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Acta Medica Iranica، جلد ۴۹، شماره ۱۰، صفحات ۶۵۹-۶۶۲
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عنوان انگلیسی Renal Power Doppler Ultrasonographic Evaluation of Children with Acute Pyelonephritis
چکیده انگلیسی مقاله Urinary tract infections are common in children. The available gold standard method for diagnosis, Tc-99m dimercaptosuccinic acid scan is expensive and exposes patients to considerable amount of radiation. This study was performed to compare and assess the efficacy of Power Doppler Ultrasound versus Tc-99m DMSA scan for diagnosis of acute pyelonephritis. A quasi experimental study was conducted on 34 children with mean age of 2.82.7 years who were hospitalized with their first episode of febrile urinary tract infection. All children were evaluated in the first 3 days of admission by Doppler Ultrasound and Tc-99m DMSA scan. Patients with congenital structural anomalies were excluded. Each kidney was divided into three zones. The comparison between efficacy of Doppler Ultrasound and DMSA scan was carried out based on number of patients and on classified renal units. Based on the number of patients enrolled; the sensitivity, specificity, positive and negative predictive values and accuracy of Doppler Ultrasound were 89%, 53%, 70%, 80% and 74%, respectively but based on the renal units, it was 66%, 81%, 46%, 91% and 79% , respectively. Although Doppler Ultrasound has the potential for identifying acute pyelonephritis in children, but it is still soon to replace DMSA scan.
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نویسندگان مقاله احمد شجری | ahmad shajari
department of pediatric nephrology, shahid sadoughi university of medical sciences, yazd, iran.


رضا نفیسی مقدم | reza nafisi moghadam
department of radiology, shahid sadoughi university of medical sciences, yazd, iran.


مهروز ملک | mahrooz malek
department of radiology, tehran university of medical sciences, tehran, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)

آقا اسماعیلی | agha smaili
department of pediatric nephrology, shahid sadoughi university of medical sciences, yazd, iran.


محمود فلاح | mahmud fallah
department of radiology, shahid sadoughi university of medical sciences, yazd, iran.


علی pahlusi | ali pahlusi
department of pediatric nephrology, shahid sadoughi university of medical sciences, yazd, iran.
نشانی اینترنتی http://acta.tums.ac.ir/index.php/acta/article/view/3813
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زبان مقاله منتشر شده en
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