Haematuria: intravenous urography, ultrasound or both?

RöFo : Fortschritte auf dem Gebiete der Röntgenstrahlen und der Nuklearmedizin
H R SpeelmanJ M van Engelshove

Abstract

To compare the diagnostic value of intravenous urography (IVU), ultrasound (US) and their combination in detecting upper urinary tract malignancies in patients with haematuria. In a prospective study, 360 consecutive patients who consulted the urologist for haematuria without renal colic were scheduled for IVU and US on the same day. The two procedures were performed by two different radiologists and reported independently. Histology or clinical follow-up of one year served as the gold standard. 63 patients dropped out. Of the remaining 297 patients, 9 (3%) had a malignancy in the upper urinary tract. Sensitivity and specificity with regard to the upper urinary tract pathology were 67% and 91% for IVU and 56% and 94% for US, respectively. For both techniques combined this was 79% and 88%, respectively. An acceptable sensitivity for detecting upper urinary tract malignancies is obtained only by combining IVU and US.

Citations

May 25, 2012·AJR. American Journal of Roentgenology·Aart J van der Molen, Marina C Hovius
Mar 31, 2004·The Medical Clinics of North America·Michael J Droller
Dec 10, 2013·Canadian Association of Radiologists Journal = Journal L'Association Canadienne Des Radiologistes·Julien Rhéaume-LanoieAn Tang
Dec 25, 2007·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·Jacques IraniChristine Theodore

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