Tumors of Renal Collecting Systems, Renal Pelvis, and Ureters: Role of MR Imaging and MR Urography Versus Computed Tomography Urography

Eric Andrew Zeikus, Giri Sura, Nicole Hindman, Julia Fielding

Research output: Contribution to journalReview article

3 Citations (Scopus)

Abstract

Hematuria evaluation remains a common problem, particularly in patients who smoke and are at risk for urothelial tumors. Lifetime surveillance of the urothelium is often required once urothelial cancer is diagnosed. Computed tomography urography (CTU) has exquisite sensitivity and specificity for identification of renal and urothelial lesions. The examination is well accepted by patients and physicians. Possible harms include radiation exposure and contrast-induced nephropathy. MR imaging is also an accurate test, but requires longer exam times, and may not demonstrate stones. We present the technical and interpretation skills required to use MR urography and CTU effectively.

Original languageEnglish (US)
Pages (from-to)15-32
Number of pages18
JournalMagnetic Resonance Imaging Clinics of North America
Volume27
Issue number1
DOIs
StatePublished - Feb 1 2019

Fingerprint

Kidney Pelvis
Urography
Ureter
Tomography
Kidney
Urothelium
Neoplasms
Hematuria
Smoke
Physicians
Sensitivity and Specificity

Keywords

  • CT urography
  • MR urography
  • Urothelial carcinoma kidney
  • Urothelial carcinoma ureter

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

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title = "Tumors of Renal Collecting Systems, Renal Pelvis, and Ureters: Role of MR Imaging and MR Urography Versus Computed Tomography Urography",
abstract = "Hematuria evaluation remains a common problem, particularly in patients who smoke and are at risk for urothelial tumors. Lifetime surveillance of the urothelium is often required once urothelial cancer is diagnosed. Computed tomography urography (CTU) has exquisite sensitivity and specificity for identification of renal and urothelial lesions. The examination is well accepted by patients and physicians. Possible harms include radiation exposure and contrast-induced nephropathy. MR imaging is also an accurate test, but requires longer exam times, and may not demonstrate stones. We present the technical and interpretation skills required to use MR urography and CTU effectively.",
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T2 - Role of MR Imaging and MR Urography Versus Computed Tomography Urography

AU - Zeikus, Eric Andrew

AU - Sura, Giri

AU - Hindman, Nicole

AU - Fielding, Julia

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AB - Hematuria evaluation remains a common problem, particularly in patients who smoke and are at risk for urothelial tumors. Lifetime surveillance of the urothelium is often required once urothelial cancer is diagnosed. Computed tomography urography (CTU) has exquisite sensitivity and specificity for identification of renal and urothelial lesions. The examination is well accepted by patients and physicians. Possible harms include radiation exposure and contrast-induced nephropathy. MR imaging is also an accurate test, but requires longer exam times, and may not demonstrate stones. We present the technical and interpretation skills required to use MR urography and CTU effectively.

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KW - MR urography

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