Computed tomography urography technique, indications and limitations

Current Opinion in Urology

Volumn 17, Issue 1, 2007, Pages 56-64

  Morcos, Sameh K ^a  

^a NORTHERN GENERAL HOSPITAL   (United Kingdom)

Author keywords

Applications; Computed tomography urography; Limitations; Radiation dose; Technique

Indexed keywords

CONTRAST MEDIUM; FUROSEMIDE; NONIONIC CONTRAST MEDIUM;

COMPUTED TOMOGRAPHIC UROGRAPHY; COMPUTER ASSISTED TOMOGRAPHY; CONTRAST ENHANCEMENT; DIAGNOSTIC APPROACH ROUTE; DIAGNOSTIC VALUE; DIURESIS; HUMAN; INTRAVENOUS UROGRAPHY; MEDICAL LITERATURE; PRIORITY JOURNAL; RADIATION DOSE; REVIEW; URETER; URINARY TRACT; UROGRAPHY;

HUMANS; TOMOGRAPHY, X-RAY COMPUTED; URINARY TRACT PHYSIOLOGY; UROGRAPHY;

EID: 33845425526     PISSN: 09630643     EISSN: None     Source Type: Journal    
DOI: 10.1097/01.mou.0000254182.83341.d9     Document Type: Review

References (43)

1. Chow LC, Sommer FG. Multidetector CT urography with abdominal compression and three-dimensional reconstruction. AJR 2001; 177:849-855.
2. Caoili EM, Cohan RH, Korobkin M, et al. Urinary tract abnormalities: initial experience with multi-detector row CT urography. Radiology 2002; 222:353-360.
3. McTavish JD, Jinzaki M, Zou KH, et al. Multidetector row CT urography: comparison of strategies for depicting the normal urinary collecting system. Radiology 2002; 225:783-790.
4. Girish G, Agarwal SK, Salim F, et al. Single-phase multislice CT urography: initial experience. Eur Radiol 2003; 13:147.
5. Noroozian M, Cohan RH, Caoili EM, et al. Multislice CT urography: state of the art. Br J Radiol 2004; 77:S74-S86. [special issue].
6. Caoili EM, Inampudi P, Cohan RH, Ellis JH. Optimization of multidetector row CT urography: effect of compression, saline administration, and prolongation of acquisition delay. Radiology 2005; 236:116-123. This article presents detailed analysis of different techniques of CTU.
7. Korobkin M. CT urography. Eur Radiol 2005; 15 (Suppl 4):D82-D84.
8. Morcos SK. CT urography: how should it be done? The limited approach. Eur Radiol 2006; 16:92.
9. Cohan RH, Caoili EM. CT urography. In: Morcos SK, Cohan RH, editors. New techniques in uroradiology. New York: Taylor & Francis Group; 2006. pp. 69-100. This chapter on technique of CTU is written by the leading authors in this field. It offers the most comprehensive review of CTU covering all aspects of the technique.
10. Kawashima A, Vrtiska TJ, LeRoy AJ, et al. CT urography. Radiographics 2004; 24:S35-S54.
11. Sheth S, Scatarige JC, Horton KM, et al. Current concepts in the diagnosis and management of renal cell carcinoma: role of multidetector CT and three-dimensional CT. Radiographics 2001; 21:S237-S254.
12. Cohan RH, Sherman LS, Korobkin M, et al. Renal masses: assessment of corticomedullary-phase and nephrographic-phase CT scans. Radiology 1995; 196:445-451.
13. Kopka L, Fischer U, Zoeller G, et al. Dual-phase helical CT of the kidney: value of the corticomedullary and nephrographic phase for evaluation of renal lesions and preoperative staging of renal cell carcinoma. AJR 1997; 169:1573-1578.
14. Szolar DH, Kammerhuber F, Altziebler S, et al. Multiphasic helical CT of the kidney: increased conspicuity for detection and characterization of small (<3 cm) renal masses. Radiology 1997; 202:211-217.
15. Silverman SG, Lee BY, Seltzer SE, et al. Small (<3 cm) renal masses: correlation of spiral CT features and pathologic findings. AJR 1994; 163:597-605.
16. Saunders HS, Dyer RB, Shifrin RY, et al. The CT nephrogram: implications for evaluation of urinary tract disease. Radiographics 1995; 15:1069-1085.
17. Welch TJ, LeRoy AJ. Helical and electron beam CT scanning in the evaluation of renal vein involvement in patients with renal cell carcinoma. J Comput Assist Tomogr 1997; 21:467-471.
18. Ganesh HS, Salim F, Morcos SK. Does a limited CT urography (CTU) offer important additional information in patients with haematuria who had normal IVU, ultrasound and flexible cystoscopy? Eur Radiol 2006; 16:526-527.
19. Lang EK, Thomas R, Davis R, et al. Multiphasic helical computerized tomography for the assessment of microscopic hematuria: a prospective study. J Urol 2004; 171:237-243.
20. Sudah M, Vanninen RL, Partanen K, et al. Patients with acute flank pain: comparison of MR urography with unenhanced helical CT. Radiology 2002; 223:98-105.
21. Katz DS, Lane MJ, Sommer FG. Unenhanced helical CT of ureteral stones: incidence of associated urinary tract findings. AJR 1996; 166:1319-1322.
22. American Cancer Society. Renal cell carcinoma (http://www.cancer.org; revised: 21/10/2005).
23. Higgins JC, Fitzgerald JM. Evaluation of incidental renal and adrenal masses. Am Fam Physician 2001; 63:288-294; 299.
24. Sutton JM. Evaluation of hematuria in adults. JAMA 1990; 263:2475-2480.
25. Hartman DS, Choyke PL, Hartman MS. From the RSNA refresher courses: a practical approach to the cystic renal mass. Radiographics 2004; 24 (Suppl 1):S101-S115.
26. Yuh BI, Cohan RH. Different phases of renal enhancement: role in detecting and characterizing renal masses during helical CT. AJR 1999; 173:747-755.
27. Silverman SG, Akbar SA, Mortele KJ, et al. Multidetector-row CT urography: comparison of furosemide and saline as adjuncts to contrast medium for depicting the normal urinary collecting system. Radiology 2006; 240:749-755. The authors presented an excellent evaluation of the best approach to improve the depiction of collecting system and ureters. The study also offers an explanation why frusemide is superior to saline infusion in CTU.
28. Kemper J, Regier M, Stork A, et al. Multislice CT urography (MSCTU): evaluation of a modified scan protocol for optimized opacification of the collecting system [German]. RöFo Fortschr Röntgenstr 2006; 178:531-537.
29. Kemper J, Regier M, Begemann PGC, et al. Multislice computed tomography urography: intraindividual comparison of different preparation techniques for optimized depiction of the upper urinary tract in an animal model. Invest Radiol 2005; 40:126-133.
30. Kawamoto S, Horton KM, Fishman EK. Opacification of the collecting system and ureters on excretory-phase CT using oral water as contrast medium. AJR 2006; 186:136-140.
31. McNicholas MMJ, Raptopoulos VD, Schwartz RK, et al. Excretory phase CT urography for opacification of the urinary collecting system. AJR 1998; 170:1261-1267.
32. Raptopoulos V, McNamara A. Improved pelvicalyceal visualization with multidetector computed tomography urography; comparison with helical computed tomography. Eur Radiol 2005; 15:1834-1840.
33. Sussman SK, Illescas FF, Opalacz JP, et al. Renal streak artifact during contrast-enhanced CT: comparison of low versus high osmolarity contrast media. Abdom Imag 1993; 18:180-185.
34. Liu W, Mortele KJ, Silverman SG. Incidental extraurinary findings at MDCT urography in patients with hematuria: prevalence and impact on imaging costs. AJR 2005; 185:1051-1056.
35. Nawfel RD, Judy PF, Schleipman AR, Silverman SG. Patient radiation dose at CT urography and conventional urography. Radiology 2004; 232:126-132.
36. International Commission on Radiological Protection. Radiation and your patient: a guide for medical practitioners (www.icrp.org/eductional_area.asp).
37. Lang EK, Macchia RJ, Thomas R, et al. Computerized tomography tailored for the assessment of microscopic hematuria. J Urol 2002; 167:547-554.
38. Lang EK, Macchia RJ, Thomas R, et al. Improved detection of renal pathologic features on multiphasic helical CT compared with IVU in patients presenting with microscopic hematuria. Urology 2003; 61:528-532.
39. Lang EK, Macchia RJ, Thomas R, et al. Detection of medullary and papillary necrosis at an early stage by multiphasic helical computed tomography. J Urol 2003; 170:94-98.
40. McCarthy CL, Cowan NC. Multidetector CT urography (MD-CTU) for urothelial imaging. Radiology 2002; 225:237.
41. Agrawal SK, Morcos SK. Imaging the urinary tract in patients with neurogenic bladder dysfunction. Eur Radiol 2003; 13:B26.
42. Sudakoff GS, Guralnick M, Langenstroer P, et al. CT urography of urinary diversions with enhanced CT digital radiography: preliminary experience. AJR 2005; 184:131-138.
43. Thiruchelvam N, Mostafid H, Ubhayar G. Planning percutaneous nephrolithotomy using multidetector computed tomography urography, multiplanar reconstruction and three-dimensional reformatting. BJU Int 2005; 95:1280-1284.