Nonutility of cineurograms in children with congenital heart disease.
Cineurography is often performed after cineangiocardiography to look for occult congenital urinary tract disease. The accuracy of cineurography was investigated in 171 patients by comparing cineurograms with renal sonograms. One hundred fifteen cineurograms (67%) showed both kidneys well enough to allow assessment of renal structure and function and the results were confirmed in 112 by ultrasonography; 3 cineurograms yielded false-positive results. Limited or no information was obtained from cineurograms of 56 patients (33%) because of nonvisualization or poor visualization of 1 or both kidneys. Of the 11 patients (6%) with urinary tract disease, only 3 were correctly assessed by cineurography. Ultrasonography discovered all 11 renal abnormalities and produced only 1 false-positive result. These data indicate that cineurography is a poor screening test and should be abandoned. When uroradiologic screening is necessary for high-risk patients, sonography is recommended.
Nussbaum
A R
AR
Department of Radiology, Children's Hospital, Boston, Massachusetts.
Newman
B
B
Freed
M D
MD
Keane
J F
JF
Teele
R L
RL
Fellows
K E
KE
Lebowitz
R L
RL
D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D002932:Cineangiography; D005069:Evaluation Studies as Topic; D005260:Female; D006330:Heart Defects, Congenital / Q000000981:diagnostic imaging*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007668:Kidney / Q000000981:diagnostic imaging; D007674:Kidney Diseases / Q000000981:diagnostic imaging; D009040:Motion Pictures; D014567:Urography / Q000592:standards*