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A Comparison of Contrast-Enhanced Voiding Urosonography for the Detection of Vesicoureteral Reflux in Young Dogs
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A Comparison of Contrast-Enhanced Voiding Urosonography for the Detection of Vesicoureteral Reflux in Young Dogs
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Journal Article
A Comparison of Contrast-Enhanced Voiding Urosonography for the Detection of Vesicoureteral Reflux in Young Dogs
2025
Overview
This study evaluated the use of contrast-enhanced voiding urosonography (CE-VUS) as a radiation-free alternative to retrograde cystourethrography (RCUG) for detecting vesicoureteral reflux (VUR) in young dogs. While RCUG is the standard diagnostic method in veterinary medicine, CE-VUS has shown a high accuracy in pediatric human medicine. A total of 62 dogs aged 6 weeks to 12 months were examined using both CE-VUS and RCUG. This study assessed 124 ureterorenal units and found a 94.4% agreement between the two methods. CE-VUS demonstrated a 94.1% sensitivity and a 94.4% specificity, with a negative predictive value of 99%, indicating a strong reliability in ruling out VUR. Additionally, CE-VUS identified six cases of VUR not seen with RCUG. No adverse effects were reported, and CE-VUS was well tolerated. Its advantages include the absence of radiation, dynamic real-time imaging, and the ability to perform repeated evaluations. This study concludes that CE-VUS is a safe, accurate, and practical tool for diagnosing VUR in young dogs and may serve as a valuable alternative to RCUG in clinical practice.
Publisher
MDPI AG
Subject
