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Haematuria: an imaging guide.

Fiachra Moloney1, Kevin P Murphy1, Maria Twomey1

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This summary is machine-generated.

This paper reviews imaging techniques for hematuria, emphasizing multidetector computed tomography urography (MDCTU) for prompt diagnosis of serious causes like malignancy while minimizing unnecessary patient exposure.

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Area of Science:

  • Radiology
  • Urology

Background:

  • Hematuria investigation requires careful selection of imaging modalities.
  • Optimal imaging workup for hematuria lacks universal consensus.
  • Balancing prompt diagnosis of serious conditions with avoiding unnecessary investigations is crucial.

Purpose of the Study:

  • To discuss the current status of imaging in patients with hematuria.
  • To evaluate the roles of various imaging modalities in hematuria investigation.
  • To highlight the significance of multidetector computed tomography urography (MDCTU) in hematuria management.

Main Methods:

  • Review of current literature on imaging modalities for hematuria.
  • Discussion of conventional radiography, intravenous urography, ultrasonography, retrograde pyelography, MDCTU, and magnetic resonance urography.
  • Focus on MDCTU protocol design, urothelial imaging, and radiation dose optimization.

Main Results:

  • No single optimal imaging approach for hematuria exists.
  • Imaging modality choice depends on patient factors (age, risk factors, renal function, pregnancy) and resource availability.
  • MDCTU plays a pivotal role in imaging patients with hematuria.

Conclusions:

  • Tailoring examination protocols to individual patients is essential.
  • Optimizing radiation dose is a key consideration in MDCTU for hematuria.
  • MDCTU offers significant advantages in diagnosing serious causes of hematuria promptly.