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Evaluation of obstructive uropathy in children: radionuclide renography vs. the Whitaker test

Conference · · AJR, Am. J. Roentgenol.; (United States)
OSTI ID:6868466
Differentiation of obstructed from dilated, nonobstructed urinary systems in the postoperative child is a difficult diagnostic problem. A comparison study was performed in 21 children with hydroureteronephrosis using the Whitaker test in combination with conventional radionuclide renography and/or diuretic (furosemide)-augmented radionuclide renography. The results of each method were corelated with the clinical assessment and surgical findings. Conventional renography was found to be an unreliable study, with a clinical correctness of only 57%. Results were more favorable for both the Whitaker test and diurectic-augmented radionuclide renography, with clinical correctness in 86% and 85%, respectively. Due to the noninvasive nature of the study, diuretic-augmented radionuclide renography should be the initial procedure once hydroureteronephrosis is established. A recommended algorithm of the child with postoperative hydroureteronephrosis is suggested.
Research Organization:
Childrens Hospital of Los Angeles, CA
OSTI ID:
6868466
Report Number(s):
CONF-8304186-
Conference Information:
Journal Name: AJR, Am. J. Roentgenol.; (United States) Journal Volume: 143
Country of Publication:
United States
Language:
English