Model for interpretation of an intravenous urography. References to any names, marks, products, or services of third parties or hypertext links to third. The aim of this study was to experiment the level of adherence to the european guidelines in certain sudanese hospitals. A contrast medium is injected intravenously, and serial xray films are taken as the medium is cleared from the blood by the kidneys. Ivu or intravenous urography is a radiological procedure used to visualise abnormalities of the urinary system,including the kidneys,ureter and bladder. Intravenous urography is a reliable method of determining the renal excretory function. Intravenous pyelography ivp intravenous pyelography is also known as excretory urography eu, or intravenous urography ivu. Any information contained in this pdf file is automatically generated from digital material submitted to epos by third parties in the form of scientific presentations.
Intravenous urography europe pmc article europe pmc. Prior use of other tests may increase the effectiveness of urography. Excretory urography is a type of contrast study used to verify and localize upper urinary tract disease. Acrsar practice parameter for the performance of excretory. Various radiographies are taken after injecting, in a. Oct 05, 1974 prior use of other tests may increase the effectiveness of urography. Intravenous urography in the diagnosis of rupture of the bladder ernest g. Which results from the clients urinalysis should the nurse recognize as abnormal. Full text get a printable copy pdf file of the complete article 623k, or click on a. Urinary system contrast studies overview and intravenous. Get a printable copy pdf file of the complete article 2. Partial or complete duplication of the renal tract may be an incidental finding or may be associated with significant pathology. A urogram may demonstrate partial obstruction, hydroureteronephrosis, and drainage into the vagina.
Retrograde pyelography an overview sciencedirect topics. How the test is performed an ivp is done in a hospital radiology department or a health care providers office. Although all are valid, excretory urography is probably the most appropriate term because the study evaluates both the kidneys excretory function and the structure of the entire upper urinary tract both kidneys and ureters. An attempt at retrograde stenting is reasonable if the pyeloureterogram. An ivp is an imaging test used to look at the kidneys and ureters. Once you merge pdfs, you can send them directly to your email or download the file to our computer and view. Mdct urography is a technique that allows a full assessment of the urinary tract with high spatial and temporal resolution. The dose of contrast to be used for iv urography in neonates and infants is discussed. Additional determination of urinary flow rate is useful for the assessment of an incompletely emptying bladder. May 25, 2014 this combination is safer than intravenous urography and should be the initial investigation for such patients. Evaluation and optimization of the dose levels in intravenous. Urography is also often performed using computed tomography ct or magnetic resonance imaging mri.
Pdf analysis of intravenous urography findings in a. Imaging and biopsy renal imaging intravenous urography. The information provided should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. Our aim was to compare ct images from native, nephrographic and excretory phases using image quality criteria as well as the detection of positive pathological findings in ct urography, to explore if the radiation burden to the younger group of patients or patients with negative outcomes can be reduced. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Intraosseous urography compared with intravenous urography. The necessity for precise and early diagnosis in suspected rupture of the bladder is emphasized by practically all writers on the subject. Ymda daha fazla kontrast madde olmasyndan kaynaklanabileceui d. Contrast media is inserted into the rectum with the help of rectal catheter. The ureters are the narrow tubes that carry urine from the kidneys to the bladder.
Estimation of pediatric radiation doses in intravenous. An ivp may provide enough information to allow your doctor to treat you with medication and avoid surgery. Intravenous urography involves injecting a contrast medium a liquid to. Urography urography uses imaging and contrast material to evaluate or detect blood in urine, kidney or bladder stones, and cancer in the urinary tract. It also provides morphological and functional urinary system. Intravenous urography e radiological examination of the urinary tract performed following the intravenous injection of iodinated contrast e is the classical means by which to assess the kidneys and ureters. For interpretation of an intravenous urography anatomical structure s descriptionanalysis simple kidneysureterbladder radiography pathological calcifications are not detected. Your doctor has referred you to the xray department for an ivu examination intravenous urogram.
Oct 25, 2012 the use of intravenous urography and ct urography. In recent years, however, other imaging modalities including ultrasonography us, computed tomography ct, and magnetic resonance mr imaging have been used with increasing frequency to compensate for the limitations of intravenous urography in the evaluation of. The urethra is the tube from your bladder that passes out urine. During intravenous pyelogram, a dye called contrast material is injected into a vein into the patients arm. The objective of this study was to compare magnetic resonance urography mru with intravenous pyelography ivp in evaluation of patients with hydronephrosis on ultrasonography. Feb 09, 2016 an ivu intravenous urography is an xray of your urinary tract consisting of kidneys, ureters and bladder following an injection of a clear dye called contrast into a vein in your arm. Since its inception it has been most often referred to by the term intravenous urography, which was adopted to distinguish it from. Intravenous pyelogram ivp also referred to as intravenous urography or ivu is a technique used for imaging the kidneys that has been available since the 1920s and was considered the gold standard for detecting kidney stones. An intravenous pyelogram ivp is an xray exam of your urinary tract kidneys, ureters, and bladder. Intravenous urography, results were compared with the european guidelines on quality criteria for diagnostic radiographic images and with international literature, in order to optimize the radiological practice. In this practice parameter, the term contrast mediamedium refers specifically to watersoluble iodinated contrast media that are administered intravenously. It is a radiographic study done after intravenous injection of an iodinated contrast media to visualize the renal structure and the collecting system. Toxic levels are only just above the currently accepted doses of 24.
Renal excretory function gets impaired by various diseases of the urinary system. All drug classes nonionic iodinated contrast media 6. An intravenous pyelogram ivp is a special xray exam of the kidneys, bladder, and ureters the tubes that carry urine from the kidneys to the bladder. View the article pdf and any associated supplements and figures for a period of 48 hours.
The dose rate for intravenous administration is 880mg of iodine per kilo of body weight. Oct 22, 2017 urography is a radiologic technique used for the evaluation of the genitourinary systemspecifically, the kidneys, ureters, and bladder. This study was conducted to find out the prevalence of diseases causing impairment of renal function by intravenous urography. This document is an educational tool designed to assist practitioners in providing appropriate radiologic care for patients. Pdf clinical evaluation of image quality for intravenous. Indication for an intravenous urography procedure that is the most common cause of enlarged kidneys. Intravenous pyelography with kidney, ureter and bladder kub xray and tomography.
Drugs used for intravenous urography the following list of medications are in some way related to, or used in the treatment of this condition. Technique and interpretation1 learning objectives for test 1 after reading this article and taking the test, the reader will be able to. Intravenous urography muhammad asghar department of radiology, gomal medical college, d. Urography with conventional xray is known as intravenous pyelogram ivp. The name of this new method of urographic visuali zation, which has become one of the most valuable aids in clinical diagnosis, deserves consideration. Prevention of reactions in intravenous urography sciencedirect. List of intravenous urography medications 6 compared. A comparative investigation posted by markwilliams123 on october 25, 2012 it is widely held that the application of intravenous urography ivu in clinical practice has been slowly surpassed by ct urography as the modality of choice in renal and urinary studies carver, 2006. During the test, the radiologist injects a contrast dye into one of. Intravenous pyelogram ivp is an xray exam that uses an injection of contrast material to evaluate your kidneys, ureters and bladder and help diagnose blood.
An intravenous pyelogram ivp is an xray of the urinary system, which includes your kidneys, urethra and bladder. Intravenous urography has long been the cornerstone of the imaging evaluation of urinary tract disease. Intravenous pyelogram an overview sciencedirect topics. Ct urography compared with conventional intravenous. Apply the rules of urographic interpretation to the evaluation of urinary tract disease. Mdctu is also preferred by patients, as it does not require bowel preparation. The most common type of renal cell carcinoma that is an indication for a urography procedure. Intravenous pyelography without kidney, ureter and bladder kub xray, with tomography. Assessment of image quality in radiography allows reduction of patient radiation doses without affecting the diagnostic findings. Intravenous pyelogram health encyclopedia university.
Ct urography ctu or ctivu has now largely replaced traditional ivu in imaging the genitourinary tract. Intravenous urography revisited dawson 1990 british. Intravenous pyelogram ivp intravenous pyelogram ivp is an xray exam that uses an injection of contrast material to evaluate your kidneys, ureters and bladder and help diagnose blood in the urine or pain in your side or lower back. Intravenous urography ivu and intravenous pyelogram ivp. An intravenous pyelogram ivp, also called an intravenous urogram ivu, is a radiological procedure used to visualize abnormalities of the urinary system, including the kidneys, ureters, and bladder. It gives both anatomical and functional information, albeit with a relatively higher dose of radiation. Simple xray examinations do not generate clear images of the kidneys, the ureters or the urinary bladder, but only shadows of them.
An experimental study in the rabbit model daha yava. Contrast nephrography or excretory urography is a simple and safe technique which allows identification of the size, shape, location of the kidney and which yields useful information about the homogeneity of the renal parenchyma as well as excretory function of the kidney in question. Radt 210 positioning iii san diego mesa college radiography program. Also called intravenous pyelography has as its purpose the study of the contrast medium in the urinary tract. Ivu has many drawbacks including poor diagnostic accuracy in. What is the role of ct urography in the evaluation of the. Image quality and pathology assessment in ct urography.
Their plasma half life is relatively short, and they are selectively concentrated and. Rearrange individual pages or entire files in the desired order. Is intravenous urography necessary in the assessment of renal. Cystoscopy and retrograde pyelography are performed to evaluate for bladder injury and to visualize the distal ureteral segment if not well seen on the urogram.
Intravenous urography procedure and indications flashcards. Unlike a kidneys, ureters, and bladder xray kub, which is a plain that is, noncontrast radiograph, an ivp uses contrast to highlight the urinary tract. In hi tt t t t di i this test, contrast media is injected into bloodstream and a series of xray are then taken at timed intervals. Current procedural terminology urography pyelography. Get a printable copy pdf file of the complete article 552k, or click on a page image below to browse page by page. Intravenous pyelography with kidney, ureter and bladder kub xray. An intravenous urography examination is a specialised xray examination of the urinary tract. Bony structures are not modificated if there are modifications, fix them preparing the patient for the study is. Pdf analysis of intravenous urography findings in a tertiary. It has also been referred to as descending or excretion urography by european observers. Pdf merge combine pdf files free tool to merge pdf online.
Ramos decampos m, juan escudero ju, navalon verdejo p, ordono dominguez f, fabuel deltoro m, zaragoza, et al. For decades, intravenous urography has been the primary imaging modality for evaluation of the urinary tract. The diagnostic performance of nonenhanced ct compared to intravenous urography ivu and plain abdominal radiography has been evaluated but there are, to our knowledge, no studies that have compared the image quality and pathology assessment between phases as the present study. A series of xrays are taken of the abdomen at various time. Department of diagnostic radiology, royal postgraduate medical school, hammersmith hospital, london. Full text full text is available as a scanned copy of the original print version. Is intravenous urography a prerequisite for renal shockwave. However, other imaging modalities such as ultrasonography, computed tomography, and magnetic resonance imaging are being used with increasing frequency. Use of intravenous urography europe pmc article europe pmc. To determine whether intravenous urography ivu is a prerequisite for shockwave lithotripsy swl of renal stones by addressing whether using noncontrastenhanced ct ncct instead of ivu for. The aim is to illustrate the collecting systems, ureters and bladder with intravenous contrast, albeit in a single acquisition as opposed to the multiple and more. Rectal contrast media through which this will affect the large intestine will look white on xray film. Intravenous urography definition of intravenous urography. Get a printable copy pdf file of the complete article 542k, or click on a page image below.
Although originally performed using plain radiographic techniques, advanced imaging modalities have been progressively refined such that computed tomography ct andor magnetic resonance imaging mri have largely replaced excretory urography eu as the. This is a retrospective study of 40 patients who underwent a ct urography examination on a. Start studying urinary system contrast studies overview and intravenous urography procedure. Dec 17, 2016 this feature is not available right now. In some instances, information regarding renal function and disease patho physiology can also be obtained. This exam has been largely replaced by ct urography. Full text get a printable copy pdf file of the complete article 623k, or. The pictures produced are called intravenous urograms ivu or intravenous pyelograms ivp. Comparison of magnetic resonance urography mru with. The ureters are tubes which go from each kidney to your bladder. Abdominal andor pelvic ct examinations may be performed during andor after administering intravenous iv contrast medium using appropriate injection techniques 102,103. Intravenous urography, results were compared with the european guidelines.
Full text is available as a scanned copy of the original print version. The current study intends to measure entrance surface dose esd and effective dose ed and estimate the radiation risks for pediatric patients undergoing ivu procedures. One advantage to the ivu and ultrasound is threedimensional nature of mdct urography that allows reconstructions in all planes of space. After intravenous injection the material circulates systemically throughout all body systems. However, the available data indicate that mdctu has a high diagnostic accuracy.
Use of magnetic resonance urography versus conventional urogra. To analyze intravenous urography ivu findings in a tertiary reference center. Muhammad asghar original article evaluation of renal. Intravenous pyelogram ivp atlantic general hospital. Contrast media is given by intravascular injection.
Scribd is the worlds largest social reading and publishing site. The renal calyces, renal pelvis, ureters, and urinary bladder are all visible on the radiographs. In recent years, however, other imaging modalities including ultrasonography us, computed tomography ct, and magnetic resonance mr imaging have been used with increasing frequency to compensate for the limitations of intravenous urography in the evaluation of urinary tract disease, 1. Ivpintravenous pyelogram study the purpose of the ivp is to study the function and appearance of the kidneys, ureters, and bladder. Intravenous urography ivu, also referred to as intravenous pyelography ivp or excretory urography eu, is a radiographic study of the renal parenchyma, pelvicalyceal system, ureters and the urinary bladder.
Akciuer radyografisi ve bilgisayarly tomografi incelemelerinde emboliye ait herhangi bir bulgu g. Full text get a printable copy pdf file of the complete article 623k, or click on a page image below to browse page by page. Pdf file of the complete article 314k, or click on a. Additional intravenous urography would not have affected the clinical management of any patient. It is a special xray examination to outline the urinary tract which includes the kidneys, ureters and bladder. In this way, the various organs or structures can be viewed and studied. Practice parameters and technical standards are not inflexible rules or requirements of practice and. Any information contained in this pdf file is automatically generated from digital material. Intravenous urography also known as intravenous pyelography is an xray procedure which is used to assess problems in your kidneys, ureters, bladder and urethra. A survey of radiation doses to 21 pediatric patients. For many years, intravenous urography ivu was the modality of choice for diagnosing urinary tract abnormalities. Get a printable copy pdf file of the complete article 542k, or click on a. B ketone bodies are byproducts of incomplete metabolism of fatty acids. Learn vocabulary, terms, and more with flashcards, games, and other study tools.