Multi-slice computed tomography urography after diuretic injection in children with urinary tract dilatation

KoŞucu, P.; Ahmeto&gcaron;lu, A.; Imamo&gcaron;lu, M.; Çay, A.; Özdemir, Dinç H.; Koşucu, M.; Sari, A.; Saruhan, H.; Güele, H. R.; Koşucu, P; Ahmetoğlu, A; Imamoğlu, M; Cay, A; Ozdemir, O; Dinç, H; Koşucu, M; Gümele, H R
February 2004
Acta Radiologica;Feb2004, Vol. 45 Issue 1, p95
Academic Journal
journal article
Purpose: To evaluate the potential use of multi-slice computed tomography urography (MSCTU) after diuretic injection in children with urinary tract dilatation. Material and Methods: MSCTU was performed in 19 patients (11 boys, 8 girls, mean age 5.4 years) with suspicion of urinary tract obstruction and dilatation. Furosemide, 1 mg/kg, was injected 3 min before contrast material administration and followed by a bolus of 30 ml of physiologic saline solution immediately after application of contrast material. Excretory-phase images were obtained through the abdomen and pelvis beginning 10 min after initiation of the injection of contrast material. Maximum intensity projection (MIP) and volume rendering (VR) images were post-processed to obtain urographic views. Results: MSCTU revealed pathology in 16 of 19 patients, while 3 patients had normal findings. Ureteropelvic obstruction was found in 4 patients, obstructive megaureter in 8. Both ureteropelvic obstruction and obstructive megaureter were disclosed in 1 patient, partial ureteral duplication in 1 patient, and both complete ureteral duplication and ureterocele in 2 patients. In all patients, MIP and VR images could satisfactorily show the pathologies of the urinary tract. The estimated effective average doses of MSCTU were higher than IVU. Conclusion: Preliminary results of furosemide-enhanced MSCTU demonstrated consistently dilated urinary tracts, obstruction levels, and underlying pathologies better than US and IVU.


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