Pediatric Radiology

, Volume 6, Issue 1, pp 19–26 | Cite as

Renal sonography in pediatric patients A comparative study between sonography and urography

  • D. Weitzel
  • J. Tröger
  • E. Straub


Renal sonograms of 260 children were compared with the corresponding excretory urograms. Since each kidney was evaluated separately 520 sonographic and urographic findings could be compared. The study is based on single investigations only, serial investigations were not included.

326 kidneys could be classified as being normal, primarily on the basis of the urogram. By sonography only 10 out of these 326 were misinterpretated as being pathological, 2 by urography. 194 kidneys could be classified as being pathological either by urography or — if necessary — by other methods. In 16 out of these 194 no evidence for a pathological process could be found in the sonogram (7 cases of destructive pyelonephritis, 3 cases of double kidneys, 2 cases of slight obstruction of urine flow, 2 cases of small kidneys, 2 cases of ureteral buds), in 10 cases no evidence was seen in the urogram (6 cases of glomerulonephritis, 2 cases of polycystic kidneys, 1 case of prevesical ureteral buds), in 10 cases no evidence was seen in the urogram (6 cases of glomerulonephritis, 2 cases of polycystic kidneys, 1 case of prevesical ureterolith, 1 case of ureteral bud). In 2 cases pathological alterations of the kidney were found by both methods, however, the diagnosis differed. Nonfunctioning kidneys were found in 15 cases. In all of these the sonogram provided important complementary information.

Our results show 1) that by a systematic application of sonography the early diagnosis of urinary tract malformations can be improved 2) that renal sonography provides the basis for a stricter application of excretory urography and 3) that by the combination of both methods the diagnosis of renal diseases can be improved.

Key words

Kidney diseases Sonography Urography Comparative study 


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  1. 1.
    Bearman, S., Sanders, R. C., Sang, K.: B-Scan ultrasound in the evaluation of pediatric abdominal masses. Radiology108, 111 (1973)Google Scholar
  2. 2.
    Boineau, F. G., Rothman, J., Lewy, J. E.: Nephrosonography in the evaluation of renal failure and masses in infants. J. Pediat.87, 185 (1975)Google Scholar
  3. 3.
    Goldberg, B. B., Pollack, H. M.: Differentiation of renal masses using A-mode ultrasound. J. Urol.105, 765 (1971)Google Scholar
  4. 4.
    Hasch, E.: Ultrasound in the investigation of diseases of the kidney and urinary tract in children. Acta Paediat. Scand.63, 42 (1974)Google Scholar
  5. 5.
    Hately, W., Whitaker, R. H.: How accurate is diagnostic ultrasound in renal disease. Br. J. Urol.45, 468 (1973)Google Scholar
  6. 6.
    Holder, T. M., Stuber, J. L., Templeton, A. W.: Sonography as a diagnostic aid in the evaluation of abdominal masses in infants and children. J. Pediat. Surg.7, 532 (1972)Google Scholar
  7. 7.
    Hohenfellner, R., Moorman, J. G., Straub, E.: Urologie des Kindes. In: Klinische Urologie, Eds. Alken, C. E., Stahler, W. Stuttgart: Georg Thieme 1973Google Scholar
  8. 8.
    Hünig, R.: Ultraschalldiagnostik am kindlichen Abdomen. Helv. Paediat. Acta Suppl.24, 1 (1970)Google Scholar
  9. 9.
    Hünig, R., Kinser, J.: Ultrasonic diagnosis of Wilms tumor. Radiology117, 119 (1973)Google Scholar
  10. 10.
    Hünig, R.: Ultrasonic diagnosis in pediatrics: The state of the art of ultrasonic diagnosis in pediatrics today. Pediat. Radiol.4, 108 and 175 (1976)Google Scholar
  11. 11.
    Krause, W., Soldner, R.: Ultraschall-Bildverfahren (B-Scan) mit hoher Bildfrequenz für medizinische Diagnostik. Elektromedica4, 8 (1967)Google Scholar
  12. 12.
    Leopold, G. R., Talmer, L. B., Asher, W. M., Gosink, B. B., Giltes, R. F.: Renal ultrasonography: an updated approach to the diagnosis of renal cyst. Radiology109, 671 (1973)Google Scholar
  13. 13.
    Lutz, H., Rettenmaier, G.: Sonographische Nierendiagnostik. Dtsch. Med. Wschr.98, 361 (1973)Google Scholar
  14. 14.
    Lutz, H., Petzold, R., Strunz, U.: Ultraschalldiagnostik bei Kindern. Fortschr. geb. Röntgenstr. Nukleamed.121, 413 (1974)Google Scholar
  15. 15.
    Lyons, E. A., Murphy, A. V., Arneil, G. C.: Sonar and its use in kidney disease in children. Arch. Dis. Child.47, 777 (1972)Google Scholar
  16. 16.
    Micsky, L. V., Radkowski, M. A., Hecker, J., Finby, N.: Optimal diagnosis of renal masses in children by combining and correlating diagnostic features of sonography and radiography. Am. J. Roentgenol. Radium Ther. Nucl. Med.120, 438 (1974)Google Scholar
  17. 17.
    Rose, J. S., Becker, J. A., Staiano, S. J., Campos, E.: B-mode sonographic evaluation of abdominal masses in pediatric patients. Am. J. Roentgenol. Radium Ther. Nucl. Med.120, 691 (1974)Google Scholar
  18. 18.
    Sanders, R. C., Bearman, S.: B-Scan ultrasound in the diagnosis of hydronephrosis. Radiology108, 375 (1973)Google Scholar
  19. 19.
    Straub, E.: Kinderurologische Krankheiten: Besonderheiten der Diagnostik. Diagnostik7, 310 (1974)Google Scholar
  20. 20.
    Walls, W. J., Roberts, F. E., Templeton, A. W.: B-Scan diagnostic ultrasound in pediatric patients. Am. J. Roentgenol. Radium Ther. Nucl. Med.120, 431 (1974)Google Scholar
  21. 21.
    Weill, F., Gallinet, D., Kraehenbuhl, J. R., Bittard, M.: Fiabilité de l'exploration ultrasonore des lésiors renales: Étude statistique de 144 cas contrôlés. J. Chir.107, 151 (1974)Google Scholar
  22. 22.
    Weitzel, D., Alzen, G.: Zur Bedeutung des Ultraschall-Schnittbildverfahrens für die nephrologisch-urologische Diagnostik im Kindesalter. Monatsschr. Kinderheilk.123, 147 (1975)Google Scholar

Copyright information

© Springer-Verlag 1977

Authors and Affiliations

  • D. Weitzel
    • 1
  • J. Tröger
    • 1
  • E. Straub
    • 1
  1. 1.Universitäts-Kinderklinik MainzMainzFRG

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