Diagnostic Accuracy of Ureteric Jet Angle Measurement Using Color Doppler Ultrasonography in Children With Vesico-Ureteric Reflux

IF 2.1 4区医学 Q2 ACOUSTICS Journal of Ultrasound in Medicine Pub Date : 2024-08-05 DOI:10.1002/jum.16543

Cameron Gemmell BBehavSc(Psych), BBus(International), BBusMan(Hons I), Christopher Edwards BAppSc(MedRadTech), MAppSc(Med Ultrasound), PhD, Tristan Reddan BAppSc(MedRadTech), GradCertHlthSc, GradDipAppSc(Med Ultrasound), PhD

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Abstract

This systematic review evaluated accuracy of ureteric jet angles on color Doppler sonography in diagnosing vesico-ureteric reflux (VUR) in children, using voiding cystourethrogram as the reference standard. Six databases were searched, yielding 13 eligible studies of an initial 429, 7 with comparable data. Risk of bias and applicability were assessed using the Quality Assessment of Diagnostic Accuracy Studies (QUADAS-2) tool. Most studies demonstrated a correlation between increasing jet angle and VUR severity, but reporting and techniques varied, preventing meta-analysis. Ureteric jet angle sonography may have potential as a VUR triaging tool. Further investigations with rigorous methodology are required. Funding support was obtained from Queensland University of Technology. PROSPERO Registration CRD42020159799.

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在膀胱输尿管反流儿童中使用彩色多普勒超声波测量输尿管射流角的诊断准确性：系统回顾

本系统性综述以排尿膀胱尿道造影为参考标准，评估了彩色多普勒超声检查输尿管喷射角度在诊断儿童膀胱输尿管反流（VUR）方面的准确性。研究人员检索了六个数据库，从最初的 429 项研究中筛选出 13 项符合条件的研究，其中 7 项研究的数据具有可比性。使用诊断准确性研究质量评估（QUADAS-2）工具对偏倚风险和适用性进行了评估。大多数研究表明，射流角增大与 VUR 严重程度之间存在相关性，但报告和技术各不相同，因此无法进行荟萃分析。输尿管喷射角超声造影可能具有作为 VUR 分流工具的潜力。需要采用严格的方法进行进一步研究。昆士兰科技大学提供资金支持。PROSPERO 注册号：CRD42020159799。

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来源期刊

Journal of Ultrasound in Medicine 医学-核医学

CiteScore

5.10

自引率

4.30%

发文量

205

审稿时长

1.5 months

期刊介绍： The Journal of Ultrasound in Medicine (JUM) is dedicated to the rapid, accurate publication of original articles dealing with all aspects of medical ultrasound, particularly its direct application to patient care but also relevant basic science, advances in instrumentation, and biological effects. The journal is an official publication of the American Institute of Ultrasound in Medicine and publishes articles in a variety of categories, including Original Research papers, Review Articles, Pictorial Essays, Technical Innovations, Case Series, Letters to the Editor, and more, from an international bevy of countries in a continual effort to showcase and promote advances in the ultrasound community. Represented through these efforts are a wide variety of disciplines of ultrasound, including, but not limited to: -Basic Science- Breast Ultrasound- Contrast-Enhanced Ultrasound- Dermatology- Echocardiography- Elastography- Emergency Medicine- Fetal Echocardiography- Gastrointestinal Ultrasound- General and Abdominal Ultrasound- Genitourinary Ultrasound- Gynecologic Ultrasound- Head and Neck Ultrasound- High Frequency Clinical and Preclinical Imaging- Interventional-Intraoperative Ultrasound- Musculoskeletal Ultrasound- Neurosonology- Obstetric Ultrasound- Ophthalmologic Ultrasound- Pediatric Ultrasound- Point-of-Care Ultrasound- Public Policy- Superficial Structures- Therapeutic Ultrasound- Ultrasound Education- Ultrasound in Global Health- Urologic Ultrasound- Vascular Ultrasound