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Voiding CystourethrogramAka: Nuclear Cystogram, VCUG
- Study Types
- Standing Voiding Cystourethrogram (VCUG)
- Instill radiopaque contrast medium into bladder
- Image bladder and kidneys while standing
- Image while bladder fills and voids
- Nuclear Cystogram
- Instill radionuclide into bladder
- Image bladder and kidney with gamma camera
- Less radiation and equivalent sensitivity to VCUG
- Less precise grading of reflux compared with VCUG
- Findings: Ureteral Reflux
- Grade I: Reflux into nondilated distal ureter
- Grade II: Reflux into upper collecting system
- Grade III: Reflux into dilated ureter
- Grade IV: Reflux into grossly dilated ureter
- Grade V: Massive Reflux, calyceal tortuosity
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