Radiographic Evaluation of Children with Febrile Urinary Tract Infection: Bottom-Up, Top-Down, or None of the Above?
The proper algorithm for the radiographic evaluation of children with febrile urinary tract infection (FUTI) is hotly debated. Three studies are commonly administered: renal-bladder ultrasound (RUS), voiding cystourethrogram (VCUG), and dimercapto-succinic acid (DMSA) scan. However, the order in w...
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| Format: | Article |
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Wiley
2012-01-01
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| Series: | Advances in Urology |
| Online Access: | http://dx.doi.org/10.1155/2012/716739 |
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| author | Michaella M. Prasad Earl Y. Cheng |
| author_facet | Michaella M. Prasad Earl Y. Cheng |
| author_sort | Michaella M. Prasad |
| collection | DOAJ |
| description | The proper algorithm for the radiographic evaluation of children with febrile urinary tract infection (FUTI) is hotly debated. Three studies are commonly administered: renal-bladder ultrasound (RUS), voiding cystourethrogram (VCUG), and dimercapto-succinic acid (DMSA) scan. However, the order in which these tests are obtained depends on the methodology followed: bottom-up or top-down. Each strategy carries advantages and disadvantages, and some groups now advocate even less of a workup (none of the above) due to the current controversies about treatment when abnormalities are diagnosed. New technology is available and still under investigation, but it may help to clarify the interplay between vesicoureteral reflux, renal scarring, and dysfunctional elimination in the future. |
| format | Article |
| id | doaj-art-298b1480bd774eb99aa3ee1910b730e2 |
| institution | OA Journals |
| issn | 1687-6369 1687-6377 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Advances in Urology |
| spelling | doaj-art-298b1480bd774eb99aa3ee1910b730e22025-08-20T02:03:59ZengWileyAdvances in Urology1687-63691687-63772012-01-01201210.1155/2012/716739716739Radiographic Evaluation of Children with Febrile Urinary Tract Infection: Bottom-Up, Top-Down, or None of the Above?Michaella M. Prasad0Earl Y. Cheng1Division of Urology, Children's Memorial Hospital, 2300 Children's Plaza, P.O. Box 24, Chicago, IL 60614, USADivision of Urology, Children's Memorial Hospital, 2300 Children's Plaza, P.O. Box 24, Chicago, IL 60614, USAThe proper algorithm for the radiographic evaluation of children with febrile urinary tract infection (FUTI) is hotly debated. Three studies are commonly administered: renal-bladder ultrasound (RUS), voiding cystourethrogram (VCUG), and dimercapto-succinic acid (DMSA) scan. However, the order in which these tests are obtained depends on the methodology followed: bottom-up or top-down. Each strategy carries advantages and disadvantages, and some groups now advocate even less of a workup (none of the above) due to the current controversies about treatment when abnormalities are diagnosed. New technology is available and still under investigation, but it may help to clarify the interplay between vesicoureteral reflux, renal scarring, and dysfunctional elimination in the future.http://dx.doi.org/10.1155/2012/716739 |
| spellingShingle | Michaella M. Prasad Earl Y. Cheng Radiographic Evaluation of Children with Febrile Urinary Tract Infection: Bottom-Up, Top-Down, or None of the Above? Advances in Urology |
| title | Radiographic Evaluation of Children with Febrile Urinary Tract Infection: Bottom-Up, Top-Down, or None of the Above? |
| title_full | Radiographic Evaluation of Children with Febrile Urinary Tract Infection: Bottom-Up, Top-Down, or None of the Above? |
| title_fullStr | Radiographic Evaluation of Children with Febrile Urinary Tract Infection: Bottom-Up, Top-Down, or None of the Above? |
| title_full_unstemmed | Radiographic Evaluation of Children with Febrile Urinary Tract Infection: Bottom-Up, Top-Down, or None of the Above? |
| title_short | Radiographic Evaluation of Children with Febrile Urinary Tract Infection: Bottom-Up, Top-Down, or None of the Above? |
| title_sort | radiographic evaluation of children with febrile urinary tract infection bottom up top down or none of the above |
| url | http://dx.doi.org/10.1155/2012/716739 |
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