Limits...
Multidetector CT urography in imaging of the urinary tract in patients with hematuria.

Maher MM, Kalra MK, Rizzo S, Mueller PR, Saini S - Korean J Radiol (2004 Jan-Mar)

Bottom Line: This review article comprehensively discusses multidetector CT urography protocols and their role in imaging of the urinary tract in patients with hematuria.

View Article: PubMed Central - PubMed

Affiliation: Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA.

ABSTRACT
This review article comprehensively discusses multidetector CT urography protocols and their role in imaging of the urinary tract in patients with hematuria.

Show MeSH

Related in: MedlinePlus

Multidetector CT urography image of a 53-year-old man with hematuria secondary to a transitional cell carcinoma of left ureter shows thickened, enhancing ureteric wall (arrow) with periureteric fat stranding suggestive of urothelial lesion with extramural spread of the disease (A and B). Proximal hydronephrosis with hydroureter is noted (C).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC2698107&req=5

Figure 6: Multidetector CT urography image of a 53-year-old man with hematuria secondary to a transitional cell carcinoma of left ureter shows thickened, enhancing ureteric wall (arrow) with periureteric fat stranding suggestive of urothelial lesion with extramural spread of the disease (A and B). Proximal hydronephrosis with hydroureter is noted (C).

Mentions: Transitional cell carcinoma is the commonest malignant neoplasm of the urothelium. In the early stages, these neoplasms are seen as subtle filling defects or focal mural thickening (Fig. 6). The ability of MDCTU to detect urothelial tumors in the renal collecting system or in the ureter has not been thoroughly evaluated or established in the literature. Caoili et al. reported that 15 of 16 (6 in the renal pelvis and ureters, and 9 in the bladder) proven urothelial malignancies were detected by CT urography (13). Many urologists believe that excretory urography is still the "gold-standard" for evaluating the urothelium. However despite this, excretory urography has been reported in the literature to have detection rates for urothelial neoplasms of only 43-64% (13).


Multidetector CT urography in imaging of the urinary tract in patients with hematuria.

Maher MM, Kalra MK, Rizzo S, Mueller PR, Saini S - Korean J Radiol (2004 Jan-Mar)

Multidetector CT urography image of a 53-year-old man with hematuria secondary to a transitional cell carcinoma of left ureter shows thickened, enhancing ureteric wall (arrow) with periureteric fat stranding suggestive of urothelial lesion with extramural spread of the disease (A and B). Proximal hydronephrosis with hydroureter is noted (C).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2698107&req=5

Figure 6: Multidetector CT urography image of a 53-year-old man with hematuria secondary to a transitional cell carcinoma of left ureter shows thickened, enhancing ureteric wall (arrow) with periureteric fat stranding suggestive of urothelial lesion with extramural spread of the disease (A and B). Proximal hydronephrosis with hydroureter is noted (C).
Mentions: Transitional cell carcinoma is the commonest malignant neoplasm of the urothelium. In the early stages, these neoplasms are seen as subtle filling defects or focal mural thickening (Fig. 6). The ability of MDCTU to detect urothelial tumors in the renal collecting system or in the ureter has not been thoroughly evaluated or established in the literature. Caoili et al. reported that 15 of 16 (6 in the renal pelvis and ureters, and 9 in the bladder) proven urothelial malignancies were detected by CT urography (13). Many urologists believe that excretory urography is still the "gold-standard" for evaluating the urothelium. However despite this, excretory urography has been reported in the literature to have detection rates for urothelial neoplasms of only 43-64% (13).

Bottom Line: This review article comprehensively discusses multidetector CT urography protocols and their role in imaging of the urinary tract in patients with hematuria.

View Article: PubMed Central - PubMed

Affiliation: Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA.

ABSTRACT
This review article comprehensively discusses multidetector CT urography protocols and their role in imaging of the urinary tract in patients with hematuria.

Show MeSH
Related in: MedlinePlus