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

Michael M Maher1, Mannudeep K Kalra, Stefania Rizzo

  • 1Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA.

Insights

This review details multidetector CT urography protocols for diagnosing hematuria. It highlights the crucial role of these imaging techniques in evaluating the urinary tract for various conditions.

Area of Science:

  • Radiology
  • Urology
  • Medical Imaging

Background:

  • Hematuria is a common clinical presentation requiring thorough urinary tract evaluation.
  • Multidetector CT urography (MDCT-U) has emerged as a key imaging modality.

Purpose of the Study:

  • To provide a comprehensive overview of multidetector CT urography protocols.
  • To elucidate the role of MDCT-U in the diagnostic workup of patients presenting with hematuria.

Main Methods:

  • Review of current literature on MDCT-U protocols.
  • Discussion of technical parameters and contrast administration strategies.
  • Analysis of MDCT-U findings in various hematuria etiologies.

Main Results:

  • Standardized MDCT-U protocols optimize visualization of the entire urinary tract.
  • MDCT-U effectively identifies the source and cause of hematuria, including stones, masses, and inflammatory changes.
  • Specific protocols aid in differentiating benign from malignant pathologies.

Conclusions:

  • MDCT-U is an essential tool for the comprehensive evaluation of hematuria.
  • Adherence to optimized protocols enhances diagnostic accuracy and patient management.
  • Further research may refine protocols for specific clinical scenarios.

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