Comparative study between intravenous urography and renal scintigraphy with DMSA for the diagnosis of renal scars in children with vesicoureteral reflux

Detalhes bibliográficos
Autor(a) principal: Araújo, Clarissa B.
Data de Publicação: 2003
Outros Autores: Barroso Júnior, Ubirajara de Oliveira, Barroso, Vivian Alvim, Vinhaes, Antonio Francisco Junquilho, Jacobino, Modesto, Calado, Adriano Almeida, Zerati Filho, Miguel
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UFBA
Texto Completo: http://repositorio.ufba.br/ri/handle/ri/17772
Resumo: p. 535-539
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spelling Araújo, Clarissa B.Barroso Júnior, Ubirajara de OliveiraBarroso, Vivian AlvimVinhaes, Antonio Francisco JunquilhoJacobino, ModestoCalado, Adriano AlmeidaZerati Filho, MiguelAraújo, Clarissa B.Barroso Júnior, Ubirajara de OliveiraBarroso, Vivian AlvimVinhaes, Antonio Francisco JunquilhoJacobino, ModestoCalado, Adriano AlmeidaZerati Filho, Miguel2015-05-28T11:16:02Z2015-05-28T11:16:02Z20031677-5538http://repositorio.ufba.br/ri/handle/ri/17772v. 29, n. 6p. 535-539PURPOSE: To assess the value of intravenous urography (IVU) in detecting and grading the renal scar, comparing its results with those of scintigraphy with dimercaptosuccinic acid (DMSA). MATERIALS AND METHODS: The study included 43 children investigated by DMSA and IVU, who had vesicoureteral reflux diagnosed and classified through voiding cystourethrography. RESULTS: Among the kidneys with reflux, there was agreement between the results of DMSA and IVU concerning the presence and the absence of scars in 82.4% of the cases. Based on the results obtained, IVU would have a sensitivity of 66.6%, specificity of 94.4%; accuracy of 82.5%; positive predictive value (PPV) of 90% and negative predictive value (NPV) of 79%, when compared with DMSA results. Our data also confirm the close relation between the reflux grade and the presence of renal scar, since 75% of the kidneys with grade IV and V reflux presented scars. In relation to the grading of nephropathy, in 78% of patients the classification of the scar by both methods was identical. The highest disagreement was verified in the group with segmental scar on DMSA, where 41.6% of the kidneys were classified as normal on IVU. CONCLUSION: The data obtained confirm that the scintigraphy with DMSA is essential in the investigation of patients with renal scar, and cannot be replaced by IVU, due to its low sensitivity and lower ability of satisfactory grading.Submitted by Edileide Reis (leyde-landy@hotmail.com) on 2013-12-13T10:26:42Z No. of bitstreams: 1 Ubirajara Barroso Jr.pdf: 23929 bytes, checksum: ff541c0df4920c4c6942e37ad65ee5ed (MD5)Approved for entry into archive by Flávia Ferreira (flaviaccf@yahoo.com.br) on 2015-05-28T11:16:02Z (GMT) No. of bitstreams: 1 Ubirajara Barroso Jr.pdf: 23929 bytes, checksum: ff541c0df4920c4c6942e37ad65ee5ed (MD5)Made available in DSpace on 2015-05-28T11:16:02Z (GMT). No. of bitstreams: 1 Ubirajara Barroso Jr.pdf: 23929 bytes, checksum: ff541c0df4920c4c6942e37ad65ee5ed (MD5) Previous issue date: 2003http://dx.doi.org/10.1590/S1677-55382003000600011reponame:Repositório Institucional da UFBAinstname:Universidade Federal da Bahia (UFBA)instacron:UFBAKidneyScarScintigraphyDmsaUrographyComparative study between intravenous urography and renal scintigraphy with DMSA for the diagnosis of renal scars in children with vesicoureteral refluxInternational Brazilian Journal of Urologyinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleBrasilinfo:eu-repo/semantics/openAccessengORIGINALUbirajara Barroso Jr.pdfUbirajara Barroso Jr.pdfapplication/pdf23929https://repositorio.ufba.br/bitstream/ri/17772/1/Ubirajara%20Barroso%20Jr.pdfff541c0df4920c4c6942e37ad65ee5edMD51LICENSElicense.txtlicense.txttext/plain1345https://repositorio.ufba.br/bitstream/ri/17772/2/license.txtff6eaa8b858ea317fded99f125f5fcd0MD52TEXTUbirajara Barroso Jr.pdf.txtUbirajara Barroso Jr.pdf.txtExtracted texttext/plain18472https://repositorio.ufba.br/bitstream/ri/17772/3/Ubirajara%20Barroso%20Jr.pdf.txt88f8b02cb5407535b076e5ab24a96612MD53ri/177722022-08-08 13:17:32.428oai:repositorio.ufba.br:ri/17772VGVybW8gZGUgTGljZW7vv71hLCBu77+9byBleGNsdXNpdm8sIHBhcmEgbyBkZXDvv71zaXRvIG5vIFJlcG9zaXTvv71yaW8gSW5zdGl0dWNpb25hbCBkYSBVRkJBLgoKIFBlbG8gcHJvY2Vzc28gZGUgc3VibWlzc++/vW8gZGUgZG9jdW1lbnRvcywgbyBhdXRvciBvdSBzZXUgcmVwcmVzZW50YW50ZSBsZWdhbCwgYW8gYWNlaXRhciAKZXNzZSB0ZXJtbyBkZSBsaWNlbu+/vWEsIGNvbmNlZGUgYW8gUmVwb3NpdO+/vXJpbyBJbnN0aXR1Y2lvbmFsIGRhIFVuaXZlcnNpZGFkZSBGZWRlcmFsIGRhIEJhaGlhIApvIGRpcmVpdG8gZGUgbWFudGVyIHVtYSBj77+9cGlhIGVtIHNldSByZXBvc2l077+9cmlvIGNvbSBhIGZpbmFsaWRhZGUsIHByaW1laXJhLCBkZSBwcmVzZXJ2Ye+/ve+/vW8uIApFc3NlcyB0ZXJtb3MsIG7vv71vIGV4Y2x1c2l2b3MsIG1hbnTvv71tIG9zIGRpcmVpdG9zIGRlIGF1dG9yL2NvcHlyaWdodCwgbWFzIGVudGVuZGUgbyBkb2N1bWVudG8gCmNvbW8gcGFydGUgZG8gYWNlcnZvIGludGVsZWN0dWFsIGRlc3NhIFVuaXZlcnNpZGFkZS4KCiBQYXJhIG9zIGRvY3VtZW50b3MgcHVibGljYWRvcyBjb20gcmVwYXNzZSBkZSBkaXJlaXRvcyBkZSBkaXN0cmlidWnvv73vv71vLCBlc3NlIHRlcm1vIGRlIGxpY2Vu77+9YSAKZW50ZW5kZSBxdWU6CgogTWFudGVuZG8gb3MgZGlyZWl0b3MgYXV0b3JhaXMsIHJlcGFzc2Fkb3MgYSB0ZXJjZWlyb3MsIGVtIGNhc28gZGUgcHVibGljYe+/ve+/vWVzLCBvIHJlcG9zaXTvv71yaW8KcG9kZSByZXN0cmluZ2lyIG8gYWNlc3NvIGFvIHRleHRvIGludGVncmFsLCBtYXMgbGliZXJhIGFzIGluZm9ybWHvv73vv71lcyBzb2JyZSBvIGRvY3VtZW50bwooTWV0YWRhZG9zIGVzY3JpdGl2b3MpLgoKIERlc3RhIGZvcm1hLCBhdGVuZGVuZG8gYW9zIGFuc2Vpb3MgZGVzc2EgdW5pdmVyc2lkYWRlIGVtIG1hbnRlciBzdWEgcHJvZHXvv73vv71vIGNpZW5077+9ZmljYSBjb20gCmFzIHJlc3Ryae+/ve+/vWVzIGltcG9zdGFzIHBlbG9zIGVkaXRvcmVzIGRlIHBlcmnvv71kaWNvcy4KCiBQYXJhIGFzIHB1YmxpY2Hvv73vv71lcyBzZW0gaW5pY2lhdGl2YXMgcXVlIHNlZ3VlbSBhIHBvbO+/vXRpY2EgZGUgQWNlc3NvIEFiZXJ0bywgb3MgZGVw77+9c2l0b3MgCmNvbXB1bHPvv71yaW9zIG5lc3NlIHJlcG9zaXTvv71yaW8gbWFudO+/vW0gb3MgZGlyZWl0b3MgYXV0b3JhaXMsIG1hcyBtYW5077+9bSBhY2Vzc28gaXJyZXN0cml0byAKYW8gbWV0YWRhZG9zIGUgdGV4dG8gY29tcGxldG8uIEFzc2ltLCBhIGFjZWl0Ye+/ve+/vW8gZGVzc2UgdGVybW8gbu+/vW8gbmVjZXNzaXRhIGRlIGNvbnNlbnRpbWVudG8KIHBvciBwYXJ0ZSBkZSBhdXRvcmVzL2RldGVudG9yZXMgZG9zIGRpcmVpdG9zLCBwb3IgZXN0YXJlbSBlbSBpbmljaWF0aXZhcyBkZSBhY2Vzc28gYWJlcnRvLgo=Repositório InstitucionalPUBhttp://192.188.11.11:8080/oai/requestopendoar:19322022-08-08T16:17:32Repositório Institucional da UFBA - Universidade Federal da Bahia (UFBA)false
dc.title.pt_BR.fl_str_mv Comparative study between intravenous urography and renal scintigraphy with DMSA for the diagnosis of renal scars in children with vesicoureteral reflux
dc.title.alternative.pt_BR.fl_str_mv International Brazilian Journal of Urology
title Comparative study between intravenous urography and renal scintigraphy with DMSA for the diagnosis of renal scars in children with vesicoureteral reflux
spellingShingle Comparative study between intravenous urography and renal scintigraphy with DMSA for the diagnosis of renal scars in children with vesicoureteral reflux
Araújo, Clarissa B.
Kidney
Scar
Scintigraphy
Dmsa
Urography
title_short Comparative study between intravenous urography and renal scintigraphy with DMSA for the diagnosis of renal scars in children with vesicoureteral reflux
title_full Comparative study between intravenous urography and renal scintigraphy with DMSA for the diagnosis of renal scars in children with vesicoureteral reflux
title_fullStr Comparative study between intravenous urography and renal scintigraphy with DMSA for the diagnosis of renal scars in children with vesicoureteral reflux
title_full_unstemmed Comparative study between intravenous urography and renal scintigraphy with DMSA for the diagnosis of renal scars in children with vesicoureteral reflux
title_sort Comparative study between intravenous urography and renal scintigraphy with DMSA for the diagnosis of renal scars in children with vesicoureteral reflux
author Araújo, Clarissa B.
author_facet Araújo, Clarissa B.
Barroso Júnior, Ubirajara de Oliveira
Barroso, Vivian Alvim
Vinhaes, Antonio Francisco Junquilho
Jacobino, Modesto
Calado, Adriano Almeida
Zerati Filho, Miguel
author_role author
author2 Barroso Júnior, Ubirajara de Oliveira
Barroso, Vivian Alvim
Vinhaes, Antonio Francisco Junquilho
Jacobino, Modesto
Calado, Adriano Almeida
Zerati Filho, Miguel
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Araújo, Clarissa B.
Barroso Júnior, Ubirajara de Oliveira
Barroso, Vivian Alvim
Vinhaes, Antonio Francisco Junquilho
Jacobino, Modesto
Calado, Adriano Almeida
Zerati Filho, Miguel
Araújo, Clarissa B.
Barroso Júnior, Ubirajara de Oliveira
Barroso, Vivian Alvim
Vinhaes, Antonio Francisco Junquilho
Jacobino, Modesto
Calado, Adriano Almeida
Zerati Filho, Miguel
dc.subject.por.fl_str_mv Kidney
Scar
Scintigraphy
Dmsa
Urography
topic Kidney
Scar
Scintigraphy
Dmsa
Urography
description p. 535-539
publishDate 2003
dc.date.issued.fl_str_mv 2003
dc.date.accessioned.fl_str_mv 2015-05-28T11:16:02Z
dc.date.available.fl_str_mv 2015-05-28T11:16:02Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://repositorio.ufba.br/ri/handle/ri/17772
dc.identifier.issn.none.fl_str_mv 1677-5538
dc.identifier.number.pt_BR.fl_str_mv v. 29, n. 6
identifier_str_mv 1677-5538
v. 29, n. 6
url http://repositorio.ufba.br/ri/handle/ri/17772
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
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dc.publisher.country.fl_str_mv Brasil
dc.source.pt_BR.fl_str_mv http://dx.doi.org/10.1590/S1677-55382003000600011
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