Vesicoureteral reflux and urinary tract infection: evolving practices and current controversies in pediatric imaging.
OBJECTIVE
Pediatric patients with urinary tract infection (UTI) undergo imaging tests to detect vesicoureteral reflux (VUR) in the belief that VUR correlates to risk of renal scarring. This article describes recent evolution and controversies in the management of UTI and VUR.


CONCLUSIONS
Multitechnique imaging of UTI and VUR is complex and controversial. Evolution in practice patterns is motivated by the desire to rationally minimize unnecessary interventions and radiation exposure. Ongoing evidence-based research is needed to further improve practice guidelines.
Lim
Ruth
R
Division of Pediatric Radiology and Division of Nuclear Medicine Molecular Imaging, Department of Radiology, Massachusetts General Hospital and Harvard Medical School, 34 Fruit Street, Boston, MA 02114, USA. rlim@partners.org
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D002921:Cicatrix / Q000209:etiology; D003952:Diagnostic Imaging; D006801:Humans; D007223:Infant; D014552:Urinary Tract Infections / Q000150:complications / Q000175:diagnosis* / Q000453:epidemiology / Q000503:physiopathology; D014718:Vesico-Ureteral Reflux / Q000150:complications / Q000175:diagnosis* / Q000453:epidemiology / Q000503:physiopathology