|
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 |
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