北京协和医院：《放射诊断学》课程教学资源（PPT课件）泌尿生殖系统正常及异常影像学表现实习（英文版）

北 Urinary system Genital system PUMCH 火京孩和臂管 Radiology Dept. 院

Urinary system Genital system PUMCH Radiology Dept

X ray -plain film 大肠气体 Large bowel gas 鉴 oos 腰肌缘 -Psoas Psoas margir margin 小肠气体 Small 大肠气体 bowel Large gas bowel gas (a

X ray – plain film

Contrast enhanced-X ray Urinary tract radiography lege ing Uni (urography) Hospital ion intravenous pyelography Medical (urography) retrograde pyelography (urography) Retrograde cystography 晋 院

Contrast enhanced - X ray • Urinary tract radiography (urography) – intravenous pyelography (urography) – retrograde pyelography (urography) • Retrograde cystography

Renal column(Bertini) Renal papilla enal aa Urography Minor calyx Major calyx● 1-2 mins:renal parenchyma Renal sinus Renal Renal hilum● 15-30 mins:calyx,pelvis pyran Renal pelvis Release pressure:ureter, bladder Renal corte Minor calyx Major calyx Pelvis Contour Ureter ● Bladder

Urography • 1-2 mins：renal parenchyma • 15－30 mins：calyx, pelvis • Release pressure：ureter, bladder • Minor calyx • Major calyx • Pelvis • Contour • Ureter • Bladder

Normal anatomy Suprarenal gl. College Ureter Segment?Stricture? Renal pelvis Kidney Union Bladder Abdominal Medical Ucinary bladder Ureter Vas deferens- Ext.iliac Seminal vesicle Pelvic portion Rectovesical trigone 署 portion 院 Opening in POSTERIOR VIEW-MALE URETER bladder CONSTRICTIONS NUMBERED 1-3

Normal anatomy • Ureter – Segment? Stricture? • Bladder Intramural portion

CT enhanced scan phases College Hospital Peking Union Medical Non-contrast phase Corticomedullary phase Pareneayma phase

CT enhanced scan phases Non-contrast phase Corticomedullary phase Parenchyma phase Excretive phase

Vein Cortex Artery Medulla Sinus Papilla Pelvis Column Calyx Pyramid SP-CE

Cortex Medulla Pyramid Column Papilla Calyx Pelvis Sinus Vein Artery

Finding ureter in CT images 院

Finding ureter in CT images

R LAN PUMC F,62Y syngo CT 290 Delay1 phase

CTU