Ultrasound as a diagnostic tool for vesicoureteral reflux grade in children: A comparative study with voiding cystourethrography Article Swipe
Nesrin Taş
,
SARE GÜLFEM ÖZLÜ
,
Nagihan Çiftci
,
Mihriban İnözü
,
Ozlem Yuksel Aksoy
,
Burcu Yazıcıoğlu
,
Fatma Şemsa ÇAYCI
,
Avni Merter Keçeli
,
Hüseyin Tuğrul Tiryaki
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.12956/tjpd.2025.1152
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.12956/tjpd.2025.1152
Objective: Vesicoureteral reflux (VUR) is a prevalent congenital anomaly in children, with a higher incidence in those with febrile urinary tract infections. Early detection and management of VUR are crucial to prevent reflux nephropathy and its associated complications. This retrospective observational study aimed to evaluate the accuracy and advantages of ultrasonography (USG) in diagnosing VUR grade compared to voiding cystourethrography (VCUG), the gold standard. Material and Methods: The study included 147 children aged 0-5 years who underwent VCUG for urinary tract infections, as well as antenatal and postnatal hydronephrosis. Patients were categorized into two age groups: 0-24 months (Group 1) and 25-60 months (Group 2). USG findings, including parenchymal thickness, renal pelvis anteroposterior diameter, renal parenchymal echogenicity, and distal ureteral dilatation, were compared between low-grade and high-grade VUR in both groups. Results: Binary logistic regression analysis revealed that renal pelvis anteroposterior diameter and distal ureteral dilatation were independently associated with high-grade VUR in Group 1. The optimal cut-off value of renal pelvis anteroposterior diameter for predicting high-grade VUR was 5 mm, with 78.0% sensitivity and 76.0% specificity. However, no USG findings were independently associated with high-grade VUR in Group 2. Conclusion: USG examinations performed by experienced radiologists can effectively decrease radiation exposure in children, especially those with high-grade VUR under two years of age, and may prevent unnecessary radiation exposure in some pediatric patients
Related Topics
Concepts
Medicine
Vesicoureteral reflux
Cystourethrography
Renal pelvis
Urinary system
Radiology
Urology
Ultrasound
Pelvis
Reflux
Incidence (geometry)
Retrospective cohort study
Ultrasonography
Pyelogram
Posterior urethral valve
Ureterocele
Logistic regression
Voiding cystourethrogram
Radiography
Urinary tract obstruction
Gold standard (test)
Ureter
Metadata
- Type
- article
- Landing Page
- https://doi.org/10.12956/tjpd.2025.1152
- https://turkjpediatrdis.org/article/download/1152/1138
- OA Status
- diamond
- OpenAlex ID
- https://openalex.org/W7106239758
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W7106239758Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.12956/tjpd.2025.1152Digital Object Identifier
- Title
-
Ultrasound as a diagnostic tool for vesicoureteral reflux grade in children: A comparative study with voiding cystourethrographyWork title
- Type
-
articleOpenAlex work type
- Publication year
-
2025Year of publication
- Publication date
-
2025-11-21Full publication date if available
- Authors
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Nesrin Taş, SARE GÜLFEM ÖZLÜ, Nagihan Çiftci, Mihriban İnözü, Ozlem Yuksel Aksoy, Burcu Yazıcıoğlu, Fatma Şemsa ÇAYCI, Avni Merter Keçeli, Hüseyin Tuğrul TiryakiList of authors in order
- Landing page
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https://doi.org/10.12956/tjpd.2025.1152Publisher landing page
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https://turkjpediatrdis.org/article/download/1152/1138Direct link to full text PDF
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YesWhether a free full text is available
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diamondOpen access status per OpenAlex
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https://turkjpediatrdis.org/article/download/1152/1138Direct OA link when available
- Concepts
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Medicine, Vesicoureteral reflux, Cystourethrography, Renal pelvis, Urinary system, Radiology, Urology, Ultrasound, Pelvis, Reflux, Incidence (geometry), Retrospective cohort study, Ultrasonography, Pyelogram, Posterior urethral valve, Ureterocele, Logistic regression, Voiding cystourethrogram, Radiography, Urinary tract obstruction, Gold standard (test), UreterTop concepts (fields/topics) attached by OpenAlex
- Cited by
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0Total citation count in OpenAlex
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