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Uncomplicated duple...
Uncomplicated duplex kidney and DMSA scintigraphy in children with urinary tract infection.
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- Stokland, Eira (författare)
- Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper,Institute of Clinical Sciences
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- Jodal, Ulf, 1938 (författare)
- Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper,Institute of Clinical Sciences
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- Sixt, Rune (författare)
- Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper,Institute of Clinical Sciences
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- Swerkersson, Svante, 1954 (författare)
- Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper,Institute of Clinical Sciences
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- Hansson, Sverker, 1946 (författare)
- Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper,Institute of Clinical Sciences
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(creator_code:org_t)
- 2007-06-26
- 2007
- Engelska.
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Ingår i: Pediatric radiology. - : Springer Science and Business Media LLC. - 0301-0449 .- 1432-1998. ; 37:8, s. 826-8
- Relaterad länk:
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https://gup.ub.gu.se...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- BACKGROUND: Renal duplication is the most common malformation of the urinary tract and is frequently seen among children with urinary tract infection (UTI). OBJECTIVE: To evaluate problems in the interpretation of dimercaptosuccinic acid (DMSA) scintigraphy and to establish the range of relative function in uncomplicated unilateral duplication. MATERIALS AND METHODS: Retrospective analysis of 303 children less than 2 years of age with first time non-obstructive urinary tract infection investigated by both urography and DMSA scintigraphy. At DMSA scintigraphy, renal lesions and/or relative function below 45% was considered abnormal. Urography was used as reference for the diagnosis of duplication. RESULTS: Duplex kidneys were found in 22 of 303 patients (7%). Of the 16 children with unilateral duplication, 10 had bilaterally undamaged kidneys with a range of relative function varying between 51% and 57% in the duplex kidney. In two of the children with unilateral duplication the imaging results were discordant. CONCLUSION: There was risk of underdiagnosis as well as overdiagnosis of renal damage at scintigraphy. Although it is important to be aware of this risk, the rate of misinterpretation was low. A range of 51% to 57% can be used as the limit for normality of the relative function of a unilateral duplex kidney.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Pediatrik (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Pediatrics (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Urologi och njurmedicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Urology and Nephrology (hsv//eng)
Nyckelord
- Female
- Humans
- Infant
- Infant
- Newborn
- Kidney
- abnormalities
- radionuclide imaging
- Male
- Radiopharmaceuticals
- diagnostic use
- Retrospective Studies
- Technetium Tc 99m Dimercaptosuccinic Acid
- diagnostic use
- Urinary Tract Infections
- radionuclide imaging
- Urography
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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