Evidence map›Paper›PMID 28755057›Full record

ArticleEuropean radiology2018

Feasibility of superb microvascular imaging to detect high-grade vesicoureteral reflux in children with urinary tract infection.

Hee Kyung Kim, Sara O'Hara, Bo-Kyung Je, Steven J Kraus, Paul Horn

Abstract read
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In one paragraph

Article in European radiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
4.1field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 20 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. Review
  5. Cerebrospinal Fluid Flow Detection in Post-hemorrhagic Hydrocephalus With Novel Microvascular Imaging Modality.Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine · 2022
    Article
  6. Observational
  7. Review
  8. Review
  9. Article
  10. Urinary Tract Infection in Children.Recent patents on inflammation & allergy drug discovery · 2019
    Article
  11. Article
  12. Article
  13. Fibrosis imaging: Current concepts and future directions.Advanced drug delivery reviews · 2017
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 2 countries.

Hee Kyung KimDepartment of Radiology, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH, 45229-3039, USA. Hee.Kim@cchmc.org.
Sara O'HaraDepartment of Radiology, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH, 45229-3039, USA.
Bo-Kyung JeDepartment of Radiology, Korea University Ansan Hospital, Ansan-si, South Korea.
Steven J KrausDepartment of Radiology, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH, 45229-3039, USA.
Paul HornDepartment of Neurology, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH, 45229-3039, USA.
Cincinnati Children's Hospital Medical Center · USAnsan University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate superb microvascular imaging (SMI) for the detection of high-grade vesicoureteral reflux (VUR).

methodsWe reviewed the patients with urinary tract infection who underwent renal US with SMI and VCUG. The subjects were divided into a VUR group, which included 17 patients (20 kidney units, KU) with high-grade reflux (grade 4 or 5) on VCUG, and a group without VUR including the same numbers of subjects. The direction of urine movement at the distal ureter and the renal pelvis was reviewed on SMI. SMI and VCUG results were compared.

resultsUrinary flow "jets" into the bladder and direction of the flow were detectable on all SMI examinations in both groups. In the group with VUR, 20 KUs had grade 4 (n = 11) or grade 5 (n = 9) reflux (bilateral VUR in 3 patients). Among 20 KUs with VUR, 15 (75%) showed a reversed ureteral jet and/or renal pelvic swirl sign on SMI. None of the patients in the group without VUR showed those findings on SMI.

conclusionSMI enables detection of the direction of urinary flow. The presence of a reversed ureteral jet and/or renal pelvic swirl sign correlates with high-grade VUR with 75% accuracy. KEY POINTS: • Superb microvascular imaging is feasible in children with urinary tract infection. • SMI enables detection of the direction of urinary flow. • Presence of reversed flow correlates with high-grade vesicoureteral reflux.

Indexed as

MicrocirculationCapillariesChildChild, PreschoolFeasibility StudiesFemaleHumansInfantKidney PelvisMaleUreterUrinary Tract InfectionsVesico-Ureteral RefluxChildrenSuperb microvascular imagingUltrasoundUrinary tract infectionVesicoureteral reflux

Identifiers

PMID28755057
OpenAlexW2740734002

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.