Role of CT Urography in Investigating Hematuria
Role of CT Urography in investigating Hematuria
Keywords:Hematuria, CT, Patients, Carcinoma
Hematuria can signify serious disease such as bladder cancer, upper urinary tract urothelial cell cancer (UUT-UCC), renal cell cancer or urinary tract stones. Objectives: The main objective of the study is to analyse the main role of CT urography in case of haematuria. Material and methods: This cross sectional study was conducted in Department of Urology University College of Medicine, University of Lahore during January 2020 to June 2021. The data was collected from 50 patients of haematuria from the OPD of the hospital. The patients was undergo CECT examination after obtaining detailed clinical history. Results: The data was collected from 50 patients. There were 38 females and 12 males. The most common cause of obstructive uropathy was stone disease i.e. renal, ureteric or both and 75.0% patients in group A and 65.0% in group B, presented with it followed by other causes i.e. carcinomas, pyonephrosis and PUJ obstruction. Conclusion: It is concluded that multidetector CT urography detects the entire spectrum of urinary tract pathologies causing haematuria with high accuracy.
Thomson JM, Glocer J, Abbott C, Maling TM. Computed tomography versus intravenous urography in diagnosis of acute flank pain from urolithiasis: a randomized study comparing imaging costs and radiation dose. Australasian radiology. 2001; 45(3):291 - 7 .
Ketata S, Ketata H, Sahnoun A, Slimen MH, Fakhfakh H, Bahloul A et al. Laterality of symptomatic recurrent calcium nephrolithiasis. African Journal of Urology. 2008; 14(3):143 -6
Feroze S, Singh B, Gojwari T, Manjeet S, Athar B, Hamid H. Role of non -contrast spiral computerized tomography in acute ureteric colic. Indian journal of urology: IJU: Journal of the Urological Society of India. 2007; 23(2):119.
Bhatt S, Dogra VS. Kidney In: CT and MRI of the Whole Body. 5th ed. Philadelphia, Pa: Mosby. 2008; 2:1863 -1952
Alderson SM, Hilton S, Papanicolaou N. CT urography: Review of technique and spectrum of diseases. Applied Radiology. 2011; 40(7):6.
Silverman SG, Leyendecker JR, Amis Jr ES. What is the current role of CT urography and MR urography in the evaluation of the urinary tract. Radiology. 2009; 250(2):309 -23.
Van Der Molen, A., Cowan, N., Mueller-Lisse, U., Nolte-Ernsting, C., Takahashi, S., Cohan, R. et al. (2008). CT urography: denition, indications and techniques. A guideline for clinical practice. European Radiology, 18, 4-17.
Song JH ,Beland MD, Mayo-Smith WW.Hematuria evaluation with MDCT urography.AJR 2011 ;197:W84-W89
Maher MM et al,Urinary Tract Imaging with Multidetector CT Urography in Patients with Hematuria. Korean Journal of Radiology 5(1), March 2004
Fielding JR, Fox LA, Heller H, Seltzer SE, Tempany CM, Silverman SG et al . In the evaluation of flank pain: overall accuracy and feature analysis. Journal of computer assisted tomography. 1997; 21(4):635 -8.
Lin MY, Li WM, Huang CN, Lee HL, Niu SW, Chen LT, et al. Dialysis increases the risk of bladder recurrence in patients with upper tract urothelial cancer: A population-based study. Ann Surg Oncol 2018;25:1-8.
Yoo S, You D, Song C, Hong B, Hong JH, Kim CS, et al. Risk of intravesical recurrence after ureteroscopic biopsy for upper tract urothelial carcinoma: Does the location matter? J Endourol 2017;31:259-65
Waisbrod S, Natsos A, Wettstein MS, et al. Assessment of Diagnostic Yield of Cystoscopy and Computed Tomographic Urography for Urinary Tract Cancers in Patients Evaluated for Microhematuria: A Systematic Review and Meta-analysis. JAMA Netw Open. 2021;4(5):e218409.
Rud, E., Galtung, K.F., Lauritzen, P.M. et al. Examining the upper urinary tract in patients with hematuria-time to revise the CT urography protocol?. Eur Radiol 30, 1664-1670 (2020). https://doi.org/10.1007/s00330-019-06521-0
Yap, L.C., McNicholas, D.P., Walsh, A.L. et al. Upper tract imaging modality to investigate haematuria: cancer detection rates and changing guidelines. Afr J Urol 27, 112 (2021). https://doi.org/10.1186/s12301-021-00179-1
Waisbrod, S., Natsos, A., Wettstein, M. S., Saba, K., Hermanns, T., Fankhauser, C. D., & Müller, A. (2021). Assessment of Diagnostic Yield of Cystoscopy and Computed Tomographic Urography for Urinary Tract Cancers in Patients Evaluated for Microhematuria: A Systematic Review and Meta-analysis. JAMA network open, 4(5), e218409. https://doi.org/10.1001/jamanetworkopen.2021.8409
Newme, Kewithinwangbo1,; Hajong, Ranendra2; Bhuyan, Ratna Kanta3 A clinical study on surgical causes of Hematuria, Journal of Family Medicine and Primary Care: January 2021 - Volume 10 - Issue 1 - p 265-271 doi: 10.4103/jfmpc.jfmpc_1750_20
Chen JS, Lu CL, Huang LC, Shen CH, Chen SC. Chronic kidney disease is associated with upper tract urothelial carcinoma: A nationwide population-based cohort study in Taiwan. Medicine 2016;95:e3255.
Pingjin Q, Dongmei T, Qiao B. Delayed diagnosis of spontaneous bladder rupture: a rare case report. BMC Womens Health. (2018) 18:124.
Georgieva MV, Wheeler SB, Erim D, Smith-Bindman R, Loo R, Ng C, Garg T, Raynor M, Nielsen ME. Comparison of the harms, advantages, and costs associated with alternative guidelines for the evaluation of hematuria. JAMA Intern Med. 2019;179(10):1352-62. https://doi.org/10.1001/jamainternmed.2019.2280
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