复旦大学上海医学院：《医学影像学》PPT教学课件_泌尿系统 Urinary System and Adrenal glands

Urinary System and Adrenal glands Department of Radiology Huashan Hospital, Fudan University Huijin He, MD, PhD

Urinary System and Adrenal glands Department of Radiology Huashan Hospital, Fudan University Huijin He, MD,PhD

Imaging Modalities of Urinary System (I)KUB(Kidney-ureter-bladder survey) a plain film of the kidneys and bladder. Useful for the diagnosis of calculi, soft-tissue calcifications and gas Should always be performed prior to contrast medium injection

Imaging Modalities of Urinary System （Ⅰ） KUB (Kidney-ureter-bladder survey) • A plain film of the kidneys and bladder. • Useful for the diagnosis of calculi, soft-tissue calcifications and gas. • Should always be performed prior to contrast medium injection

Imaging Modalities of Urinary System Ⅱ) Urography ● Excretory Urography Retrograde Urography

（Ⅱ）Urography • Excretory Urography • Retrograde Urography Imaging Modalities of Urinary System

Excretory Urography IVP( Intravenous Pyelography After KUB, contrast medium is injected into a vein Films taken 1, 15 and 30 min post contrast Abdominal compression is applied in order to retain the opacified urine in the pelvis and ureter The compression is then removed and a full abdominal exposure is obtained

IVP ( Intravenous Pyelography ) • After KUB, contrast medium is injected into a vein. • Films taken 1,15 and 30 min. post contrast. • Abdominal compression is applied in order to retain the opacified urine in the pelvis and ureter. • The compression is then removed and a full abdominal exposure is obtained. Excretory Urography

Excretory Urography IVP( Intravenous Pyelography Clinical application Rapid overview of the entire urinary tract Detailed anatomy of the collecting system Important for the diagnosis of early transitional cell carcinoma in the upper urinary tract. Congenital anomalies such as fusions rotation anomalies, calyceal variants and duplications are well demonstrated by IVP Indication: Normal renal function; No iodine allergy

IVP ( Intravenous Pyelography ) • Clinical application: • Rapid overview of the entire urinary tract. • Detailed anatomy of the collecting system. • Important for the diagnosis of early transitional cell carcinoma in the upper urinary tract. • Congenital anomalies such as fusions, rotation anomalies, calyceal variants and duplications are well demonstrated by IVP. • Indication: Normal renal function; No iodine allergy. Excretory Urography

司 Kidney L a Pelvi Ureter Bladder

Retrograde Urography Water-soluble contrast medium is injected retrogradely through the urethra by catheters and up into the bladder(retrograde cystography), or up into the ureter and pelvis by intra-ureteral cannula(Retrograde Pyelography Useful for the diagnosis of urethral strictures diverticula, tumors and in trauma Check the urinary tract obstructive lesions ° ndication: renal dysfunction, fail ofⅣVP Contraindication: Lower urinary tract infection

• Water-soluble contrast medium is injected retrogradely through the urethra by catheters and up into the bladder (Retrograde cystography), or up into the ureter and pelvis by intra-ureteral cannula (Retrograde Pyelography). • Useful for the diagnosis of urethral strictures, diverticula, tumors and in trauma. • Check the urinary tract obstructive lesions. • Indication: renal dysfunction, fail of IVP. • Contraindication: Lower urinary tract infection. Retrograde Urography

ZHAO TIAN TIAN N 968298 FRAME= 02 MG=00 15:43:12 SHANGHAI HUASHAN Retrograde cystography

Retrograde cystography

Bladder d Prostatic urethra Penile urethra Membranous urethra Bulbous urethra Retrograde cystography shows urethral stricture and filling defects

Retrograde cystography shows urethral stricture and filling defects