Reflux sonography, as an alternative to micturating cystography (MCU), evaluates vesico-ureteral reflux (VUR), a common problem in children. Contrast enhanced pulse-inversion imaging shows best results. During the instillation of an ultrasound contrast agent into the bladder, (as for a conventional MCU) the lower ureters and renal pelves are scanned transabdominally as the bladder is filled to stimulate micturition.
Advantages for reflux sonography are a high sensitivity and the avoidance of X-rays. A disadvantage is the poorer depiction of the posterior urethra. However, for girls and for all follow-up studies, the ultrasound MCU has become standard in many pediatric ultrasound departments.

See also Urologic Ultrasound, Kidney Ultrasound, Ultrasound Safety, Ultrasound Imaging Modes.

Ultrasonography of the kidneys (renal ultrasound) is part of a complete examination of the abdomen. Ultrasound is used to determine the size, shape, and exact position of the kidneys. Renal ultrasound provides important information regarding kidney function, related blood vessels, kidney stones, renal cysts, tumors, or hydronephrosis (suggestive of obstruction or blockage of the kidney).
The kidneys are scanned on longitudinal and transverse planes. Patients should avoid carbonated drinks such as soda or seltzer the day before, and have a full bladder for the test.
Lithotripsy is a therapeutic ultrasound procedure used to shatter simple stones in the kidney or upper urinary tract.

See also Urologic Ultrasound, Reflux Sonography.

From Verathon Inc.;
'The Pediatric BladderScan® is the newest addition to Verathon Inc.'s trusted family of BladderScan® instruments. By enabling health care providers to measure a child's bladder volume noninvasively, this easy-to-use, handheld tool aids in the diagnosis and treatment of urinary conditions.'

See also Urologic Ultrasound, Pediatric Ultrasound, Mirror Artifact, Pelvic Ultrasound, Reflux Sonography and Ultrasonography.

Ultrasound is the ideal tool to examine children of all ages. It is fast, painless, uses no ionizing radiation, and does not require a baby to remain still for long periods. Real-time modes show movement of internal tissues and organs. Advanced ultrasound imaging techniques such as color Doppler, 4D ultrasound, harmonic imaging, and higher resolution, as well as the application of ultrasound contrast agents broaden the potential of ultrasound.
Pediatric [paediatric, Brit.] ultrasound can be used in all body regions and reduce the number of more invasive or radiating examinations that often additionally need sedation or intravenous iodinated contrast agents.

See also Fetal Ultrasound, Reflux Sonography, Ultrasound Safety, Abdominal Ultrasound and Pregnancy Ultrasound.

Reflux is the backward flow of fluids. For example, reflux of blood with proximal limb compression is an indicator of venous valvular incompetence.

See also Reflux Sonography.