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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.
European guidelines classify a pre-existing decreased kidney function to be a risk factor of contrast-induced nephropathy in the following cases: [5]. Estimated glomerular filtration rate (eGFR) < 45 ml/min/1.73 m 2 of body surface area before intra-arterial administration with first-pass renal exposure (not passing lungs or peripheral circulation before kidneys), or in the intensive care unit
Also, the iodinated contrast medium used in contrast CT and contrast radiography can cause allergic reactions, including severe ones. [5] The contrast dye may also be toxic to the kidneys. [7] Because a cannula is inserted, there is also a risk of a cannula site infection, that may cause fevers or redness of the cannula area. [7]
Iodinated contrast contains iodine.It is the main type of radiocontrast used for intravenous administration.Iodine has a particular advantage as a contrast agent for radiography because its innermost electron ("k-shell") binding energy is 33.2 keV, similar to the average energy of x-rays used in diagnostic radiography.
Contrast CT of a patient with brain metastases from breast cancer, before (left) and after (right) injection of iodinated contrast. Iodinated contrast is a form of water-soluble, intravenous radiocontrast agent containing iodine , which enhances the visibility of vascular structures and organs during radiographic procedures.
Diatrizoate, also known as amidotrizoate, Gastrografin, is a contrast agent used during X-ray imaging. [1] This includes visualizing veins, the urinary system, spleen, and joints, as well as computer tomography (CT scan). [1] It is given by mouth, injection into a vein, injection into the bladder, through a nasogastric tube, or rectally. [2] [3]
Fortunately, long-term data from organ donors has shown that their kidney function tends to remain stable and the risk of developing chronic kidney disease is only slightly higher than in those ...
Non-contrast-enhanced CT scans are the gold standard for diagnosing kidney stone disease. [69] They allow clinicians to estimate the size, volume, and density of stones, helping to guide further treatment; with size being especially important in predicting the time to spontaneous passage of a stone.