Open AccessIntravenous urography supplemented with computerised tomography urogram: A pragmatic hybrid imaging approach to hydronephrosis
Author(s) -
Richard A. George,
Aneesh Mohimen,
Jyotindu Debnath,
Lovleen Satija,
Pratibha Joshi,
Subhash C Godara
Publication year - 2012
Publication title -
indian journal of urology/indian journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.333
H-Index - 30
eISSN - 1998-3824
pISSN - 0970-1591
DOI - 10.4103/0970-1591.105787
Subject(s) - medicine , pyelogram , radiology , hydronephrosis , medical diagnosis , intravenous urography , bowel preparation , abnormality , radiography , urinary system , colonoscopy , colorectal cancer , cancer , psychiatry
Image quality in an Intravenous Urogram (IVU) can occasionally be compromised by variables like bowel preparation, renal function and radiographic factors, posing a challenge to all Uroradiologists. The Computerised Tomography Urogram (CTU) yields better diagnostic information than an IVU, due to its inherent superior anatomic delineation and contrast sensitivity, against a trade-off involving radiation dose and cost. Our study was conducted to assess the utility and timing of performing a single-phase CTU, as a problem-solving tool, to clear the diagnostic dilemma in a selected subset of patients, in whom an ongoing IVU could potentially be inconclusive.