Pyelonephritis Clinical Trial
Official title:
The Validity of the Quick Renal MRI in Pediatric Kidney Disease
The investigators propose a new imaging method for children born with congenital anomalies of the urinary tract that is a rapid, injection-, sedation-, and radiation-free alternative: the quick renal MRI. This proposal hypothesizes that the quick renal MRI has high validity compared to current radiologic standard for renal infection and scarring, the 99mTechnetium-dimercaptosuccinic acid (99mTc- DMSA) renal scan in the detection of acute renal infections and scars. If the quick renal MRI is accurate, it could potentially replace the DMSA scan for those specific questions and ease the burden of testing for children with chronic renal disease. Findings from these studies will provide preliminary data and rationale for a multi-centered study to further test this new technology. Participants will be 0-21 years of age and can expect to be on study for from 1 week (if enrolled in Aim 1) to 6 months (if enrolled in Aim 2).
Status | Recruiting |
Enrollment | 100 |
Est. completion date | January 2025 |
Est. primary completion date | January 2025 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 0 Years to 21 Years |
Eligibility | Inclusion Criteria: - Aim 1: - Patient is admitted to American Family Children's Hospital for a febrile UTI, suspected pyelonephritis, or diagnosed pyelonephritis - Undergoing clinical DMSA scan - Aim 2: - Undergoing DMSA scans as a part of their routine clinical care - History of more than one UTI in the past year Exclusion Criteria: - Aim 1: - No evidence of pyuria on their urine analysis - Negative urine culture - Not comfortable with having a Quick MRI performed - Both aims: - Contraindications to MRI |
Country | Name | City | State |
---|---|---|---|
United States | American Family Children's Hospital | Madison | Wisconsin |
Lead Sponsor | Collaborator |
---|---|
University of Wisconsin, Madison |
United States,
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* Note: There are 34 references in all — Click here to view all references
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Sensitivity of Quick MRI as Compared to DMSA scan in Diagnosis of Suspected Acute Pyelonephritis | Children admitted for suspected acute pyelonephritis will undergo a clinical DMSA (gold-standard) renal scan and quick renal MRI to determine the sensitivity of this method.
The sensitivity will be calculated with True Positive (TP) / TP + False Negative (FN) |
up to 1 week | |
Primary | Sensitivity of Quick MRI as compared to DMSA scan in Diagnosis of Renal Scars | To establish the sensitivity of the quick renal MRI compared to the DMSA scan (using DMSA as the 'gold standard') in the diagnosis of renal scars among children with recurrent UTI. Children with recurrent Urinary Tract Infection (UTI) will undergo a clinical DMSA renal scan and quick renal MRI. The sensitivity of the quick renal MRI to detect renal scars will be determined using DMSA as the standard.
The sensitivity will be calculated with TP/TP+FN. |
up to 6 months | |
Primary | Specificity of Quick MRI as compared to DMSA scan in Diagnosis of Renal Scars | To establish the specificity of the quick renal MRI compared to the DMSA scan (using DMSA as the 'gold standard') in the diagnosis of renal scars among children with recurrent UTI. Children with recurrent UTI will undergo a clinical DMSA renal scan and quick renal MRI. The specificity of the quick renal MRI to detect renal scars will be determined using DMSA as the standard.
The specificity will be calculated with True Negative (TN) / TN + False Positive (FP) |
up to 6 months |
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