{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,3,3]],"date-time":"2025-03-03T05:44:03Z","timestamp":1740980643598,"version":"3.38.0"},"reference-count":14,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2008,11,1]],"date-time":"2008-11-01T00:00:00Z","timestamp":1225497600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Scott Med J"],"published-print":{"date-parts":[[2008,11]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p> Young children may develop renal scarring following a urinary tract infection (UTI) especially after pyelonephritis which is difficult to diagnose. Permanent renal scars are diagnosed by dimercapto-succinic acid (DMSA) scan several months later. To decrease unnecessary exposure to radiation, we investigate the role of renal power Doppler (RPD) in predicting those who may not require a late DMSA scan. <\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p> Children under four years of age with a first UTI underwent an RPD study soon after diagnosis, and a DMSA scintigraphy six months later. The predictive values of the early RPD to detect DMSA renal scarring were calculated. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p> Twenty three children (median age 30 months) were enrolled: 13 had a febrile presentation, two with bacteraemia. Permanent scarring occurred in three children (13%). In the 46 kidney units studied, initial RPD was abnormal in two and late DMSA abnormal in three units. Overall concordance between RPD and DMSA was 93.5%. The sensitivity of RPD for renal scar as per DMSA was 33.3%, specificity 97.7%; positive predictive value 50% and a negative predictive value of 95.4%. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p> RPD offered no advantage over ultrasound to predict renal scarring and cannot be recommended to predict renal scarring following UTI. <\/jats:p><\/jats:sec>","DOI":"10.1258\/rsmsmj.53.4.7","type":"journal-article","created":{"date-parts":[[2011,3,16]],"date-time":"2011-03-16T22:08:12Z","timestamp":1300313292000},"page":"7-10","source":"Crossref","is-referenced-by-count":3,"title":["Renal Power Doppler Ultrasound Does Not Predict Renal Scarring after Urinary Tract Infection"],"prefix":"10.1177","volume":"53","author":[{"given":"H","family":"Narchi","sequence":"first","affiliation":[{"name":"Paediatric and Clinical Imaging Departments, Sandwell General Hospital, West Bromwich, B71 4HJ, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R","family":"Donovan","sequence":"additional","affiliation":[{"name":"Paediatric and Clinical Imaging Departments, Sandwell General Hospital, West Bromwich, B71 4HJ, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2008,11,1]]},"reference":[{"key":"bibr1-RSMSMJ.53.4.7","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.315.7113.905"},{"key":"bibr2-RSMSMJ.53.4.7","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)36667-3"},{"key":"bibr3-RSMSMJ.53.4.7","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.299.6701.703"},{"key":"bibr4-RSMSMJ.53.4.7","doi-asserted-by":"publisher","DOI":"10.1007\/BF02011385"},{"key":"bibr5-RSMSMJ.53.4.7","doi-asserted-by":"publisher","DOI":"10.1016\/S0001-2998(05)80085-6"},{"key":"bibr6-RSMSMJ.53.4.7","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651-2227.1997.tb08601.x"},{"key":"bibr7-RSMSMJ.53.4.7","doi-asserted-by":"publisher","DOI":"10.1007\/s003450050024"},{"key":"bibr8-RSMSMJ.53.4.7","first-page":"235","volume":"70","author":"Hudson-Dixon CM","year":"1999","journal-title":"Radiol Technol"},{"key":"bibr9-RSMSMJ.53.4.7","doi-asserted-by":"publisher","DOI":"10.1007\/s00467-004-1529-6"},{"key":"bibr10-RSMSMJ.53.4.7","doi-asserted-by":"publisher","DOI":"10.7863\/jum.1996.15.2.91"},{"key":"bibr11-RSMSMJ.53.4.7","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.166.6.8633462"},{"key":"bibr12-RSMSMJ.53.4.7","first-page":"27","volume":"43","author":"Hitzel A","year":"2002","journal-title":"J Nucl Med"},{"key":"bibr13-RSMSMJ.53.4.7","doi-asserted-by":"publisher","DOI":"10.1007\/BF00286776"},{"key":"bibr14-RSMSMJ.53.4.7","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.165.2.7618567"}],"container-title":["Scottish Medical Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1258\/RSMSMJ.53.4.7","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1258\/RSMSMJ.53.4.7","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,2]],"date-time":"2025-03-02T15:05:45Z","timestamp":1740927945000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1258\/RSMSMJ.53.4.7"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2008,11]]},"references-count":14,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2008,11]]}},"alternative-id":["10.1258\/RSMSMJ.53.4.7"],"URL":"https:\/\/doi.org\/10.1258\/rsmsmj.53.4.7","relation":{},"ISSN":["0036-9330","2045-6441"],"issn-type":[{"type":"print","value":"0036-9330"},{"type":"electronic","value":"2045-6441"}],"subject":[],"published":{"date-parts":[[2008,11]]}}}