Table 2

Summary of the results of imaging studies

Test
Number studies
Range LR+
Pooled LR+ (95% CI)
Range LR-
Pooled LR- (95% CI)

Localisation of infection

Ultrasound
20
1.6 to 55.0
3.5 (2.5, 4.8)
0.10 to 0.91
0.57 (0.47, 0.68)
Clinical features
5
1.1 to 26.6
-
0.09 to 0.89
-
Infection markers
10
1.0 to 8.8
-
0.09 to 1.00
-
Renal function markers
4
0.7 to 36.7
-
0.02 to 1.51
-
Immunofluorescence detection of bacteria
1
1.8
-
0.55


Detection of reflux

Ultrasound: standard
12
1.0 to 8.7
1.9 (1.2, 2.9)
0.05 to 0.98
0.76 (0.63, 0.93)
Ultrasound: contrast enhanced
16
3.8 to 71.2
14.1 (9.5, 20.8)
0.04 to 0.51
0.20 (0.13, 0.29)
Indirect radionuclide cystography
3
11.2 and 25.0
-
0.41 and 0.68
-

Prediction of renal scarring

Ultrasound
2
1.3 to 3.0
-
0.60 to 0.86
-
Micturation cystourethrography
2
2.6 and 2.7
-
0.71 and 0.64
-
Temperature
1
1.1
-
0.44
-
CRP
1
1.1
-
0.44
-
Intravenous pyelography
1
12.9
-
0.88
-
Acute renal scintigraphy
1
3.1
-
0.54
-

Detection of renal scarring

Ultrasound
7
1.3 to 35.9
-
0.14 to 0.99

Intravenous pyelography
4
10 to 171.3
-
0.15 to 0.80
-
Indirect radionuclide cystography
2
2.1 to 12.6
-
0.15 to 0.75
-

Westwood et al. BMC Pediatrics 2005 5:2   doi:10.1186/1471-2431-5-2