Adequacy of paediatric renal tract ultrasound requests and reports

Govender, Nishentha
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Management guidelines for urinary tract infections (UTI) invariably include renal ultrasound (RUS). Adequacy of RUS requests and reports is important for clinical practice. Aim To assess the adequacy of paediatric RUS requests and reports, the effects of the former on the latter, the effect of reporter`s rank, determine the yield and correlate adequacy with regard to the frequency of pathology. Materials and Methods Retrospective review of RUS reports of children was performed. A “Request Adequacy Score” (total 3) and a “Report Adequacy Score” (total 21) based on the RSNA reporting template was developed. A UTI subgroup was created. Results Mean “Report Adequacy Score” was 6.67. Residents performed better than consultants. There was no significant factor correlating with report adequacy. Hydronephrosis was the commonest pathology. Conclusion RUS requests and reports are inadequate. To improve reporting a renal ultrasound reporting template was developed.
A research report submitted to the Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, in partial fulfilment of the requirements for the degree of Master of Medicine in the branch of Radiology Johannesburg, 2011