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Contrast‑enhanced voiding urosonography with intravesical administration of ultrasound contrast agent for the diagnosis of pediatric vesicoureteral reflux

  • Authors:
    • Wei Zhang
    • Baohuan Cai
    • Xiaole Zhang
    • Jianhua Zhou
    • Liru Qiu
    • Huiming Yi
  • View Affiliations / Copyright

    Affiliations: Department of Ultrasound, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430030, P.R. China, Department of Pediatrics, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430030, P.R. China
    Copyright: © Zhang et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Pages: 4546-4552
    |
    Published online on: September 25, 2018
       https://doi.org/10.3892/etm.2018.6793
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Abstract

Vesicoureteral reflux (VUR) is one of the most common urinary tract anomalies in children. It has been reported that VUR may be associated with reflux nephropathy. Ultrasound contrast‑enhanced voiding urosonography (CeVUS) has become a routine diagnostic method for VUR in a number of European countries; however, it is not widely used in China. The aim of the present study was to analyze the clinical application and evaluate the safety of CeVUS as a diagnostic tool for VUR in children in order to establish a standardized operating procedure for CeVUS in pediatric VUR in China. Between August 2016 and October 2017, 90 children who were susceptible to VUR were admitted into the Pediatric Nephrology Department of Tongji Hospital and underwent CeVUS. The SonoVue second‑generation USA contrast agent was administered intravesically via a transurethral bladder catheter at a dose of 1 ml. The occurrence of adverse events was monitored. Urine analysis and culture were performed. A total of 90 children (47 female, 43 male; mean age, 36.6 months) with 178 Pelvi‑Ureteral Units (PUUs) underwent CeVUS to screen for VUR. VUR was detected in 44/90 pediatric patients (48.89%) and 65/178 PUUs (36.52%) by CeVUS. The grade distribution of the 65 PUUs with VUS was as follows: Grade I, 3; Grade II, 9; Grade III, 14; Grade IV, 22; and Grade V, 17. The accuracy of CeVUS in the present study were consistent with previous reports. No urethral anomalies were detected and there were no adverse events. CeVUS was demonstrated to be a safe, accurate and reliable imaging technique for detecting VUR in high‑risk children, including neonates. Results of the present study indicated that CeVUS can be adopted as the primary screening and follow‑up method for pediatric VUR diagnoses in China.
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Copy and paste a formatted citation
Spandidos Publications style
Zhang W, Cai B, Zhang X, Zhou J, Qiu L and Yi H: Contrast‑enhanced voiding urosonography with intravesical administration of ultrasound contrast agent for the diagnosis of pediatric vesicoureteral reflux. Exp Ther Med 16: 4546-4552, 2018.
APA
Zhang, W., Cai, B., Zhang, X., Zhou, J., Qiu, L., & Yi, H. (2018). Contrast‑enhanced voiding urosonography with intravesical administration of ultrasound contrast agent for the diagnosis of pediatric vesicoureteral reflux. Experimental and Therapeutic Medicine, 16, 4546-4552. https://doi.org/10.3892/etm.2018.6793
MLA
Zhang, W., Cai, B., Zhang, X., Zhou, J., Qiu, L., Yi, H."Contrast‑enhanced voiding urosonography with intravesical administration of ultrasound contrast agent for the diagnosis of pediatric vesicoureteral reflux". Experimental and Therapeutic Medicine 16.6 (2018): 4546-4552.
Chicago
Zhang, W., Cai, B., Zhang, X., Zhou, J., Qiu, L., Yi, H."Contrast‑enhanced voiding urosonography with intravesical administration of ultrasound contrast agent for the diagnosis of pediatric vesicoureteral reflux". Experimental and Therapeutic Medicine 16, no. 6 (2018): 4546-4552. https://doi.org/10.3892/etm.2018.6793
Copy and paste a formatted citation
x
Spandidos Publications style
Zhang W, Cai B, Zhang X, Zhou J, Qiu L and Yi H: Contrast‑enhanced voiding urosonography with intravesical administration of ultrasound contrast agent for the diagnosis of pediatric vesicoureteral reflux. Exp Ther Med 16: 4546-4552, 2018.
APA
Zhang, W., Cai, B., Zhang, X., Zhou, J., Qiu, L., & Yi, H. (2018). Contrast‑enhanced voiding urosonography with intravesical administration of ultrasound contrast agent for the diagnosis of pediatric vesicoureteral reflux. Experimental and Therapeutic Medicine, 16, 4546-4552. https://doi.org/10.3892/etm.2018.6793
MLA
Zhang, W., Cai, B., Zhang, X., Zhou, J., Qiu, L., Yi, H."Contrast‑enhanced voiding urosonography with intravesical administration of ultrasound contrast agent for the diagnosis of pediatric vesicoureteral reflux". Experimental and Therapeutic Medicine 16.6 (2018): 4546-4552.
Chicago
Zhang, W., Cai, B., Zhang, X., Zhou, J., Qiu, L., Yi, H."Contrast‑enhanced voiding urosonography with intravesical administration of ultrasound contrast agent for the diagnosis of pediatric vesicoureteral reflux". Experimental and Therapeutic Medicine 16, no. 6 (2018): 4546-4552. https://doi.org/10.3892/etm.2018.6793
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