Skip to main content
Top
Published in: Pediatric Radiology 4/2013

01-04-2013 | Minisymposium

The antenatally detected pelvi-ureteric junction stenosis: advances in renography and strategy of management

Authors: Khalid Ismaili, Amy Piepsz

Published in: Pediatric Radiology | Issue 4/2013

Login to get access

Abstract

This review includes an analysis of new developments in the field of renography, the predictive factors suggesting the need for pyeloplasty in cases of pelvi-utereric stenosis detected antenatally and integration of the pelvi-ureteric junction stenosis within the framework of antenatally detected hydronephrosis.
Literature
1.
go back to reference Ismaili K, Hall M, Donner C et al (2003) Results of systematic screening for minor degrees of fetal renal pelvis dilatation in an unselected population. Am J Obstet Gynecol 188:242–246PubMedCrossRef Ismaili K, Hall M, Donner C et al (2003) Results of systematic screening for minor degrees of fetal renal pelvis dilatation in an unselected population. Am J Obstet Gynecol 188:242–246PubMedCrossRef
2.
go back to reference Toiviainen-Salo S, Garel L, Grignon A et al (2004) Fetal hydronephrosis: is there hope for consensus? Pediatr Radiol 34:519–529PubMedCrossRef Toiviainen-Salo S, Garel L, Grignon A et al (2004) Fetal hydronephrosis: is there hope for consensus? Pediatr Radiol 34:519–529PubMedCrossRef
3.
go back to reference Phan V, Traubici J, Hershenfield B et al (2003) Vesicoureteral reflux in infants with isolated antenatal hydronephrosis. Pediatr Nephrol 18:1224–1228PubMedCrossRef Phan V, Traubici J, Hershenfield B et al (2003) Vesicoureteral reflux in infants with isolated antenatal hydronephrosis. Pediatr Nephrol 18:1224–1228PubMedCrossRef
4.
go back to reference Ismaili K, Avni FE, Wissing KM et al (2004) Long-term clinical outcome of infants with mild and moderate fetal pyelectasis: validation of neonatal ultrasound as a screening tool to detect significant nephro-uropathies. J Pediatr 144:759–765PubMed Ismaili K, Avni FE, Wissing KM et al (2004) Long-term clinical outcome of infants with mild and moderate fetal pyelectasis: validation of neonatal ultrasound as a screening tool to detect significant nephro-uropathies. J Pediatr 144:759–765PubMed
5.
go back to reference Mouriquand P, Whitten M, Pracros JP (2001) Pathophysiology, diagnosis and management of prenatal upper tract dilatation. Prenat Diagn 21:942–951PubMedCrossRef Mouriquand P, Whitten M, Pracros JP (2001) Pathophysiology, diagnosis and management of prenatal upper tract dilatation. Prenat Diagn 21:942–951PubMedCrossRef
6.
go back to reference Tripp BM, Homsy YL (1995) Neonatal hydronephrosis—the controversy and the management. Pediatr Nephrol 9:503–509PubMedCrossRef Tripp BM, Homsy YL (1995) Neonatal hydronephrosis—the controversy and the management. Pediatr Nephrol 9:503–509PubMedCrossRef
7.
go back to reference Eskild-Jensen A, Gordon I, Piepsz A et al (2005) Congenital unilateral hydronephrosis: a review of the impact of diuretic renography on clinical treatment. J Urol 173:1471–1476PubMedCrossRef Eskild-Jensen A, Gordon I, Piepsz A et al (2005) Congenital unilateral hydronephrosis: a review of the impact of diuretic renography on clinical treatment. J Urol 173:1471–1476PubMedCrossRef
8.
go back to reference Caldamone AA, Palmer JS, Mouriquand P et al (2010) Ureteropelvic junction obstruction: contemporary approaches to several case scenarios. Dialogues Pediatr Urol 31:1–7 Caldamone AA, Palmer JS, Mouriquand P et al (2010) Ureteropelvic junction obstruction: contemporary approaches to several case scenarios. Dialogues Pediatr Urol 31:1–7
9.
go back to reference Piepsz A, Gordon I, Brock J III et al (2009) Round table on the management of renal pelvic dilatation in children. J Pediatr Urol 5:437–444PubMedCrossRef Piepsz A, Gordon I, Brock J III et al (2009) Round table on the management of renal pelvic dilatation in children. J Pediatr Urol 5:437–444PubMedCrossRef
10.
go back to reference Ulman I, Jayanthi VR, Koff SA (2000) The long-term followup of newborns with severe unilateral hydronephrosis initially managed nonoperatively. J Urol 164:1101–1105PubMedCrossRef Ulman I, Jayanthi VR, Koff SA (2000) The long-term followup of newborns with severe unilateral hydronephrosis initially managed nonoperatively. J Urol 164:1101–1105PubMedCrossRef
11.
go back to reference Chevalier RL (1995) Effects of ureteral obstruction on renal growth. Semin Nephrol 15:353–360PubMed Chevalier RL (1995) Effects of ureteral obstruction on renal growth. Semin Nephrol 15:353–360PubMed
12.
go back to reference Josephson S, Aperia A, Lännergren K et al (1987) Partial ureteric obstruction in the pubescent rat. I. Long-term effects on renal function. J Urol 138:414–418PubMed Josephson S, Aperia A, Lännergren K et al (1987) Partial ureteric obstruction in the pubescent rat. I. Long-term effects on renal function. J Urol 138:414–418PubMed
13.
go back to reference Gordon I, Piepsz A, Sixt R (2011) Guidelines for standard and diuretic renogram in children. Eur J Nucl Med Mol Imaging 38:1175–1188PubMedCrossRef Gordon I, Piepsz A, Sixt R (2011) Guidelines for standard and diuretic renogram in children. Eur J Nucl Med Mol Imaging 38:1175–1188PubMedCrossRef
14.
go back to reference O’Reilly PH, Testa HJ, Lawson RS et al (1978) Diuresis renography in equivocal urinary tract obstruction. Br J Urol 50:76–80PubMedCrossRef O’Reilly PH, Testa HJ, Lawson RS et al (1978) Diuresis renography in equivocal urinary tract obstruction. Br J Urol 50:76–80PubMedCrossRef
15.
go back to reference Conway JJ, Maizels M (1992) The “well tempered” diuretic renogram. J Nucl Med 33:2047–2051PubMed Conway JJ, Maizels M (1992) The “well tempered” diuretic renogram. J Nucl Med 33:2047–2051PubMed
16.
go back to reference Prigent A, Cosgriff P, Gates GF et al (1999) Consensus report on quality control of quantitative measurements of renal function obtained from the renogram. Semin Nucl Med 29:146–159PubMedCrossRef Prigent A, Cosgriff P, Gates GF et al (1999) Consensus report on quality control of quantitative measurements of renal function obtained from the renogram. Semin Nucl Med 29:146–159PubMedCrossRef
17.
go back to reference Piepsz A, Tondeur M, Ham H (1999) Relative 99mTc-MAG3 renal uptake: reproducibility and accuracy. J Nucl Med 40:972–976PubMed Piepsz A, Tondeur M, Ham H (1999) Relative 99mTc-MAG3 renal uptake: reproducibility and accuracy. J Nucl Med 40:972–976PubMed
18.
go back to reference Chaiwatanarat T, Padhy AK, Bomanji JB (1993) Validation of renal output efficiency as an objective quantitative parameter in the evaluation of upper urinary tract obstruction. J Nucl Med 34:845–848PubMed Chaiwatanarat T, Padhy AK, Bomanji JB (1993) Validation of renal output efficiency as an objective quantitative parameter in the evaluation of upper urinary tract obstruction. J Nucl Med 34:845–848PubMed
19.
go back to reference Piepsz A, Tondeur M, Ham H (2000) NORA: a simple and reliable parameter for estimating renal output with or without furosemide challenge. Nucl Med Commun 21:317–323PubMedCrossRef Piepsz A, Tondeur M, Ham H (2000) NORA: a simple and reliable parameter for estimating renal output with or without furosemide challenge. Nucl Med Commun 21:317–323PubMedCrossRef
20.
go back to reference Amarante J, Anderson PJ, Gordon I (2003) Impaired drainage on diuretic renography using half-time or pelvic excretion efficiency is not a sign of obstruction in children with a prenatal diagnosis of unilateral renal pelvic dilatation. J Urol 169:1828–1831PubMedCrossRef Amarante J, Anderson PJ, Gordon I (2003) Impaired drainage on diuretic renography using half-time or pelvic excretion efficiency is not a sign of obstruction in children with a prenatal diagnosis of unilateral renal pelvic dilatation. J Urol 169:1828–1831PubMedCrossRef
21.
go back to reference Murphy JP, Holder TM, Ashcraft KW et al (1984) Ureteropelvic junction obstruction in the newborn. J Pediatr Surg 19:642–648PubMedCrossRef Murphy JP, Holder TM, Ashcraft KW et al (1984) Ureteropelvic junction obstruction in the newborn. J Pediatr Surg 19:642–648PubMedCrossRef
22.
go back to reference Koff SA (2000) Postnatal management of antenatal hydronephrosis using an observational approach. Urology 55:609–611PubMedCrossRef Koff SA (2000) Postnatal management of antenatal hydronephrosis using an observational approach. Urology 55:609–611PubMedCrossRef
23.
go back to reference Josephson S (2002) Antenatally detected, unilateral dilatation of the renal pelvis: a critical review. I. Postnatal non-operative treatment 20 years on—is it safe? Scand J Urol Nephrol 36:251–259PubMedCrossRef Josephson S (2002) Antenatally detected, unilateral dilatation of the renal pelvis: a critical review. I. Postnatal non-operative treatment 20 years on—is it safe? Scand J Urol Nephrol 36:251–259PubMedCrossRef
24.
go back to reference Schlotmann A, Clorius JH, Clorius SN (2009) Diuretic renography in hydronephrosis: renal tissue tracer transit predicts functional course and thereby need for surgery. Eur J Nucl Med Mol Imaging 36:1665–1673PubMedCrossRef Schlotmann A, Clorius JH, Clorius SN (2009) Diuretic renography in hydronephrosis: renal tissue tracer transit predicts functional course and thereby need for surgery. Eur J Nucl Med Mol Imaging 36:1665–1673PubMedCrossRef
25.
go back to reference Piepsz A, Tondeur M, Nogarède C et al (2011) Can severely impaired cortical transit predict which children with pelvi-ureteric junction stenosis detected antenatally might benefit from pyeloplasty? Nucl Med Commun 32:199–205PubMedCrossRef Piepsz A, Tondeur M, Nogarède C et al (2011) Can severely impaired cortical transit predict which children with pelvi-ureteric junction stenosis detected antenatally might benefit from pyeloplasty? Nucl Med Commun 32:199–205PubMedCrossRef
26.
go back to reference Dhillon HK (1998) Prenatally diagnosed hydronephrosis: the Great Ormond Street experience. Br J Urol 81(Suppl 2):39–44PubMed Dhillon HK (1998) Prenatally diagnosed hydronephrosis: the Great Ormond Street experience. Br J Urol 81(Suppl 2):39–44PubMed
27.
go back to reference Koff SA (2003) The beneficial and protective effects of hydronephrosis. APMIS Suppl 109:7–12PubMed Koff SA (2003) The beneficial and protective effects of hydronephrosis. APMIS Suppl 109:7–12PubMed
28.
go back to reference Avni FE, Hall M, Cassart M et al (2008) The postnatal workup of congenital uronephropathies. In: Fotter R (ed) Pediatric uroradiology, 2nd edn. Springer, Berlin, pp 251–270CrossRef Avni FE, Hall M, Cassart M et al (2008) The postnatal workup of congenital uronephropathies. In: Fotter R (ed) Pediatric uroradiology, 2nd edn. Springer, Berlin, pp 251–270CrossRef
29.
go back to reference Riccabona M, Avni FE, Blickman JG et al (2008) Imaging recommendations in paediatric uroradiology: minutes of the ESPR workgroup session on urinary tract infection, fetal hydronephrosis, urinary tract ultrasonography and voiding cystourethrography, Barcelona, Spain, June 2007. Pediatr Radiol 38:138–145PubMedCrossRef Riccabona M, Avni FE, Blickman JG et al (2008) Imaging recommendations in paediatric uroradiology: minutes of the ESPR workgroup session on urinary tract infection, fetal hydronephrosis, urinary tract ultrasonography and voiding cystourethrography, Barcelona, Spain, June 2007. Pediatr Radiol 38:138–145PubMedCrossRef
30.
go back to reference Avni EF, Ayadi K, Rypens F et al (1997) Can careful ultrasound examination of the urinary tract exclude vesicoureteric reflux in the neonate? Br J Radiol 70:977–982PubMed Avni EF, Ayadi K, Rypens F et al (1997) Can careful ultrasound examination of the urinary tract exclude vesicoureteric reflux in the neonate? Br J Radiol 70:977–982PubMed
31.
go back to reference Ismaili K, Hall M, Piepsz A et al (2005) Insights into the pathogenesis and natural history of fetuses with renal pelvis dilatation. Eur Urol 48:207–214PubMedCrossRef Ismaili K, Hall M, Piepsz A et al (2005) Insights into the pathogenesis and natural history of fetuses with renal pelvis dilatation. Eur Urol 48:207–214PubMedCrossRef
32.
go back to reference Ismaili K, Avni FE, Hall M (2008) Antenatal assessment of kidney morphology and function. In: Geary D, Schaefer F (eds) Comprehensive pediatric nephrology, 1st edn. Elsevier, Philadelphia, pp 63–78CrossRef Ismaili K, Avni FE, Hall M (2008) Antenatal assessment of kidney morphology and function. In: Geary D, Schaefer F (eds) Comprehensive pediatric nephrology, 1st edn. Elsevier, Philadelphia, pp 63–78CrossRef
Metadata
Title
The antenatally detected pelvi-ureteric junction stenosis: advances in renography and strategy of management
Authors
Khalid Ismaili
Amy Piepsz
Publication date
01-04-2013
Publisher
Springer-Verlag
Published in
Pediatric Radiology / Issue 4/2013
Print ISSN: 0301-0449
Electronic ISSN: 1432-1998
DOI
https://doi.org/10.1007/s00247-012-2505-0

Other articles of this Issue 4/2013

Pediatric Radiology 4/2013 Go to the issue

Exposure

Exposure