The diagnostic efficiency of ultrasound guided imaging algorithm in evaluation of patients with hematuria

European Journal of Radiology
Alparslan UnsalCan Zafer Karaman

Abstract

To assess the efficiency of the following imaging algorithm, including intravenous urography (IVU) or computed tomography urography (CTU) based on ultrasonographic (US) selection, in the radiological management of hematuria. One hundred and forty-one patients with hematuria were prospectively evaluated. Group 1 included 106 cases with normal or nearly normal US result and then they were examined with IVU. Group 2 was composed of the remaining 35 cases which had any urinary tract abnormality, and they were directed to CTU. Radiological results were compared with clinical diagnosis. Ultrasonography and IVU results of 97 cases were congruent in group 1. Eight simple cysts were detected with US and 1 non-obstructing ureter stone was detected with IVU in remaining 9 patients. The only discordant case in clinical comparison was found to have urinary bladder cancer on conventional cystoscopy. Ultrasonography and CTU results were congruent in 30 cases. Additional lesions were detected with CTU (3 ureter stones, 1 ureter TCC, 1 advanced RCC) in remaining 5 patients. Ultrasonography+CTU combination results were all concordant with clinical diagnosis. Except 1 case, radio-clinical agreement was achieved. Cross-sectional imaging modalities...Continue Reading

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Citations

May 25, 2012·AJR. American Journal of Roentgenology·Aart J van der Molen, Marina C Hovius
Feb 26, 2014·The American Journal of Medicine·Atul B ShinagareRamin Khorasani
May 23, 2014·AJR. American Journal of Roentgenology·Matthew T Heller, Mitchell E Tublin
Jan 10, 2012·Computerized Medical Imaging and Graphics : the Official Journal of the Computerized Medical Imaging Society·Jan EggerBernd Freisleben
Feb 25, 2020·Canadian Association of Radiologists Journal = Journal L'Association Canadienne Des Radiologistes·Andrew K C FenwickDonaldo D Canales
Sep 4, 2021·The British Journal of Radiology·Yun BaiFan Li

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