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Radiographic Imaging

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Pediatric Urology

Part of the book series: Current Clinical Urology ((CCU))

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Abstract

The evaluation of children with urologic complaints or possible congenital anomalies cannot go forward without proper imaging. The mainstay of this imaging includes ultrasonography, voiding cystourethrography (VCUG), and nuclear scintigraphy. Each modality has its distinct indications and complements each other with the goal of defining the normal or anomalous genitourinary tract. Ultrasound allows for excellent screening of the kidneys and bladder in children presenting with various complaints, primarily urinary tract infections, or for various syndromes that affect the urinary tract; moreover, it serves to confirm prenatal ultrasound findings. VCUG, while invasive, is the gold standard for determining the presence of vesicoureteral reflux and is helpful in documenting other anomalies such as posterior urethral valves, ureteroceles, and diverticulae. Nuclear studies provide helpful information regarding differential function as well as drainage (MAG3) but can also help in determining parenchymal integrity (DMSA); i.e., scarring versus pyelonephritis. Finally, ultrasound and nuclear studies are vital adjunctive studies to help define scrotal pathology, both acute and chronic.

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Author information

Authors and Affiliations

  1. Division of Pediatric Urology, Cohen Children’s Medical Center of New York, North Shore-Long Island Jewish Health System, Long Island, NY, USA

    Lane S. Palmer MD, FACS, FAAP (Chief, Clinical Professor of Urology)

  2. Albert Einstein College of Medicine, Bronx, NY, USA

    Lane S. Palmer MD, FACS, FAAP (Chief, Clinical Professor of Urology)

Authors
  1. Lane S. Palmer MD, FACS, FAAP
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Correspondence to Lane S. Palmer MD, FACS, FAAP .

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Editors and Affiliations

  1. Cleveland Clinic Lerner College, of Medicine of Case Western, Pediatric and Adolescent Urology Institu, Euclid Ave. 9500, Cleveland, 44195, Ohio, USA

    Jeffrey S. Palmer

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Palmer, L.S. (2011). Radiographic Imaging. In: Palmer, J. (eds) Pediatric Urology. Current Clinical Urology. Humana Press. https://doi.org/10.1007/978-1-60327-420-3_2

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  • DOI: https://doi.org/10.1007/978-1-60327-420-3_2

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  • Publisher Name: Humana Press

  • Print ISBN: 978-1-60327-419-7

  • Online ISBN: 978-1-60327-420-3

  • eBook Packages: MedicineMedicine (R0)

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