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Pediatric Radiology

, Volume 40, Issue 6, pp 947–955 | Cite as

Obstructive diseases of the urinary tract in children: lessons from the last 15 years

  • Michael RiccabonaEmail author
Review

Abstract

Imaging urinary tract obstruction is a common query in paediatric uroradiology. With the advent of a more conservative treatment approach, the task of imaging today is to distinguish as early as possible those kidneys that do not require surgery, from those that will deteriorate and lose function and/or growth potential and thus benefit from surgery. At present, in spite of significant advancements in imaging and the introduction of diuretic paediatric MR-urography, there is still no reliable a-priori pro-futuro assessment. Thus, repeated follow-up imaging is often necessary for monitoring. Imaging usually starts with US; the major additional complementary and more function-oriented tools are diuretic renal scintigraphy and MR-urography. The frequency and timing as well as the detailed protocol vary within institutions, partly because of differences in the criteria that are used for indicating surgery. Intra-venous urography (IVU) for obstruction has practically vanished apart from for a few exceptions, and the “Whitaker” test is today seldom performed, being reserved for complicated cases.

Keywords

Urinary tract obstruction US MR Urogram Imaging algorithm Child 

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Copyright information

© Springer-Verlag 2010

Authors and Affiliations

  1. 1.Department of Radiology, Division of Pediatric RadiologyUniversity Hospital LKH GrazGrazAustria

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