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Imaging Studies V: Intravenous Urography and Retrograde Pyelography

Imaging Studies V: Intravenous Urography and Retrograde Pyelography

IntroductionIntravenous Urography (IVU) and Retrograde Pyelography (RP) are important diagnostic imaging techniques used to evaluate the urinary system. These methods help identify structural abnormalities, obstructions, and functional issues in the kidneys, ureters, and bladder. Both procedures use iodine-based contrast media to enhance the visibility of urinary tract structures on X-ray images, though they differ in their methods and indications.1. Intravenous Urography (IVU)Intravenous...

Imaging Studies III: Computed Tomography

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DefinitionComputed Tomography (CT) of the genitourinary (GU) tract is a non-invasive imaging modality that utilizes X-rays and computer processing to generate detailed cross-sectional images of the urinary system, encompassing the kidneys, ureters, bladder, and adjacent structures such as the adrenal glands.PurposeCT scans of the GU tract serve several diagnostic and therapeutic purposes, including:Diagnosis of Urinary Tract Diseases: Detects kidney stones, tumors, cysts, and congenital...

Imaging Studies II: Ultrasonography

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IntroductionUltrasonography, or renal ultrasound, is a noninvasive medical imaging technique that uses high-frequency sound waves to visualize the kidneys, ureters, bladder, and surrounding tissues.Indications for Urinary System UltrasonographyUrinary system ultrasonography is indicated in various clinical scenarios, such as:Kidney Stones (Urolithiasis): To detect and monitor the size and presence of kidney or urinary tract stones.Hydronephrosis: To assess the dilation of the renal pelvis and...

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Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...

Imaging Studies VI: Voiding Cystourethrography and Cystography

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Voiding Cystourethrography (VCUG) and Cystography are specialized radiographic procedures used to examine the structure and function of the bladder and urethra.Voiding Cystourethrography (VCUG)A Voiding Cystourethrogram (VCUG) is a diagnostic imaging procedure that assesses the anatomy and function of the lower urinary tract. It focuses on the bladder, bladder neck, and urethra, helping detect abnormalities such as vesicoureteral reflux (VUR)—the backward or reverse flow of urine into the...

Imaging Studies IV: Magnetic Resonance Imaging

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Introduction:Magnetic Resonance Imaging, or MRI, can include a specialized imaging technique of the urinary system known as Magnetic Resonance Urography (MRU). This radiation-free technique uses strong magnetic fields and radio waves to produce detailed images with the help of a computer. MRU is particularly effective for visualizing fluid-filled structures like the kidneys, ureters, and bladder.Applications of MRI in the Genitourinary SystemKidneys and Ureters: MRI detects tumors, cysts,...

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Updated: Jul 7, 2026

Intraoperative Detection of Subtle Endometriosis: A Novel Paradigm for Detection and Treatment of Pelvic Pain Associated with the Loss of Peritoneal Integrity

Intraoperative Detection of Subtle Endometriosis: A Novel Paradigm for Detection and Treatment of Pelvic Pain Associated with the Loss of Peritoneal Integrity

Published on: December 21, 2012

[Imaging in pelvic inflammatory disease].

I Thomassin-Naggara¹, G Dubernard, C Lafont

¹Service de radiologie, Hôpital Tenon, AP-HP, 4 rue de la Chine, 75020 Paris, France. isabelle.thomassin@tnn.ap-hop-paris.fr

Journal De Radiologie

|February 22, 2008

Summary

This summary is machine-generated.

This review examines the progression of pelvic inflammatory disease, including salpingitis and tubo-ovarian abscesses, using various imaging techniques. Understanding these evolutive changes is key for accurate diagnosis and management.

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Area of Science:

Gynecologic Imaging
Radiology of Pelvic Inflammatory Disease

Background:

Pelvic inflammatory disease (PID) encompasses infections of the upper female reproductive tract.
Common manifestations include endometritis, salpingitis, pyosalpinx, and tubo-ovarian abscess (TOA).
The evolutive nature of PID necessitates understanding its progression for effective management.

Observation:

This review synthesizes current knowledge on the imaging features of PID.
It covers the spectrum from early inflammatory changes to advanced complications like TOA.
Different imaging modalities offer complementary roles in PID assessment.

Findings:

Ultrasound provides initial assessment and guidance for interventions.
Computed Tomography (CT) is valuable for complex cases and abscess characterization.
Magnetic Resonance Imaging (MRI) offers detailed anatomical information and aids in differentiating TOA from other pelvic masses.
Hysterosalpingography can assess tubal patency and intraluminal abnormalities.

Implications:

Accurate imaging assessment is crucial for timely diagnosis and treatment of PID.
Understanding the evolutive stages aids in predicting disease severity and guiding therapeutic strategies.
Multimodality imaging approaches optimize patient care for pelvic inflammatory disease and its complications.