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A computed tomography urography (CT urography or CT urogram) is a computed tomography scan that examines the urinary tract after contrast dye is injected into a vein. [1]In a CT urogram, the contrast agent is through a cannula into a vein, allowed to be cleared by the kidneys and excreted through the urinary tract as part of the urine.
Abdominal imaging is associated with many potential uses for the different phases of contrast CT.The majority of abdominal and pelvic CT's can be performed using a single-phase, but the evaluation of some tumor types (hepatic/pancreatic/renal), the urinary collecting system, and trauma patients among others, may be best performed with multiple phases.
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Ultrasound is non-invasive and does not involve radiation, unlike some methods of imaging of the urinary tract such as X-rays or CT scans. [2] It is usually painless. [2] It is safe in pregnancy. [1] Risks specific to the scan involve: Discomfort from the abdominal probe [1] Distress related to results that are reported
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]
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Fluoroscopic spot images and videos are taken during the micturition phase to detect any reflux. The lower ureter is best seen on an anterior oblique position. In males, peeing should be done in oblique or lateral positions to visualise the whole of urethra. Finally, the whole abdomen is imaged to detect any undetected reflux in previous images.
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