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CONSENSUS ON THE
CLASSIFICATION OF ANTENATAL
AND POSTNATAL URINARY
TRACT DILATION
UTD CLASSIFICATION
Dr Vassil Zefov
08.12. 2015 LH
UTD CLASSIFICATION
There is variability not only among subspecialty groups, but also within
the Societies of Pediatric Radiology.
The Consensus Panel proposed the UTD Classification System to describe the
appearance of the urinary tract in both - antenatally and postnatally.
P
UTD CLASSIFICATION
A normal
A A1
A2-3
P normal
P1
P2
P P3
UTD CLASSIFICATION
16-27 weeks
< 4mm A-P
A normal
>28 weeks
< 7 mm A-P
UTD CLASSIFICATION
16-27 weeks
4 mm 7 mm A-P
A 1
>28 weeks
7 mm 10 mm A-P
UTD CLASSIFICATION
Transversal Sagital
A 2-3
Peripheral 16-27 weeks
Calyceal > 7 mm A-P
dilatation,
Ureteral
dilatation,
Renal
parenchyma >28 weeks
Bladder >10 mm A-P
abnormalities
UTD CLASSIFICATION
P normal A-P
< 10 mm
UTD CLASSIFICATION
Transversal Sagital
A-P
10 15 mm
P 1
Central
calyceal
dilation
UTD CLASSIFICATION
Transversal Sagital
A-P
> 15 mm
P 2
Peripheral
calyceal
dilation
UTD CLASSIFICATION
Transversal Sagital
Additional
Regardless A-P
Ureteral
dilation
P 3 Renal
echogenic
parenchyma
Renal cysts
Bladder
abnormalities
UTD CLASSIFICATION
Hydronephrosis
Pyelectasis
Pelviectasis
A P
Normal Normal
UTD A1 UTD P1
UTD A 2-3 UTD P2
UTD P3
UTD CLASSIFICATION
THANK YOU