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An intravenous pyelogram is used to look for problems relating to the urinary tract. [5] These may include blockages or narrowing, such as due to kidney stones, cancer (such as renal cell carcinoma or transitional cell carcinoma), enlarged prostate glands, and anatomical variations, [5] such as a medullary sponge kidney. [6]
In order to assess these structures radiographically, a technique called an intravenous pyelogram was historically utilized, and today at many institutions CT urography is the technique of choice. [6]
Intravenous pyelogram, a radiological procedure used to visualize abnormalities of the urinary system, including the kidneys, ureters, and bladder Inter-Varsity Press , the publishing wing of the United Kingdom-based Universities and Colleges Christian Fellowship
Where a CT scan is unavailable, an intravenous pyelogram may be performed to help confirm the diagnosis of urolithiasis. This involves intravenous injection of a contrast agent followed by a KUB film. Uroliths present in the kidneys, ureters, or bladder may be better defined by the use of this contrast agent.
Intravenous pyelogram (IVP): A special diagnostic test that follows the time course of excretion of a contrast dye through the kidneys, ureters, and bladder after it is injected into a vein. Retrograde pyelogram (RPG): X-ray study of the kidney, focusing on the urine-collecting region of the kidney and ureters. Antegrade nephrostogram.
The intravenous pyelogram can also be used to assess the presence of kidney stones. This test involves injecting a radiocontrast agent which is passed into the urinary system. X-ray images are then obtained every few minutes to determine if there is any obstruction to the contrast as it is excreted into the bladder.
Under fluoroscopy (real time x-rays) the radiologist watches the contrast enter the bladder and looks at the anatomy of the patient. If the contrast moves into the ureters and back into the kidneys , the radiologist makes the diagnosis of vesicoureteral reflux , and gives the degree of severity a score.
Intravenous pyelogram (IVP) is a useful procedure in detecting the presence of abnormal renal mass in the urinary tract. This procedure involves the injection of a contrasting dye into the arm of the patient. The dye travels from the blood stream and into the kidneys which in time, passes into the kidneys and bladder.