Imaging of hematuria.
O'Connor, Owen J Fitzgerald, Edward Maher, Michael M
O'Connor, Owen J
Fitzgerald, Edward
Maher, Michael M
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Other Contributors
Date
2010-10
Date Submitted
Keywords
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Subject Mesh
Diagnostic Imaging
Hematuria
Humans
Magnetic Resonance Imaging
Tomography, X-Ray Computed
Urography
Urologic Diseases
Hematuria
Humans
Magnetic Resonance Imaging
Tomography, X-Ray Computed
Urography
Urologic Diseases
Planned Date
Start Date
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Principal Investigators
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Abstract
OBJECTIVE: In this article, we will discuss the current status of imaging in patients with hematuria of urologic origin. Issues impacting evaluation of these patients with radiography, excretory urography, retrograde pyelography, and sonography will be discussed. CONCLUSION: Conventional radiography has no role in the detection of renal or urothelial carcinoma. Low-dose CT offers much greater sensitivities for the detection of urinary tract calculi than radiography at doses equivalent to conventional radiography. Ultrasound alone is insufficient for imaging of hematuria. Using ultrasound alone, it is often difficult to differentiate renal transitional cell carcinoma from other causes of filling defects of the renal collecting system such as blood clots, sloughed papillae, or fungus balls. The prominence of the role of excretory urography in the evaluation of patients with hematuria has diminished, and MDCT urography is now preferred to excretory urography in most cases.
Language
en
ISSN
1546-3141
eISSN
ISBN
DOI
10.2214/AJR.09.4181
PMID
20858787