Comparison of imaging findings between acute focal bacterial nephritis (acute lobar nephronia) and acute pyelonephritis: a preliminary evaluation of the sufficiency of ultrasound for the diagnosis of acute focal bacterial nephritis
Objective The recommended durations of treatment for acute focal bacterial nephritis (AFBN) and acute pyelonephritis (APN) are different. This study aimed to clarify the sonographic findings used to differentiate AFBN from APN during diagnosis and to compare these findings with those obtained using...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Hosokawa, Takahiro [verfasserIn] Tanami, Yutaka [verfasserIn] Sato, Yumiko [verfasserIn] Oguma, Eiji [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2020 |
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| Schlagwörter: |
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| Übergeordnetes Werk: |
Enthalten in: Emergency radiology - Heidelberg : Springer, 1994, 27(2020), 4 vom: 11. März, Seite 405-412 |
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| Übergeordnetes Werk: |
volume:27 ; year:2020 ; number:4 ; day:11 ; month:03 ; pages:405-412 |
| Links: |
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| DOI / URN: |
10.1007/s10140-020-01771-8 |
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| Katalog-ID: |
SPR040282872 |
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| 100 | 1 | |a Hosokawa, Takahiro |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Comparison of imaging findings between acute focal bacterial nephritis (acute lobar nephronia) and acute pyelonephritis: a preliminary evaluation of the sufficiency of ultrasound for the diagnosis of acute focal bacterial nephritis |
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| 520 | |a Objective The recommended durations of treatment for acute focal bacterial nephritis (AFBN) and acute pyelonephritis (APN) are different. This study aimed to clarify the sonographic findings used to differentiate AFBN from APN during diagnosis and to compare these findings with those obtained using computed tomography (CT). Methods Eleven children with urinary tract infection who underwent contrast-enhanced CT and ultrasound examinations within a 24-h period were included. Diagnoses of AFBN and APN were established using CT data as the gold standard; viz., a focal area of poor enhancement is observed in AFBN but not in APN. The following ultrasound findings were evaluated: focal loss of corticomedullary differentiation (one/multiple), focal hyperechogenicity, abscess formation, and diffuse nephromegaly. Fisher’s exact test was used for statistical analysis. Results Of the 11 patients, 8 had AFBN and 3 had APN. The two groups differed significantly in the incidence of a focal loss of corticomedullary differentiation (present/absent, 8/8 vs. 0/3; p = 0.01) but not in the incidence of focal hyperechogenicity, abscess formation, and diffuse nephromegaly (present/absent, 2/8 vs. 0/3, p > 0.99; 1/8 vs. 0/3, p > 0.99; and 5/8 vs. 3/3, p = 0.49, respectively). The poorly enhanced area used to diagnose AFBN on CT images appeared as a focal loss of corticomedullary differentiation in ultrasound examinations. CT revealed multiple lesions in two cases in which ultrasound revealed only single lesions. Conclusion In our small cohort, ultrasound could be adequately used to diagnose AFBN based on the presence of a focal loss of corticomedullary differentiation. CT may not be required to differentiate AFBN from APN. | ||
| 650 | 4 | |a Acute focal bacterial nephritis |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Acute lobar nephronia |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Acute pyelonephritis |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Sonography |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Urinary tract infection |7 (dpeaa)DE-He213 | |
| 700 | 1 | |a Tanami, Yutaka |e verfasserin |4 aut | |
| 700 | 1 | |a Sato, Yumiko |e verfasserin |4 aut | |
| 700 | 1 | |a Oguma, Eiji |e verfasserin |4 aut | |
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10.1007/s10140-020-01771-8 doi (DE-627)SPR040282872 (SPR)s10140-020-01771-8-e DE-627 ger DE-627 rakwb eng 610 ASE 44.64 bkl Hosokawa, Takahiro verfasserin aut Comparison of imaging findings between acute focal bacterial nephritis (acute lobar nephronia) and acute pyelonephritis: a preliminary evaluation of the sufficiency of ultrasound for the diagnosis of acute focal bacterial nephritis 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective The recommended durations of treatment for acute focal bacterial nephritis (AFBN) and acute pyelonephritis (APN) are different. This study aimed to clarify the sonographic findings used to differentiate AFBN from APN during diagnosis and to compare these findings with those obtained using computed tomography (CT). Methods Eleven children with urinary tract infection who underwent contrast-enhanced CT and ultrasound examinations within a 24-h period were included. Diagnoses of AFBN and APN were established using CT data as the gold standard; viz., a focal area of poor enhancement is observed in AFBN but not in APN. The following ultrasound findings were evaluated: focal loss of corticomedullary differentiation (one/multiple), focal hyperechogenicity, abscess formation, and diffuse nephromegaly. Fisher’s exact test was used for statistical analysis. Results Of the 11 patients, 8 had AFBN and 3 had APN. The two groups differed significantly in the incidence of a focal loss of corticomedullary differentiation (present/absent, 8/8 vs. 0/3; p = 0.01) but not in the incidence of focal hyperechogenicity, abscess formation, and diffuse nephromegaly (present/absent, 2/8 vs. 0/3, p > 0.99; 1/8 vs. 0/3, p > 0.99; and 5/8 vs. 3/3, p = 0.49, respectively). The poorly enhanced area used to diagnose AFBN on CT images appeared as a focal loss of corticomedullary differentiation in ultrasound examinations. CT revealed multiple lesions in two cases in which ultrasound revealed only single lesions. Conclusion In our small cohort, ultrasound could be adequately used to diagnose AFBN based on the presence of a focal loss of corticomedullary differentiation. CT may not be required to differentiate AFBN from APN. Acute focal bacterial nephritis (dpeaa)DE-He213 Acute lobar nephronia (dpeaa)DE-He213 Acute pyelonephritis (dpeaa)DE-He213 Sonography (dpeaa)DE-He213 Urinary tract infection (dpeaa)DE-He213 Tanami, Yutaka verfasserin aut Sato, Yumiko verfasserin aut Oguma, Eiji verfasserin aut Enthalten in Emergency radiology Heidelberg : Springer, 1994 27(2020), 4 vom: 11. März, Seite 405-412 (DE-627)271599332 (DE-600)1480928-X 1438-1435 nnns volume:27 year:2020 number:4 day:11 month:03 pages:405-412 https://dx.doi.org/10.1007/s10140-020-01771-8 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.64 ASE AR 27 2020 4 11 03 405-412 |
| spelling |
10.1007/s10140-020-01771-8 doi (DE-627)SPR040282872 (SPR)s10140-020-01771-8-e DE-627 ger DE-627 rakwb eng 610 ASE 44.64 bkl Hosokawa, Takahiro verfasserin aut Comparison of imaging findings between acute focal bacterial nephritis (acute lobar nephronia) and acute pyelonephritis: a preliminary evaluation of the sufficiency of ultrasound for the diagnosis of acute focal bacterial nephritis 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective The recommended durations of treatment for acute focal bacterial nephritis (AFBN) and acute pyelonephritis (APN) are different. This study aimed to clarify the sonographic findings used to differentiate AFBN from APN during diagnosis and to compare these findings with those obtained using computed tomography (CT). Methods Eleven children with urinary tract infection who underwent contrast-enhanced CT and ultrasound examinations within a 24-h period were included. Diagnoses of AFBN and APN were established using CT data as the gold standard; viz., a focal area of poor enhancement is observed in AFBN but not in APN. The following ultrasound findings were evaluated: focal loss of corticomedullary differentiation (one/multiple), focal hyperechogenicity, abscess formation, and diffuse nephromegaly. Fisher’s exact test was used for statistical analysis. Results Of the 11 patients, 8 had AFBN and 3 had APN. The two groups differed significantly in the incidence of a focal loss of corticomedullary differentiation (present/absent, 8/8 vs. 0/3; p = 0.01) but not in the incidence of focal hyperechogenicity, abscess formation, and diffuse nephromegaly (present/absent, 2/8 vs. 0/3, p > 0.99; 1/8 vs. 0/3, p > 0.99; and 5/8 vs. 3/3, p = 0.49, respectively). The poorly enhanced area used to diagnose AFBN on CT images appeared as a focal loss of corticomedullary differentiation in ultrasound examinations. CT revealed multiple lesions in two cases in which ultrasound revealed only single lesions. Conclusion In our small cohort, ultrasound could be adequately used to diagnose AFBN based on the presence of a focal loss of corticomedullary differentiation. CT may not be required to differentiate AFBN from APN. Acute focal bacterial nephritis (dpeaa)DE-He213 Acute lobar nephronia (dpeaa)DE-He213 Acute pyelonephritis (dpeaa)DE-He213 Sonography (dpeaa)DE-He213 Urinary tract infection (dpeaa)DE-He213 Tanami, Yutaka verfasserin aut Sato, Yumiko verfasserin aut Oguma, Eiji verfasserin aut Enthalten in Emergency radiology Heidelberg : Springer, 1994 27(2020), 4 vom: 11. März, Seite 405-412 (DE-627)271599332 (DE-600)1480928-X 1438-1435 nnns volume:27 year:2020 number:4 day:11 month:03 pages:405-412 https://dx.doi.org/10.1007/s10140-020-01771-8 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.64 ASE AR 27 2020 4 11 03 405-412 |
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10.1007/s10140-020-01771-8 doi (DE-627)SPR040282872 (SPR)s10140-020-01771-8-e DE-627 ger DE-627 rakwb eng 610 ASE 44.64 bkl Hosokawa, Takahiro verfasserin aut Comparison of imaging findings between acute focal bacterial nephritis (acute lobar nephronia) and acute pyelonephritis: a preliminary evaluation of the sufficiency of ultrasound for the diagnosis of acute focal bacterial nephritis 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective The recommended durations of treatment for acute focal bacterial nephritis (AFBN) and acute pyelonephritis (APN) are different. This study aimed to clarify the sonographic findings used to differentiate AFBN from APN during diagnosis and to compare these findings with those obtained using computed tomography (CT). Methods Eleven children with urinary tract infection who underwent contrast-enhanced CT and ultrasound examinations within a 24-h period were included. Diagnoses of AFBN and APN were established using CT data as the gold standard; viz., a focal area of poor enhancement is observed in AFBN but not in APN. The following ultrasound findings were evaluated: focal loss of corticomedullary differentiation (one/multiple), focal hyperechogenicity, abscess formation, and diffuse nephromegaly. Fisher’s exact test was used for statistical analysis. Results Of the 11 patients, 8 had AFBN and 3 had APN. The two groups differed significantly in the incidence of a focal loss of corticomedullary differentiation (present/absent, 8/8 vs. 0/3; p = 0.01) but not in the incidence of focal hyperechogenicity, abscess formation, and diffuse nephromegaly (present/absent, 2/8 vs. 0/3, p > 0.99; 1/8 vs. 0/3, p > 0.99; and 5/8 vs. 3/3, p = 0.49, respectively). The poorly enhanced area used to diagnose AFBN on CT images appeared as a focal loss of corticomedullary differentiation in ultrasound examinations. CT revealed multiple lesions in two cases in which ultrasound revealed only single lesions. Conclusion In our small cohort, ultrasound could be adequately used to diagnose AFBN based on the presence of a focal loss of corticomedullary differentiation. CT may not be required to differentiate AFBN from APN. Acute focal bacterial nephritis (dpeaa)DE-He213 Acute lobar nephronia (dpeaa)DE-He213 Acute pyelonephritis (dpeaa)DE-He213 Sonography (dpeaa)DE-He213 Urinary tract infection (dpeaa)DE-He213 Tanami, Yutaka verfasserin aut Sato, Yumiko verfasserin aut Oguma, Eiji verfasserin aut Enthalten in Emergency radiology Heidelberg : Springer, 1994 27(2020), 4 vom: 11. März, Seite 405-412 (DE-627)271599332 (DE-600)1480928-X 1438-1435 nnns volume:27 year:2020 number:4 day:11 month:03 pages:405-412 https://dx.doi.org/10.1007/s10140-020-01771-8 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.64 ASE AR 27 2020 4 11 03 405-412 |
| allfieldsGer |
10.1007/s10140-020-01771-8 doi (DE-627)SPR040282872 (SPR)s10140-020-01771-8-e DE-627 ger DE-627 rakwb eng 610 ASE 44.64 bkl Hosokawa, Takahiro verfasserin aut Comparison of imaging findings between acute focal bacterial nephritis (acute lobar nephronia) and acute pyelonephritis: a preliminary evaluation of the sufficiency of ultrasound for the diagnosis of acute focal bacterial nephritis 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective The recommended durations of treatment for acute focal bacterial nephritis (AFBN) and acute pyelonephritis (APN) are different. This study aimed to clarify the sonographic findings used to differentiate AFBN from APN during diagnosis and to compare these findings with those obtained using computed tomography (CT). Methods Eleven children with urinary tract infection who underwent contrast-enhanced CT and ultrasound examinations within a 24-h period were included. Diagnoses of AFBN and APN were established using CT data as the gold standard; viz., a focal area of poor enhancement is observed in AFBN but not in APN. The following ultrasound findings were evaluated: focal loss of corticomedullary differentiation (one/multiple), focal hyperechogenicity, abscess formation, and diffuse nephromegaly. Fisher’s exact test was used for statistical analysis. Results Of the 11 patients, 8 had AFBN and 3 had APN. The two groups differed significantly in the incidence of a focal loss of corticomedullary differentiation (present/absent, 8/8 vs. 0/3; p = 0.01) but not in the incidence of focal hyperechogenicity, abscess formation, and diffuse nephromegaly (present/absent, 2/8 vs. 0/3, p > 0.99; 1/8 vs. 0/3, p > 0.99; and 5/8 vs. 3/3, p = 0.49, respectively). The poorly enhanced area used to diagnose AFBN on CT images appeared as a focal loss of corticomedullary differentiation in ultrasound examinations. CT revealed multiple lesions in two cases in which ultrasound revealed only single lesions. Conclusion In our small cohort, ultrasound could be adequately used to diagnose AFBN based on the presence of a focal loss of corticomedullary differentiation. CT may not be required to differentiate AFBN from APN. Acute focal bacterial nephritis (dpeaa)DE-He213 Acute lobar nephronia (dpeaa)DE-He213 Acute pyelonephritis (dpeaa)DE-He213 Sonography (dpeaa)DE-He213 Urinary tract infection (dpeaa)DE-He213 Tanami, Yutaka verfasserin aut Sato, Yumiko verfasserin aut Oguma, Eiji verfasserin aut Enthalten in Emergency radiology Heidelberg : Springer, 1994 27(2020), 4 vom: 11. März, Seite 405-412 (DE-627)271599332 (DE-600)1480928-X 1438-1435 nnns volume:27 year:2020 number:4 day:11 month:03 pages:405-412 https://dx.doi.org/10.1007/s10140-020-01771-8 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.64 ASE AR 27 2020 4 11 03 405-412 |
| allfieldsSound |
10.1007/s10140-020-01771-8 doi (DE-627)SPR040282872 (SPR)s10140-020-01771-8-e DE-627 ger DE-627 rakwb eng 610 ASE 44.64 bkl Hosokawa, Takahiro verfasserin aut Comparison of imaging findings between acute focal bacterial nephritis (acute lobar nephronia) and acute pyelonephritis: a preliminary evaluation of the sufficiency of ultrasound for the diagnosis of acute focal bacterial nephritis 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective The recommended durations of treatment for acute focal bacterial nephritis (AFBN) and acute pyelonephritis (APN) are different. This study aimed to clarify the sonographic findings used to differentiate AFBN from APN during diagnosis and to compare these findings with those obtained using computed tomography (CT). Methods Eleven children with urinary tract infection who underwent contrast-enhanced CT and ultrasound examinations within a 24-h period were included. Diagnoses of AFBN and APN were established using CT data as the gold standard; viz., a focal area of poor enhancement is observed in AFBN but not in APN. The following ultrasound findings were evaluated: focal loss of corticomedullary differentiation (one/multiple), focal hyperechogenicity, abscess formation, and diffuse nephromegaly. Fisher’s exact test was used for statistical analysis. Results Of the 11 patients, 8 had AFBN and 3 had APN. The two groups differed significantly in the incidence of a focal loss of corticomedullary differentiation (present/absent, 8/8 vs. 0/3; p = 0.01) but not in the incidence of focal hyperechogenicity, abscess formation, and diffuse nephromegaly (present/absent, 2/8 vs. 0/3, p > 0.99; 1/8 vs. 0/3, p > 0.99; and 5/8 vs. 3/3, p = 0.49, respectively). The poorly enhanced area used to diagnose AFBN on CT images appeared as a focal loss of corticomedullary differentiation in ultrasound examinations. CT revealed multiple lesions in two cases in which ultrasound revealed only single lesions. Conclusion In our small cohort, ultrasound could be adequately used to diagnose AFBN based on the presence of a focal loss of corticomedullary differentiation. CT may not be required to differentiate AFBN from APN. Acute focal bacterial nephritis (dpeaa)DE-He213 Acute lobar nephronia (dpeaa)DE-He213 Acute pyelonephritis (dpeaa)DE-He213 Sonography (dpeaa)DE-He213 Urinary tract infection (dpeaa)DE-He213 Tanami, Yutaka verfasserin aut Sato, Yumiko verfasserin aut Oguma, Eiji verfasserin aut Enthalten in Emergency radiology Heidelberg : Springer, 1994 27(2020), 4 vom: 11. März, Seite 405-412 (DE-627)271599332 (DE-600)1480928-X 1438-1435 nnns volume:27 year:2020 number:4 day:11 month:03 pages:405-412 https://dx.doi.org/10.1007/s10140-020-01771-8 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.64 ASE AR 27 2020 4 11 03 405-412 |
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English |
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Enthalten in Emergency radiology 27(2020), 4 vom: 11. März, Seite 405-412 volume:27 year:2020 number:4 day:11 month:03 pages:405-412 |
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Enthalten in Emergency radiology 27(2020), 4 vom: 11. März, Seite 405-412 volume:27 year:2020 number:4 day:11 month:03 pages:405-412 |
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Acute focal bacterial nephritis Acute lobar nephronia Acute pyelonephritis Sonography Urinary tract infection |
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Emergency radiology |
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Hosokawa, Takahiro @@aut@@ Tanami, Yutaka @@aut@@ Sato, Yumiko @@aut@@ Oguma, Eiji @@aut@@ |
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2020-03-11T00:00:00Z |
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This study aimed to clarify the sonographic findings used to differentiate AFBN from APN during diagnosis and to compare these findings with those obtained using computed tomography (CT). Methods Eleven children with urinary tract infection who underwent contrast-enhanced CT and ultrasound examinations within a 24-h period were included. Diagnoses of AFBN and APN were established using CT data as the gold standard; viz., a focal area of poor enhancement is observed in AFBN but not in APN. The following ultrasound findings were evaluated: focal loss of corticomedullary differentiation (one/multiple), focal hyperechogenicity, abscess formation, and diffuse nephromegaly. Fisher’s exact test was used for statistical analysis. Results Of the 11 patients, 8 had AFBN and 3 had APN. The two groups differed significantly in the incidence of a focal loss of corticomedullary differentiation (present/absent, 8/8 vs. 0/3; p = 0.01) but not in the incidence of focal hyperechogenicity, abscess formation, and diffuse nephromegaly (present/absent, 2/8 vs. 0/3, p > 0.99; 1/8 vs. 0/3, p > 0.99; and 5/8 vs. 3/3, p = 0.49, respectively). The poorly enhanced area used to diagnose AFBN on CT images appeared as a focal loss of corticomedullary differentiation in ultrasound examinations. CT revealed multiple lesions in two cases in which ultrasound revealed only single lesions. Conclusion In our small cohort, ultrasound could be adequately used to diagnose AFBN based on the presence of a focal loss of corticomedullary differentiation. 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Hosokawa, Takahiro |
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Hosokawa, Takahiro ddc 610 bkl 44.64 misc Acute focal bacterial nephritis misc Acute lobar nephronia misc Acute pyelonephritis misc Sonography misc Urinary tract infection Comparison of imaging findings between acute focal bacterial nephritis (acute lobar nephronia) and acute pyelonephritis: a preliminary evaluation of the sufficiency of ultrasound for the diagnosis of acute focal bacterial nephritis |
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610 ASE 44.64 bkl Comparison of imaging findings between acute focal bacterial nephritis (acute lobar nephronia) and acute pyelonephritis: a preliminary evaluation of the sufficiency of ultrasound for the diagnosis of acute focal bacterial nephritis Acute focal bacterial nephritis (dpeaa)DE-He213 Acute lobar nephronia (dpeaa)DE-He213 Acute pyelonephritis (dpeaa)DE-He213 Sonography (dpeaa)DE-He213 Urinary tract infection (dpeaa)DE-He213 |
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ddc 610 bkl 44.64 misc Acute focal bacterial nephritis misc Acute lobar nephronia misc Acute pyelonephritis misc Sonography misc Urinary tract infection |
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ddc 610 bkl 44.64 misc Acute focal bacterial nephritis misc Acute lobar nephronia misc Acute pyelonephritis misc Sonography misc Urinary tract infection |
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Comparison of imaging findings between acute focal bacterial nephritis (acute lobar nephronia) and acute pyelonephritis: a preliminary evaluation of the sufficiency of ultrasound for the diagnosis of acute focal bacterial nephritis |
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Comparison of imaging findings between acute focal bacterial nephritis (acute lobar nephronia) and acute pyelonephritis: a preliminary evaluation of the sufficiency of ultrasound for the diagnosis of acute focal bacterial nephritis |
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Hosokawa, Takahiro Tanami, Yutaka Sato, Yumiko Oguma, Eiji |
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Hosokawa, Takahiro |
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10.1007/s10140-020-01771-8 |
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610 |
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verfasserin |
| title_sort |
comparison of imaging findings between acute focal bacterial nephritis (acute lobar nephronia) and acute pyelonephritis: a preliminary evaluation of the sufficiency of ultrasound for the diagnosis of acute focal bacterial nephritis |
| title_auth |
Comparison of imaging findings between acute focal bacterial nephritis (acute lobar nephronia) and acute pyelonephritis: a preliminary evaluation of the sufficiency of ultrasound for the diagnosis of acute focal bacterial nephritis |
| abstract |
Objective The recommended durations of treatment for acute focal bacterial nephritis (AFBN) and acute pyelonephritis (APN) are different. This study aimed to clarify the sonographic findings used to differentiate AFBN from APN during diagnosis and to compare these findings with those obtained using computed tomography (CT). Methods Eleven children with urinary tract infection who underwent contrast-enhanced CT and ultrasound examinations within a 24-h period were included. Diagnoses of AFBN and APN were established using CT data as the gold standard; viz., a focal area of poor enhancement is observed in AFBN but not in APN. The following ultrasound findings were evaluated: focal loss of corticomedullary differentiation (one/multiple), focal hyperechogenicity, abscess formation, and diffuse nephromegaly. Fisher’s exact test was used for statistical analysis. Results Of the 11 patients, 8 had AFBN and 3 had APN. The two groups differed significantly in the incidence of a focal loss of corticomedullary differentiation (present/absent, 8/8 vs. 0/3; p = 0.01) but not in the incidence of focal hyperechogenicity, abscess formation, and diffuse nephromegaly (present/absent, 2/8 vs. 0/3, p > 0.99; 1/8 vs. 0/3, p > 0.99; and 5/8 vs. 3/3, p = 0.49, respectively). The poorly enhanced area used to diagnose AFBN on CT images appeared as a focal loss of corticomedullary differentiation in ultrasound examinations. CT revealed multiple lesions in two cases in which ultrasound revealed only single lesions. Conclusion In our small cohort, ultrasound could be adequately used to diagnose AFBN based on the presence of a focal loss of corticomedullary differentiation. CT may not be required to differentiate AFBN from APN. |
| abstractGer |
Objective The recommended durations of treatment for acute focal bacterial nephritis (AFBN) and acute pyelonephritis (APN) are different. This study aimed to clarify the sonographic findings used to differentiate AFBN from APN during diagnosis and to compare these findings with those obtained using computed tomography (CT). Methods Eleven children with urinary tract infection who underwent contrast-enhanced CT and ultrasound examinations within a 24-h period were included. Diagnoses of AFBN and APN were established using CT data as the gold standard; viz., a focal area of poor enhancement is observed in AFBN but not in APN. The following ultrasound findings were evaluated: focal loss of corticomedullary differentiation (one/multiple), focal hyperechogenicity, abscess formation, and diffuse nephromegaly. Fisher’s exact test was used for statistical analysis. Results Of the 11 patients, 8 had AFBN and 3 had APN. The two groups differed significantly in the incidence of a focal loss of corticomedullary differentiation (present/absent, 8/8 vs. 0/3; p = 0.01) but not in the incidence of focal hyperechogenicity, abscess formation, and diffuse nephromegaly (present/absent, 2/8 vs. 0/3, p > 0.99; 1/8 vs. 0/3, p > 0.99; and 5/8 vs. 3/3, p = 0.49, respectively). The poorly enhanced area used to diagnose AFBN on CT images appeared as a focal loss of corticomedullary differentiation in ultrasound examinations. CT revealed multiple lesions in two cases in which ultrasound revealed only single lesions. Conclusion In our small cohort, ultrasound could be adequately used to diagnose AFBN based on the presence of a focal loss of corticomedullary differentiation. CT may not be required to differentiate AFBN from APN. |
| abstract_unstemmed |
Objective The recommended durations of treatment for acute focal bacterial nephritis (AFBN) and acute pyelonephritis (APN) are different. This study aimed to clarify the sonographic findings used to differentiate AFBN from APN during diagnosis and to compare these findings with those obtained using computed tomography (CT). Methods Eleven children with urinary tract infection who underwent contrast-enhanced CT and ultrasound examinations within a 24-h period were included. Diagnoses of AFBN and APN were established using CT data as the gold standard; viz., a focal area of poor enhancement is observed in AFBN but not in APN. The following ultrasound findings were evaluated: focal loss of corticomedullary differentiation (one/multiple), focal hyperechogenicity, abscess formation, and diffuse nephromegaly. Fisher’s exact test was used for statistical analysis. Results Of the 11 patients, 8 had AFBN and 3 had APN. The two groups differed significantly in the incidence of a focal loss of corticomedullary differentiation (present/absent, 8/8 vs. 0/3; p = 0.01) but not in the incidence of focal hyperechogenicity, abscess formation, and diffuse nephromegaly (present/absent, 2/8 vs. 0/3, p > 0.99; 1/8 vs. 0/3, p > 0.99; and 5/8 vs. 3/3, p = 0.49, respectively). The poorly enhanced area used to diagnose AFBN on CT images appeared as a focal loss of corticomedullary differentiation in ultrasound examinations. CT revealed multiple lesions in two cases in which ultrasound revealed only single lesions. Conclusion In our small cohort, ultrasound could be adequately used to diagnose AFBN based on the presence of a focal loss of corticomedullary differentiation. CT may not be required to differentiate AFBN from APN. |
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Comparison of imaging findings between acute focal bacterial nephritis (acute lobar nephronia) and acute pyelonephritis: a preliminary evaluation of the sufficiency of ultrasound for the diagnosis of acute focal bacterial nephritis |
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https://dx.doi.org/10.1007/s10140-020-01771-8 |
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Tanami, Yutaka Sato, Yumiko Oguma, Eiji |
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2024-07-03T14:58:52.538Z |
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| score |
7.4012575 |