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Updated: Jun 19, 2025

Author Spotlight: Developing a Bedside Protocol for Kidney and Genitourinary Ultrasonography

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Published on: June 21, 2024

Canadian Association of Radiologists Genitourinary Imaging Referral Guideline.

Candyce Hamel¹, Barb Avard², Gary Brahm³

¹Canadian Association of Radiologists, Ottawa, ON, Canada.

Canadian Association of Radiologists Journal = Journal L'Association Canadienne Des Radiologistes

|July 26, 2024

Summary

This study provides evidence-based referral guidelines for genitourinary conditions, aiding clinicians in making informed diagnostic imaging decisions for conditions like hematuria and renal colic.

Keywords:

diagnostic imaging genitourinary guideline recommendations referrals

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Ultrasonography of the Adult Male Urinary Tract for Urinary Functional Testing

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Published on: August 14, 2019

Area of Science:

Radiology
Nephrology
Urology

Background:

The Canadian Association of Radiologists (CAR) convened a multidisciplinary expert panel, including physicians, a patient advisor, and a methodologist.
A need was identified for systematically produced referral guidelines for genitourinary (GU) clinical scenarios.

Purpose of the Study:

To develop evidence-based referral recommendations for 22 genitourinary clinical/diagnostic scenarios.
To provide guidance for appropriate diagnostic imaging referrals in GU medicine.

Main Methods:

A rapid scoping review was conducted to identify existing referral guidelines.
Recommendations from 30 guidelines and GRADE criteria were synthesized.
65 recommendation statements were developed across 22 GU scenarios.

Main Results:

The guideline covers a comprehensive range of GU conditions, including hematuria, hypertension, renal disease, renal colic, and scrotal masses.
Specific recommendations are provided for adrenal masses, incontinence, chronic pelvic pain, elevated PSA, infertility, and pelvic floor dysfunction.
Two scenarios refer to the CAR Obstetrics and Gynecology Diagnostic Imaging Referral Guideline.

Conclusions:

The developed guideline offers a standardized approach to diagnostic imaging referrals for genitourinary conditions.
This resource aims to improve the appropriateness and efficiency of GU imaging utilization.
The guideline supports evidence-based practice in radiology, nephrology, and urology.