Comparison of "Direct" and "Indirect" Nuclear Cystography in the Diagnosis of Vesicoureteric Reflux

This study was undertaken to compare "direct" and "indirect" nuclear cystography for the detection of vesicoureteral reflux (VUR). Forty-five children (15 males and 30 females), ranging in age from 5 months to 10 years, were studied at the King Hussein Medical Center, Amman, Jord...

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Main Authors: Khriesat Imad, Khriesat Sameer, Hazza Issa
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2001-01-01
Series:Saudi Journal of Kidney Diseases and Transplantation
Subjects:
Online Access:http://www.sjkdt.org/article.asp?issn=1319-2442;year=2001;volume=12;issue=1;spage=28;epage=31;aulast=Khriesat
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author Khriesat Imad
Khriesat Sameer
Hazza Issa
author_facet Khriesat Imad
Khriesat Sameer
Hazza Issa
author_sort Khriesat Imad
collection DOAJ
description This study was undertaken to compare "direct" and "indirect" nuclear cystography for the detection of vesicoureteral reflux (VUR). Forty-five children (15 males and 30 females), ranging in age from 5 months to 10 years, were studied at the King Hussein Medical Center, Amman, Jordan between January 1998 and December 1999, using both direct (catheter) and indirect techniques of nuclear cystography (NC). Of the 82 ureters that could be compared, 32 ureters were positive for VUR on the direct technique while only 20 ureters showed VUR on the indirect technique (sensitivity 62%). Nine ureters, which did not show VUR on the direct cystogram, were read as positive on the indirect cystogram (specificity 82%). The false positive results of indirect nuclear cystogram make it invalid for VUR screening program, while the ease of assessment and low radiation dose from the direct NC has made this the recommended test for screening and follow-up of VUR.
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spelling doaj.art-077c588e01ae4b549f066eac7979410e2022-12-21T23:01:47ZengWolters Kluwer Medknow PublicationsSaudi Journal of Kidney Diseases and Transplantation1319-24422001-01-011212831Comparison of "Direct" and "Indirect" Nuclear Cystography in the Diagnosis of Vesicoureteric RefluxKhriesat ImadKhriesat SameerHazza IssaThis study was undertaken to compare "direct" and "indirect" nuclear cystography for the detection of vesicoureteral reflux (VUR). Forty-five children (15 males and 30 females), ranging in age from 5 months to 10 years, were studied at the King Hussein Medical Center, Amman, Jordan between January 1998 and December 1999, using both direct (catheter) and indirect techniques of nuclear cystography (NC). Of the 82 ureters that could be compared, 32 ureters were positive for VUR on the direct technique while only 20 ureters showed VUR on the indirect technique (sensitivity 62%). Nine ureters, which did not show VUR on the direct cystogram, were read as positive on the indirect cystogram (specificity 82%). The false positive results of indirect nuclear cystogram make it invalid for VUR screening program, while the ease of assessment and low radiation dose from the direct NC has made this the recommended test for screening and follow-up of VUR.http://www.sjkdt.org/article.asp?issn=1319-2442;year=2001;volume=12;issue=1;spage=28;epage=31;aulast=KhriesatNuclear cystographyVesicoureteral refluxScreening.
spellingShingle Khriesat Imad
Khriesat Sameer
Hazza Issa
Comparison of "Direct" and "Indirect" Nuclear Cystography in the Diagnosis of Vesicoureteric Reflux
Saudi Journal of Kidney Diseases and Transplantation
Nuclear cystography
Vesicoureteral reflux
Screening.
title Comparison of "Direct" and "Indirect" Nuclear Cystography in the Diagnosis of Vesicoureteric Reflux
title_full Comparison of "Direct" and "Indirect" Nuclear Cystography in the Diagnosis of Vesicoureteric Reflux
title_fullStr Comparison of "Direct" and "Indirect" Nuclear Cystography in the Diagnosis of Vesicoureteric Reflux
title_full_unstemmed Comparison of "Direct" and "Indirect" Nuclear Cystography in the Diagnosis of Vesicoureteric Reflux
title_short Comparison of "Direct" and "Indirect" Nuclear Cystography in the Diagnosis of Vesicoureteric Reflux
title_sort comparison of direct and indirect nuclear cystography in the diagnosis of vesicoureteric reflux
topic Nuclear cystography
Vesicoureteral reflux
Screening.
url http://www.sjkdt.org/article.asp?issn=1319-2442;year=2001;volume=12;issue=1;spage=28;epage=31;aulast=Khriesat
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AT khriesatsameer comparisonofdirectandindirectnuclearcystographyinthediagnosisofvesicouretericreflux
AT hazzaissa comparisonofdirectandindirectnuclearcystographyinthediagnosisofvesicouretericreflux