Comparison of Urinary Tract Dilatation and Society of Fetal Urology systems in the detection of vesicourethral reflux and renal scar

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dc.authoridDemiröz Tasolar, Sevgi/0000-0002-9836-6814
dc.authorwosidELMAS, Ahmet Taner/W-4101-2017
dc.authorwosidDemiröz Tasolar, Sevgi/KTI-6349-2024
dc.contributor.authorDogan, Gulec Mert
dc.contributor.authorSigirci, Ahmet
dc.contributor.authorCengiz, Aslinur
dc.contributor.authorTasolar, Sevgi Demiroz
dc.contributor.authorYildiz, Turan
dc.contributor.authorTabel, Yilmaz
dc.contributor.authorElmas, Ahmet Taner
dc.date.accessioned2024-08-04T20:50:33Z
dc.date.available2024-08-04T20:50:33Z
dc.date.issued2021
dc.departmentİnönü Üniversitesien_US
dc.description.abstractPurpose: The presence and degree of hydronephrosis is very important in the management of many diseases of the urinary tract. In this study, we aim to compare the sensitivity and specificity of 2 classification systems that are used for hydronephrosis grading in ultrasound, for reflux and scar detection. The classification systems were the Society of Fetal Urology (SFU) and Urinary Tract Dilatation (UTD). Material and methods: Ultrasounds and dimercaptosuccinic acid scintigraphies (DMSA) of all patients who underwent voiding cystourethrogram (VCUG) due to urinary tract infection were examined retrospectively. DMSA was accepted for scar detection and VCUG for reflux detection as reference methods. SFU classification was used for hydronephrosis in ultrasound reports, and UTD classification was made over the reports. Sensitivity, specificity, and positive and negative predictive values of UTD and SFU classification systems for reflux and scar detection were calculated, and these 2 systems were compared. Results: 103 (39%) of the patients were male and 162 (61%) were female. Pathologies were detected in 192 (35%) of 530 kidneys in ultrasound. In 110 (42%) of the children, reflux was detected in VCUG. Scars in DMSA were detected in only 16% (44) of 266 kidneys. Sensitivity, positive and negative predictive values of the UTD classification system were statistically significantly higher than the SFU system for scar and reflux detection (p < 0.01). Conclusions: If we use the UTD system in ultrasounds of patients with urinary tract infections, children reported as UTD 0 may not need VCUG, which reduces radiation exposure to children and the cost of the diagnostic interventions.en_US
dc.identifier.doi10.5114/pjr.2021.107609
dc.identifier.endpageE454en_US
dc.identifier.issn0137-7183
dc.identifier.issn1899-0967
dc.identifier.pmid34429792en_US
dc.identifier.scopus2-s2.0-85112738186en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpageE449en_US
dc.identifier.urihttps://doi.org/10.5114/pjr.2021.107609
dc.identifier.urihttps://hdl.handle.net/11616/100135
dc.identifier.volume86en_US
dc.identifier.wosWOS:000683107800001en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherInt Scientific Information Incen_US
dc.relation.ispartofPolish Journal of Radiologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectultrasounden_US
dc.subjectrefluxen_US
dc.subjectDMSAen_US
dc.subjectvoiding cystourethrogramen_US
dc.titleComparison of Urinary Tract Dilatation and Society of Fetal Urology systems in the detection of vesicourethral reflux and renal scaren_US
dc.typeArticleen_US

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