Determination of the "Tissue Transit Time" (TTT)
Study Details
Study Description
Brief Summary
Determination of Tissue Transit Time (TTT) as a parameter with high prognostic value to predict the functional course of the differential renal function and the development of the differential renal function after pyeloplasty
Condition or Disease | Intervention/Treatment | Phase |
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Detailed Description
The ureteropelvic junction obstruction occurs in around 13% of children with antenatally diagnosed hydronephrosis. It remains a controversial topic what prognostic factors may be predictive for deterioration of the differential renal function.
The tissue transit time (TTT) in the 99mTc- MAG3 diuretic renogram seems to be a predictive factor for the deterioration of the differential renal function in these patients. We therefore analyze the tissue transit time in the 99mTc- MAG3 diuretic renogram in a prospective multicenter observational study to determine it as a prognostic and diagnostic factor. Aim of the study is to differentiate which children could be treated conservatively and which will benefit from operative pyeloplasty
Study Design
Outcome Measures
Primary Outcome Measures
- Sensitivity and Specificity [3 to 6 months]
Estimation of Sensitivity and Specificity of a delayed tissue transit time as a diagnostic factor concerning worsening of the differential renal function in patients with congenital ureteropelvic junction obstruction
Secondary Outcome Measures
- Examination of ultrasound findings [3 to 6 months]
Relationship between ultrasound findings and the development of the differential renal function
- Examination of renal drainage [3 to 6 months]
Relationship between initial quality of renal drainage and the development of the differential renal function
- Examination of initial differential renal function [3 to 6 months]
Relationship between initial differential renal function and the development of the differential renal function
Eligibility Criteria
Criteria
Inclusion Criteria:
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unilateral, isolated hydronephrosis >= grade III (SFU)
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age <= 3 months
Exclusion Criteria:
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associated malformation of the urogenital tract
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global kidney insufficiency proven by creatinine examination
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prematurity
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no informed consent
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Kinderchirurgische Klinik | Augsburg | Germany | 86156 | |
2 | Klinik für Kinderchirurgie und Kinderurologie | Bremen | Germany | 28205 | |
3 | Klinik für Kinderchirurgie und Kinderurologie | Dortmund | Germany | 44137 | |
4 | Kinderchirurgische Klinik | Karlsruhe | Germany | 76133 | |
5 | Zentrum für Kinder- und Jugendurologie | Mannheim | Germany | 68167 | |
6 | Klinik für Kinderchirurgie | Marburg | Germany | 35043 | |
7 | Cnopf'sche Kinderklinik | Nürnberg | Germany | 90419 | |
8 | Klinik für Kinder- und Jugendmedzin | Tübingen | Germany | 72076 | |
9 | Kinderchiurgische Klinik, Luzerner Kantonsspital | Luzern | Switzerland | 6000 |
Sponsors and Collaborators
- University Hospital Tuebingen
Investigators
- Principal Investigator: Tobias Luithle, MD, Universtiätsklinikum Tübingen
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- TTT