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Journals / Medicine Science / 2013 / Cilt: 2 Sayı: 4

Dynamic MR Urography in the Asssesment of Ureteropelvic Junction Obstruction in Pediatric Patients

Çocuk Hastalarda Üreteropelvik Bileşke Darlıklarının Değerlendirilmesinde Dinamik MR Ürografi

Rabia Mihriban Kılınç
AFAK DURUR KARAKAYA
Afak DURUR KAYA
Pages
863–884
Publication Date
2013-12-01
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Dynamic MRU is reliable method for morphologic and functional evaliation of pediatric ureteropelvic junction obstruction.

📌 3 Key Takeaways

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Objective & Hypothesis:The aim of this study was to determine morphologic and functional benefits of dynamic magnetic rezonans urography (MRU) at pediatric patients with ureteropelvic junction obstruction.
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Key Findings & Data:Between 2009-2012, sixteen pediatric patients with known ureteropelvic junction obstruction were evaluated by ultrasound and dynamic MRU retrospectively.
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Conclusion & Impact:Dynamic MRU is reliable method for morphologic and functional evaliation of pediatric ureteropelvic junction obstruction.
🔬Design:Research Article
📍Scope:2009-2012 Verileri
⚙️Variables:Üreteropelvik bileşke darlığı · dinamik manyetik rezonans ürografi · pediatrik hasta

Abstract

The aim of this study was to determine morphologic and functional benefits of dynamic magnetic rezonans urography (MRU) at pediatric patients with ureteropelvic junction obstruction. Between 2009-2012, sixteen pediatric patients with known ureteropelvic junction obstruction were evaluated by ultrasound and dynamic MRU retrospectively. Eight of them also had diuretic renal scintigraphy. The findings of MRU were then compared with ultrasonography for morphological evaluation, diuretic renal scintigraphy for functional evaluation and against the results of final diagnosis established at surgery. MRU failed in one patient to find obstruction like ultrasound. MRU and ultrasound was successful to evaluate morphology of urınary system all of the other patients. Results were confirmed with surgery. MRU and diuretic renal scintigraphy were similar for functional evaluation. Dynamic MRU is reliable method for morphologic and functional evaliation of pediatric ureteropelvic junction obstruction.

Özet

Bu çalışmada üreteropelvik bileşke obstrüksiyonlarına bağlı hidronefroz bulunan çocuklarda dinamik manyetik rezonans (MR) ürografinin morfolojik ve fonksiyonel katkılarını saptamayı amaçladık. 2009-2012 yılları arasında pediatri kliniğine başvuran ve üreteropelvik bileşke darlığı tanısı ile dinamik MR ürografi ile incelenen 16 hastanın kayıtları retrospektif olarak değerlendirilmiştir. Hastaların hepsine aynı zamanda renal ultrasonografi de uygulanmıştı. Ayrıca 8 hasta diüretikli renal sintigrafi ile tetkik edilmişti. MR ürografi sonuçları, morfolojik ve fonksiyonel açıdan ultrasonografi bulguları, diüretikli renal sintigrafi sonuçları ve operasyon bulguları ile karşılaştırılmıştı. Morfolojik değerlendirme bakımından dinamik MR ürografi bir hastada, US ile benzer şekilde obstrüksiyonun seviyesini belirlemede başarısız oldu. Diğer hastaların tamamında dinamik MR ürografi ve ultrasonografi obstrüksiyonun seviyesini doğru olarak belirledi. Bu sonuçlar operasyonda teyit edildi. Fonksiyonel değerlendirmede bu hasta grubunda dinamik MR ürografi ve diüretikli renal sintigrafi benzer sonuçlar gösterdi. Dinamik MR ürografi, üreteropelvik bileşke darlıklarının morfolojik ve fonksiyonel değerlendirmesinde, doğru ve güvenilir bir yöntemdir.

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Cite This Article

Kılınç, R. M., KARAKAYA, A. D., KAYA, A. D. (2013). Dynamic MR Urography in the Asssesment of Ureteropelvic Junction Obstruction in Pediatric Patients. Medicine Science, Cilt: 2 Sayı: 4, 863–884. https://ajindex.com/articles/1003344

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