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C-0971 - The ABC of vesicoureteric reflux diagnosis in pediatric population using microbubble enhancement voiding urosonography

D. Apetri1, O. Fufezan2; 1 CLUJ NAPOCA/RO 2 Cluj-Napoca/RO Type: Educational Exhibit
Area of Interests: Urinary Tract / Bladder, Kidney, Pediatric
Imaging Technique: Ultrasound
Procedure: Contrast agent-other
Special Focus: Dilatation
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Learning objectives: Show the usefulness of voiding urosonography (VUS) with ultrasound contrast agents for the diagnosis of vesico-ureteral reflux in children. Learn the basic principles of using the less invasive technique in diagnosis of vesico-ureteral reflux, such as voiding urosonography . Assessment of contrast m[...]

Background: Few imagistic possibilities are available for VUR diagnosis - voiding cystourethrography (VCUG), radionuclide cystography (RNC) and voiding urosonography. Unfortunately, VCUG and RNC involve exposure to ionizing radiation and a significant radiation risk to growing children. In addition, both have [...]

Findings and procedure details: Between urinary tract infection in pediatric population and vesico-ureteral reflux there is an important correlation Fig. 3 . Vesico-ureteral reflux is an well-known risk factor for urinary tract infection and kidney damage Fig. 2 .  Radiation exposure to the pediatric population should be avo[...]

Conclusion: Contrast-enhanced voiding urosonography by using intravesical ultrasound second-generation contrast agent is a credible method for detecting vesicoureteric reflux. VUS is an alternative diagnostic procedure based on its radiation-free and safety.

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References: KS Tse , LS Wong, HY Lau, WS Fok, YH Chan, KW Tang et al. Paediatric vesicoureteric reflux imaging: where are we? Novel ultrasound-based voiding urosonography. Hong Kong Med J. 2014; 20(5):437–43. Darge K. Voiding urosonography with ultrasound contrast agents for the diagnosis of vesicoureteric refl[...]

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