Accuracy for Diagnosis of Patients Presented with Painless Hematuria by MDCT Urography

Authors

  • Kalathas Hungsakul Department of Radiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700
  • Nithida Na Songkhla Department of Radiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700
  • Kobkun Muangsomboon Department of Radiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700

Keywords:

MDCT urography; painless hematuria

Abstract

Background: Computed tomography urography (CTU) is a relatively new diagnostic imaging examination providing comprehensive evaluation of the upper and lower urinary tract. CTU is justified as a first-line test for patients with macroscopic hematuria, at high-risk for urothelial cancer.
Objective: To assess the role of multi-detector row CT (MDCT) urography, using a MDCT for evaluation of patients presenting with painless hematuria, in Siriraj Hospital, Bangkok, Thailand.
Methods: Between 2006 and 2008, 16 consecutive MDCT urography examinations were retrospectively reviewed by two radiologists. Sensitivity, specificity, PPV, NPV and accuracy of MDCT urography compared with surgical, histopathological findings and other imaging modalities were calculated.
Results: In 11 out of 16 patients, the causes of painless hematuria were identified on MDCT urography. The most common cause was benign urothelial lesions in 5 cases. About uroepithelial malignancies, a detectable smallest lesion was about 0.8 cm in diameter.
Conclusion: Sixty-four row MDCT urography provided satisfactory results in detection of urinary tract lesions with high accuracy in painless hematuria patients.

References

1. CT urography: definition, indications and techniques. A guideline for clinical practice Eur Radiol European Society of Radiology 2007 DOI
10.1007/s00330-007-0792-x
2. Nolte-Ernsting C, Cowan N. Understanding multislice CT urography techniques: Many roads lead to Rome. Eur Radiol. 2006 Dec;16(12):2670-86.
3. Grossfeld GD, Litwin MS, Wolf JS Jr, Hricak H, Shuler CL, Agerter DC, Carroll PR. Evaluation of asymptomatic microscopic hematuria in
adults: the American Urological Association best practice policy--part II: patient evaluation, cytology, voided markers, imaging, cystoscopy, nephrology
evaluation, and follow-up. Urology. 2001 Apr;57(4):604-10.
4. Grossfeld GD, Litwin MS, Wolf JS, Hricak H, Shuler CL, Agerter DC, Carroll PR. Evaluation of asymptomatic microscopic hematuria in adults:
the American Urological Association best practice policy--part I: definition, detection, prevalence, and etiology. Urology. 2001 Apr;57(4):599-
603.
5. Caoili EM, Cohan RH, Inampudi P, Ellis JH, Shah RB, Faerber GJ, Montie JE. MDCT urography of upper tract urothelial neoplasms. AJR
Am J Roentgenol. 2005 Jun;184(6):1873-81.
6. Turney BW, Willatt JM, Nixon D, Crew JP, Cowan NC. Computed tomography urography for diagnosing bladder cancer. BJU Int. 2006 Aug;98(2):345-8.

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Published

03-04-2020

How to Cite

Hungsakul, K. ., Na Songkhla, N. ., & Muangsomboon, K. . (2020). Accuracy for Diagnosis of Patients Presented with Painless Hematuria by MDCT Urography. Siriraj Medical Journal, 63(4), 115–118. Retrieved from https://he02.tci-thaijo.org/index.php/sirirajmedj/article/view/240983

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Original Article