to evaluate ejaculatory duct obstruction in infertility case
to screen for prostate cancers
to take prostate biopsies
to place interstitial radiotherapy seeds
B. to screen for prostate cancers
obstruction of the upper urinary tract may increase renal pelvis pressure and delay or decrease pelvis peristaltic rates
measured by color Doppler flow mapping in transverse scans at the suprapubic region
patients with ureteral stents are the ideal
adequate hydration is necessary
Its uptake by glomerular filtration is almost 100%
It helps evaluate cortical structure and morphology
It provides a static picture of kidneys when compared to MAG3
it binds to the sulfhydryl groups in proximal tubules resulting in much higher resolution pinhole SPECT imaging
evaluation of probable ureteral obstruction
in conjunction with ureteroscopy
evaluation of hematuria
evaluation of probable ureterovesical reflux
unilateral hydrocele
bilateral varicocele
calcifications at the renal area on plain KUB film
painless hematuria
hydrocalicosis
extrarenal pelvis
parapelvic cyst
class 2 Bosniak renal cyst
end-stage renal failure kidneys look small and hypoechoic
it is more accurate on diagnosing cystic lesions than solid masses
it is able to detect tumors as small as 2 mm
cortical carbuncle might be mistaken for hydronephrosis
nuclear medicine
ultrasonography
X-ray fluoroscopy
intravenous urography
MRI
CT
ultrasound
all are comparable
coning at the bulbar urethra is normal
segmental narrowing at bulbar urethra is normal
multiple round filling defects could be air bubbles
indicated in urethral trauma cases
class 1
class 2
class 3
class 4
mechanical waves
radar waves
microwaves
radio waves
take urine acidifiers
withhold metformin the day before the study and restart 48 hrs. later
get premedicated by steroids and antihistamines
decrease metformin dose and turn to insulin
preparation for donor nephrectomy
advanced RCC in the right kidney
renal artery stenosis
oncocytoma in the left kidney
advanced prostatic cancer
central diabetes insipidus
pituitary adenoma
a & c
non-seminomatous germ cell tumors
acute bleed on top of old hematoma
mature teratoma
sex cord stromal tumors
prominent columns of Bertin
xanthogranulomatous pyelonephritis
lymphoma
renal infarction
more than 30 mL/min/1.73 m2
more than 60 mL/min/1.73 m2
more than 90 mL/min/1.73 m2
none of the above
The higher the frequency, the deeper tissue penetration
The higher the frequency, the better the axial resolution
low-frequency transducers are of 6 to 10 MHz
the deeper tissue penetration, the better axial resolution
hyperechoic
hypoechoic
isoechoic
anechoic
an elimination T ½ < 10 minutes indicates obstructed system
the diuretic must be given at the maximum kidney activity
If ureteral stents are in place, the bladder catheter must be unclamped
99mTc-MAG3 is the agent of choice to study differential renal function and obstruction
RCC
metastases
angiomyolipoma
oncocytoma
evaluating a probable bladder rupture
evaluating a probable colovesical or vesicovaginal fistulae
evaluating a probable intravesical pathology
evaluating a probable bladder diverticula
grey-scale
simultaneous bilateral views
color Doppler
power Doppler
to evaluate ejaculatory duct obstruction in infertility case
to screen for prostate cancers
to take prostate biopsies
to place interstitial radiotherapy seeds
small non-obstructive calculi might be missed at MRU performed for the evaluation of hematuria
in pediatrics, performing a dynamic contrast-enhanced imaging helps in evaluating crossing vessels in the setting of UPJ obstruction
the success of static-fluid MR urography depends on the presence of fluid within the urinary system regardless of renal function
MRU at 3T, carries the risk of nephrogenic systemic fibrosis
epididymal cysts
testicular tumors
renal stones
penile vasculature
RCC
metastases
angiomyolipoma
oncocytoma
seminoma
embryonal cell tumor
mixed germ cell tumor
epidermoid cyst
renal tuberculosis
renal abscess
renal cell carcinoma
angiomyolipoma
malunion of lumbar and/or sacral vertebral bodies
pelvic bone diastasis
sacral agenesis
fracture of anterior pubic rami