Prediction of Vesicoureteral Reflux by Ultrasonography and Renal Scan in Children
Background. In recent studies, renal ultrasonography and dimercapto-succinic acid (DMSA) scan have a role in predicting vesicoureteral reflux in children with febrile urinary tract infection (UTI). Materials and Methods . Sensitivity, specificity, positive predictive value (PPV), negative predictive...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2022-06-01
|
| Series: | Global Pediatric Health |
| Online Access: | https://doi.org/10.1177/2333794X221107826 |
| _version_ | 1818253577505734656 |
|---|---|
| author | Banafsheh Arad MD Abolfazl Mahyar MD Mahmoud Vandaie MD Sonia Oveisi MD |
| author_facet | Banafsheh Arad MD Abolfazl Mahyar MD Mahmoud Vandaie MD Sonia Oveisi MD |
| author_sort | Banafsheh Arad MD |
| collection | DOAJ |
| description | Background. In recent studies, renal ultrasonography and dimercapto-succinic acid (DMSA) scan have a role in predicting vesicoureteral reflux in children with febrile urinary tract infection (UTI). Materials and Methods . Sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), positive likelihood ratio (PLR), and negative likelihood ratio (NLR) were defined for ultrasonography and DMSA scan to predict vesicoureteral reflux in 70 children with febrile UTI. Results. Renal ultrasonography sensitivity, specificity, PPV, NPV, PLR, and NLR for vesicourethral reflux prediction was 0.57, 0, 1, 0, 0.57, and 0.47 and sensitivity, specificity, PPV, NPV, PLR, and NLR of DMSA scan for predicting vesicourethral reflux was 0.75, 0.9, 0.33, 0.98, 7.5, and 0.27, respectively. Conclusions. Ultrasonography cannot predict the presence of VUR, but DMSA scan has a good sensitivity in this context. Therefore, by observation of DMSA scan results, it can be decided whether to perform VCUG or not. |
| first_indexed | 2024-12-12T16:42:17Z |
| format | Article |
| id | doaj.art-a2725d5a18c543b8a6cc06c2cec34754 |
| institution | Directory Open Access Journal |
| issn | 2333-794X |
| language | English |
| last_indexed | 2024-12-12T16:42:17Z |
| publishDate | 2022-06-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Global Pediatric Health |
| spelling | doaj.art-a2725d5a18c543b8a6cc06c2cec347542022-12-22T00:18:32ZengSAGE PublishingGlobal Pediatric Health2333-794X2022-06-01910.1177/2333794X221107826Prediction of Vesicoureteral Reflux by Ultrasonography and Renal Scan in ChildrenBanafsheh Arad MDAbolfazl Mahyar MD0Mahmoud Vandaie MD1Sonia Oveisi MD2Children Growth Research Center, Research Institute for Prevention of Non-Communicable Disease, Qazvin University of Medical Science, Qazvin, IranChildren Growth Research Center, Research Institute for Prevention of Non-Communicable Disease, Qazvin University of Medical Science, Qazvin, IranChildren Growth Research Center, Research Institute for Prevention of Non-Communicable Disease, Qazvin University of Medical Science, Qazvin, IranBackground. In recent studies, renal ultrasonography and dimercapto-succinic acid (DMSA) scan have a role in predicting vesicoureteral reflux in children with febrile urinary tract infection (UTI). Materials and Methods . Sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), positive likelihood ratio (PLR), and negative likelihood ratio (NLR) were defined for ultrasonography and DMSA scan to predict vesicoureteral reflux in 70 children with febrile UTI. Results. Renal ultrasonography sensitivity, specificity, PPV, NPV, PLR, and NLR for vesicourethral reflux prediction was 0.57, 0, 1, 0, 0.57, and 0.47 and sensitivity, specificity, PPV, NPV, PLR, and NLR of DMSA scan for predicting vesicourethral reflux was 0.75, 0.9, 0.33, 0.98, 7.5, and 0.27, respectively. Conclusions. Ultrasonography cannot predict the presence of VUR, but DMSA scan has a good sensitivity in this context. Therefore, by observation of DMSA scan results, it can be decided whether to perform VCUG or not.https://doi.org/10.1177/2333794X221107826 |
| spellingShingle | Banafsheh Arad MD Abolfazl Mahyar MD Mahmoud Vandaie MD Sonia Oveisi MD Prediction of Vesicoureteral Reflux by Ultrasonography and Renal Scan in Children Global Pediatric Health |
| title | Prediction of Vesicoureteral Reflux by Ultrasonography and Renal Scan in Children |
| title_full | Prediction of Vesicoureteral Reflux by Ultrasonography and Renal Scan in Children |
| title_fullStr | Prediction of Vesicoureteral Reflux by Ultrasonography and Renal Scan in Children |
| title_full_unstemmed | Prediction of Vesicoureteral Reflux by Ultrasonography and Renal Scan in Children |
| title_short | Prediction of Vesicoureteral Reflux by Ultrasonography and Renal Scan in Children |
| title_sort | prediction of vesicoureteral reflux by ultrasonography and renal scan in children |
| url | https://doi.org/10.1177/2333794X221107826 |
| work_keys_str_mv | AT banafsheharadmd predictionofvesicoureteralrefluxbyultrasonographyandrenalscaninchildren AT abolfazlmahyarmd predictionofvesicoureteralrefluxbyultrasonographyandrenalscaninchildren AT mahmoudvandaiemd predictionofvesicoureteralrefluxbyultrasonographyandrenalscaninchildren AT soniaoveisimd predictionofvesicoureteralrefluxbyultrasonographyandrenalscaninchildren |