ESR Essentials: renal imaging in children—practice recommendations by the European Society of Paediatric Radiology - Takeaways - MDSpire

ESR Essentials: renal imaging in children—practice recommendations by the European Society of Paediatric Radiology

  • By

  • Magdalena Maria Woźniak

  • Damjana Ključevšek

  • Maria Beatrice Damasio

  • Luisa Lobo

  • Hans-Joachim Mentzel

  • Lil-Sofie Ording-Müller

  • Philippe Petit

  • Michael Riccabona

  • Samuel Stafrace

  • Anne M. Smets

  • Carmelo Sofia

  • Giulia Perucca

  • December 5, 2025

  • 0 min

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  • 1

    Ultrasound is the primary imaging modality for evaluating renal pathologies in children, including cystic lesions and urinary tract dilatation.

  • 2

    Magnetic resonance imaging is a radiation-free option for detailed anatomical assessment and can provide functional information when applicable.

  • 3

    Computed tomography is a second-line imaging modality in children, reserved for major trauma or complicated urolithiasis on a case-by-case basis.

  • 4

    Cysts in children often indicate cystic kidney disease, necessitating family history assessment and follow-up imaging for incidentally detected cysts.

  • 5

    Imaging evaluations must consider child-specific factors such as renal maturation, hydration status, and bladder filling to distinguish normal variants.

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