection in children. Pediatr Radiol 20:540–542

    Google Scholar 

  23. Zerin JM, DiPietro MA, Grignon A, Shea D (1990) Testicular infarction in the newborn: ultrasound findings. Pediatr Radiol 20:329–330

    Google Scholar 

Suggested Reading

  1. Elder JS (1989) Pediatric uroradiology: unique features. In: Bush WH (ed) Urologic imaging and interventional techniques. Urban & Schwarzenberg, Munich, pp 141–163

    Google Scholar 

  2. Elder JS, Duckett JW (1991) Perinatal urology. In: Gillenwater JY, Grayhack JT, Howards SS, Duckett JW (eds) Adult and pediatric urology, 2nd edn. Mosby/Year Book, St. Louis, pp 1711–1810

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Bernsley, C.N., Elder, J.S. Urologic imaging in the pediatric patient. World J Urol 10, 183–189 (1992). https://doi.org/10.1007/BF00208907

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00208907

Keywords

Navigation