TITLE:
Multi-Detector Row Computed Tomography Urography (MDCTU) in the Evaluation of Microscopic Hematuria in Adults
AUTHORS:
Mohamed A. Mahmoud, Mustafa Z. Mahmoud, Mohammed A. Ali Omer, Mohamed E. M. Garalnabi, Ahmed Abukonna, Maram A. Fagiri
KEYWORDS:
Hematuria, Imaging, Three-Dimensional, Multi-Detector Computed Tomography, Urologic Diseases
JOURNAL NAME:
Open Journal of Radiology,
Vol.5 No.1,
March
11,
2015
ABSTRACT: Multi-detector
row computed tomography urography (MDCTU) becomes the imaging modality of
choice for evaluation of the kidneys and urinary tract. The aim of this study
was to discuss and illustrate the role of MDCTU, on a 32-row CT scanner in the
evaluation a variety of entities that were frequently associated with
microscopic hematuria in adults. This prospective cohort study was performed in
the period of August 2013 to October 2014. Fifty positive participants to
microscopic hematuria were examined at the radiology department of Alnilin
Diagnostic Medical Center and Antalya Medical Center. Computed tomography
urography (CTU) scanning was performed using two powerful performances, high
speed multi-detector row on 32-row CT scanners (Siemens Healthcare Global,
Somatom Emotion Duo Eco). Statistical analysis was done through the standard
Statistical Package for the Social Sciences (SPSS Inc., Chicago, IL, USA)
version 15 for windows. MDCTU established the correct cause of microscopic
hematuria in (44; 88%) of participants. In (6; 12%) of participants, no cause
of hematuria was identified based on the standard of references. The causes of
hematuria in (41; 82%) participants were diseases in the upper urinary tract,
while urinary bladder neoplasms (2; 4%) and diverticulum (1; 2%) were the
causes of hematuria (3; 6%) in the lower urinary tract. Thirty two-row MDCTU
scanner demonstrated satisfactory results in the investigation of microscopic
hematuria, being able to demonstrate a wide spectrum of diseases affecting the
urinary tract is the main advantage of the technique.