Radiographic evaluation of children with febrile urinary tract infection: Bottom-up, top-down, or none of the above?

Michaella M. Prasad*, Earl Y. Cheng

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

22 Scopus citations

Abstract

The proper algorithm for the radiographic evaluation of children with febrile urinary tract infection (FUTI) is hotly debated. Three studies are commonly administered: renal-bladder ultrasound (RUS), voiding cystourethrogram (VCUG), and dimercapto-succinic acid (DMSA) scan. However, the order in which these tests are obtained depends on the methodology followed: bottom-up or top-down. Each strategy carries advantages and disadvantages, and some groups now advocate even less of a workup (none of the above) due to the current controversies about treatment when abnormalities are diagnosed. New technology is available and still under investigation, but it may help to clarify the interplay between vesicoureteral reflux, renal scarring, and dysfunctional elimination in the future.

Original languageEnglish (US)
Article number716739
JournalAdvances in Urology
DOIs
StatePublished - 2012

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Urology

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