ArticleKorean journal of urology2010
Diagnosing Acute Pyelonephritis with CT, Tc-DMSA SPECT, and Doppler Ultrasound: A Comparative Study.
Article in Korean journal of urology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 45 citations in OpenAlex.
- Clinically unsuspected pyelonephritis in children younger than 7 years.Emergency radiology · 2025Article
- Conflicting views of physicians and surgeons concerning paediatric urinary tract infection: a comparative review. May nuclear medicine provide an answer? Reply to Hewitt et al.Pediatric radiology · 2024Article
- Article
- New strategy of color and power doppler sonography combined with DMSA in the assessment of acute pyelonephritis in infants.BMC nephrology · 2021Article
- Study on risk factors, bacterial species, and drug resistance of acute pyelonephritis associated with ureteral stent after percutaneous nephrolithotomy.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2021Article
- Localization of acute pyelonephritis in pyrexia of unknown origin using FDG PET/CT.Asia Oceania journal of nuclear medicine & biology · 2020Article
- Portal Vein Thrombosis in a Patient with Type 1 Diabetes Presenting as Acute Pyelonephritis.European journal of case reports in internal medicine · 2020Article
- Comparison of Tc-99m DMSA Renal Planar Scan and SPECT for Detection of Cortical Defects in Infants with Suspected Acute Pyelonephritis.Indian journal of pediatrics · 2019Article
- Clinical Usefulness of Unenhanced Computed Tomography in Patients with Acute Pyelonephritis.Journal of Korean medical science · 2018Article
- Ureteral dilatation detected in magnetic resonance imaging predicts vesicoureteral reflux in children with urinary tract infection.PloS one · 2018Article
- Core curriculum illustration: acute pyelonephritis.Emergency radiology · 2017Article
- Diffusion-weighted imaging and apparent diffusion coefficient values versus contrast-enhanced MR imaging in the identification and characterisation of acute pyelonephritis.European radiology · 2013Article
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeWith growing interest in early imaging, the aim of our study was to define the most practical modality for routine clinical use for the diagnosis of acute pyelonephritis (APN). We compared the sensitivity of enhanced computerized tomography (CT), dimercaptosuccinic acid (DMSA) scintigraphy, and Doppler ultrasonography (DUS) by using clinical findings as the standard of reference. MATERIALS AND
methodsA total of 207 APN patients (191 women, 16 men; mean age, 49.4 years; range, 17-88 years) were enrolled in this study. All the patients underwent imaging modalities during hospitalization. SPECT images were obtained 4 hours after injection of (99m)Tc-DMSA. Transverse and coronary CT images were obtained before and after injection of the contrast agent. DUS was performed in the longitudinal, transverse, and coronal planes. All the images were read independently by a single radiologist and a nuclear medicine specialist. The sensitivity of each modality for detecting APN was compared.
resultsCT showed significantly superior sensitivity compared with that of DUS (81.0% vs. 33.3%, respectively, n=147). DMSA scintigraphy also showed significantly superior sensitivity compared with that of DUS (74.7% vs. 33.3%, respectively, n=150). Compared with DMSA scintigraphy, CT showed superior sensitivity, but the difference was not statistically significant (81.0% vs. 74.8%, respectively, n=147, p=0.163).
conclusionsFor cases of clinically suspected APN, CT and DMSA scintigraphy appear to be equally sensitive and reliable for detecting APN, although CT is more practical in various fields. DUS was significantly less sensitive.
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