MRI Abdomen and Pelvis With IV Contrast There is no relevant literature to support the use of MRI abdomen and pelvis with IV contrast in the evaluation of a child >6 years of age for the initial imaging of a first febrile UTI with appropriate response to medical management. MRI Abdomen and Pelvis Without IV Contrast There is no relevant literature to support the use of MRI abdomen and pelvis without IV contrast in the evaluation of a child >6 years of age for the initial imaging of a first febrile UTI with appropriate response to medical management. MRU Without and With IV Contrast There is no relevant literature to support the use of MRU in the evaluation of a child >6 years of age for the initial imaging of a first febrile UTI with appropriate response to medical management. Nuclear Medicine Cystography The NICE guidelines do not recommend cystography for patients >6 years of age with first febrile UTI [16]. Voiding Urosonography The NICE guidelines do not recommend VUS for patients >6 years of age with first febrile UTI [16]. However, VUS may be a useful study to perform based on consensus opinion. Variant 5: Child. Atypical or recurrent febrile urinary tract infections. Initial imaging. CT Abdomen and Pelvis With IV Contrast An IV contrast-enhanced CT scan can be performed selectively when there is suspicion for complications, such as renal abscess or xanthogranulomatous pyelonephritis [80-83]. CT Abdomen and Pelvis Without and With IV Contrast There is no relevant literature to support the use of CT abdomen and pelvis without and with IV contrast in the evaluation of a child with atypical or recurrent febrile UTI for the initial imaging. CT Abdomen and Pelvis Without IV Contrast There is no relevant literature to support the use of CT abdomen and pelvis without IV contrast in the evaluation of a child with atypical or recurrent febrile UTI for initial imaging.
Urinary Tract Infection Child. MRI Abdomen and Pelvis With IV Contrast There is no relevant literature to support the use of MRI abdomen and pelvis with IV contrast in the evaluation of a child >6 years of age for the initial imaging of a first febrile UTI with appropriate response to medical management. MRI Abdomen and Pelvis Without IV Contrast There is no relevant literature to support the use of MRI abdomen and pelvis without IV contrast in the evaluation of a child >6 years of age for the initial imaging of a first febrile UTI with appropriate response to medical management. MRU Without and With IV Contrast There is no relevant literature to support the use of MRU in the evaluation of a child >6 years of age for the initial imaging of a first febrile UTI with appropriate response to medical management. Nuclear Medicine Cystography The NICE guidelines do not recommend cystography for patients >6 years of age with first febrile UTI [16]. Voiding Urosonography The NICE guidelines do not recommend VUS for patients >6 years of age with first febrile UTI [16]. However, VUS may be a useful study to perform based on consensus opinion. Variant 5: Child. Atypical or recurrent febrile urinary tract infections. Initial imaging. CT Abdomen and Pelvis With IV Contrast An IV contrast-enhanced CT scan can be performed selectively when there is suspicion for complications, such as renal abscess or xanthogranulomatous pyelonephritis [80-83]. CT Abdomen and Pelvis Without and With IV Contrast There is no relevant literature to support the use of CT abdomen and pelvis without and with IV contrast in the evaluation of a child with atypical or recurrent febrile UTI for the initial imaging. CT Abdomen and Pelvis Without IV Contrast There is no relevant literature to support the use of CT abdomen and pelvis without IV contrast in the evaluation of a child with atypical or recurrent febrile UTI for initial imaging.