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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.
Otherwise a noncontrast helical CT scan with 5 millimeters (0.2 in) sections is the diagnostic method to use to detect kidney stones and confirm the diagnosis of kidney stone disease. [16] [57] [61] [66] [7] Near all stones are detectable on CT scans with the exception of those composed of certain drug residues in the urine, [59] such as from ...
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. [70]
A CT scan image showing a ruptured abdominal aortic aneurysm. CT Scan of 11 cm Wilms' tumor of right kidney in 13-month-old patient. Computed tomography of the abdomen and pelvis is an application of computed tomography (CT) and is a sensitive method for diagnosis of abdominal diseases. It is used frequently to determine stage of cancer and to ...
Hydronephrosis due to a kidney stone at the ureteral vesicular junction seen on CT scan. Prenatal diagnosis is possible, [9] and in fact, most cases in pediatric patients are incidentally detected by routine screening ultrasounds obtained during pregnancy. [10]
Treatments depend on the patient, the type of kidney stone and several other factors. These include: Surgical intervention. Some patients may need surgery to remove kidney stones or to help them pass.
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]
Some stone types (mainly those with substantial calcium content) can be detected on X-ray and CT scan; Many stone types can be detected by ultrasound; Factors contributing to stone formation (as in #Etiology) are often tested: Laboratory testing can give levels of relevant substances in blood or urine