AI Article Synopsis

  • The text reviews the use of radionuclide techniques, particularly Direct Radionuclide Cystography (DRC), in detecting vesicoureteral reflux (VUR), especially in children.
  • It highlights the complex nature of VUR, which is often associated with urinary tract infections and can lead to long-term kidney damage.
  • The discussion includes various proposed imaging strategies for VUR detection following a febrile urinary tract infection, noting the lack of consensus on the best approach.

Article Abstract

We discuss and try to evaluate the detection of vesicoureteral reflux (VUR) by radionuclide techniques and especially direct radionuclide cystography (DRC). Direct radionuclide cystography is applied for more than half a century mainly in children. Vesicoureteral reflux has a complex pathology not yet completely understood and is often related to urinary tract infection (UTI) and renal parenchyma scarring that can lead to long-term renal function impairment. Since there is no consensus on the optimal imaging algorithm after the first febrile urinary tract infection, many imaging strategies have been proposed for VUR detection in the last decade, including or not DRC. Views opposing or accepting its use are also presented.

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http://dx.doi.org/10.1967/s002449912107DOI Listing

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