Institutional Review of Usage and Referral Pattern of Radiologic Voiding Examinations (ceVUS and VCUG)
Monday, April 8, 2024
11:58am – 12:05pm
Location: 410
Authors: Tatiana Morales-Tisnés, Children's Hospital of Philadelphia Mohamed Elsingergy, Detroit medical center Travis Bevington, Community Care Physicians Dawud Hamdan, The Children's Hospital of Philadelphia Stephanie Cajigas-Loyola, Children's Hospital of Philadelphia Hansel Otero, Children’s hospital of Philadelphia Dana Weiss, Children's Hospital of Philadelphia Susan Back, Children's Hospital of Philadelphia
Contrast-enhanced voiding urosonography (ceVUS) offers a radiation-free alternative to vesicoureteral reflux (VUR) detection being on par with fluoroscopy (VCUG). From January 2014 to December 2020, we conducted 2758 VCUG and 485 ceVUS exams at a children’s hospital. Interestingly, the number of yearly ceVUS exams increased from 0 in 2014 to 90 in 2020, while VCUGs decreased from 412 in 2014 to 83 in 2020. VCUG was often the initial exam (80% [51% male]), while more ceVUS exams were for follow-up (41% ceVUS vs. 20% VCUG). Notably, surgical specialties (mainly urology) were the most common referring providers for both studies. This indicates a growing willingness to rely on ceVUS for renal and urinary tract pathologies from both medical and surgical subspecialties, and we expect that ceVUS can reach equilibrium or superiority over time, compared to VCUG.