MR pyelography in 115 patients with a dilated renal collecting system
2001; SAGE Publishing; Volume: 42; Issue: 5 Linguagem: Inglês
10.1080/028418501127347124
ISSN1600-0455
AutoresAlfredo Blandino, Michele Gaeta, Fabio Minutoli, Emanuele Scribano, Sergio Lucio Vinci, Ciro Famulari, I Pandolfo,
Tópico(s)Renal and Vascular Pathologies
ResumoPurpose: To evaluate the accuracy of MR pyelography in the assessment of hydroureteronephrosis. Material and Methods: One hundred and fifteen patients, with variable degree of hydroureteronephrosis demonstrated by US and urography were subjected to MR pyelography obtained by means of two ultra-fast sequences. Results: Of the 228 kidneys examined, the collecting systems of 130 kidneys were dilated and correctly identified on MR pyelography, with only 2 false-positive results. The specificity of MR pyelography in detecting hydronephrosis was 98%. Accuracy in revealing level of obstruction was 100%. Sensitivity in detecting stones, strictures and congenital ureteropelvic junction obstructions was respectively 68.9%, 98.5% and 100%. Conclusion: MR pyelography can rapidly and accurately depict the morphological features of dilated urinary tracts with information regarding the degree and level of obstruction, without using contrast medium or ionizing radiation.
Referência(s)