Renal cortical transit time as a predictor for pyeloplasty in pediatric patients with unilateral hydronephrosis.

Cortical transit time pediatrics pyeloplasty renography

Journal

World journal of nuclear medicine
ISSN: 1450-1147
Titre abrégé: World J Nucl Med
Pays: Germany
ID NLM: 101286955

Informations de publication

Date de publication:
Historique:
received: 28 01 2020
revised: 07 04 2020
accepted: 01 05 2020
entrez: 24 2 2021
pubmed: 25 2 2021
medline: 25 2 2021
Statut: epublish

Résumé

Majority of patients with unilateral hydronephrosis (HN) detected on ultrasound do not require pyeloplasty. The measurement of the cortical transit time (CTT) has been demonstrated by several authors to predict the need for patients who may require pyeloplasty. The study aimed to assess if CTT would have predicted a drop in differential renal function (DRF) in patients with unilateral HN on the affected side and to assess whether CTT would differ on the first renogram between those patients who had a pyeloplasty and those who did not have a pyeloplasty. Sixty-eight patients with at least two renograms with unilateral HN with a normal contralateral kidney were observed retrospectively. The CTT was recorded for each kidney. Renograms were processed three times to measure the DRF. The mean of the three DRF measurements was used for analysis. The mean CTT of the left and right hydronephrotic kidneys was 6.0 min and 6.7 min, respectively. The relationship between CTT and DRF as well as CTT and anterior posterior diameter in the first renogram of those patients who did not have a pyeloplasty was statistically significant (

Identifiants

pubmed: 33623502
doi: 10.4103/wjnm.WJNM_11_20
pii: WJNM-19-341
pmc: PMC7875046
doi:

Types de publication

Journal Article

Langues

eng

Pagination

341-346

Informations de copyright

Copyright: © 2020 World Journal of Nuclear Medicine.

Déclaration de conflit d'intérêts

There are no conflicts of interest.

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Auteurs

Stuart S More (SS)

Division of Nuclear Medicine, Groote Schuur Hospital and Red Cross War Memorial Children's Hospital, University of Cape Town, Cape Town, South Africa.

John Lazarus (J)

Division of Urology, Red Cross War Memorial Children's Hospital, University of Cape Town, Cape Town, South Africa.

Anita Brink (A)

Division of Nuclear Medicine, Groote Schuur Hospital and Red Cross War Memorial Children's Hospital, University of Cape Town, Cape Town, South Africa.

Classifications MeSH