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Point-of-Care Kidney and Genitourinary Ultrasound in Adults: Image Acquisition
Published on: June 21, 2024
Genitourinary imaging: current and emerging applications.
P M O' Donoghue1, S E McSweeney, K Jhaveri
1Joint Department of Medical Imaging, University Health Network and Mount Sinai Hospital, University of Toronto, 610 University Ave, Toronto, ON, M5G 2M9, Canada.
This review covers advancements in urinary tract imaging, including adrenal, renal, and prostate evaluations. It highlights new techniques for earlier disease detection and management, while addressing safety concerns like nephrogenic systemic fibrosis.
Area of Science:
- Radiology and Medical Imaging
- Urology
- Oncology
Background:
- Urinary tract imaging is rapidly evolving with new technologies.
- Accurate imaging is crucial for diagnosing and managing adrenal, renal, and prostate conditions.
- Gadolinium-enhanced MRI carries a risk of nephrogenic systemic fibrosis.
Purpose of the Study:
- To review current and emerging techniques in urinary tract imaging.
- To discuss the role of various imaging modalities in adrenal, renal, and prostate disease.
- To address safety considerations associated with contrast agents.
Main Methods:
- Review of current literature on adrenal, renal, and prostate imaging techniques.
- Discussion of ultrasound, computed tomography (CT), and magnetic resonance (MR) applications.
- Evaluation of CT angiography, CT urography, MR urography, and positron emission tomography.
Main Results:
- Significant advances in adrenal imaging, particularly for incidentally detected lesions.
- Improved early detection and characterization of renal lesions using CT and MR.
- Evolving role of MR in prostate cancer diagnosis, staging, and management.
- Emerging CT and MR urography replacing older methods; CT angiography for renal vasculature.
Conclusions:
- Urinary tract imaging is a dynamic field with continuous technological advancements.
- New imaging strategies enhance the diagnosis, staging, and management of urinary tract and related cancers.
- Awareness and prevention strategies are essential for managing adverse reactions like nephrogenic systemic fibrosis.
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