Volume : VI, Issue : II, February - 2016

PROSPECTIVE COMPARATIVE STUDY OF NONCONTRAST CT KUB AND CT IVU

Solanki Kunal G, Makwana Viral B

Abstract :

<p>OBJECTIVE: To correlate diagnostic ability of Noncontrast CT Scan and CT Intravenous Urography findings in same patients . MATERIAL AND MEHTODS : Patients suspected for Urolithiasis or Obstruction sent for CT IVU were selected as cases. All Patients underwent NCCT KUB first followed by IVU. Findings of NCCT KUB were recorded first , followed by findings on IVU. Radiologist was kept unaware of clinical history. Findings like hydronephrosis, hydroureter, fullness of PC System, Ureteric Stricture, calculus, perinephric fat stranding, peripelvic and periureteric fat stranding , ureteric wall thickening and renal cysts were compared in both. From these records findings on NCCT KUB and IVU were correlated. RESULTS : The present study included 100 cases. 95 patients have positive findings on NCCT and 92 on IVU. On NCCT 222 stones were detected from which 155 renal calculi, 59 ureteric and 8 bladder calculi . The findings detected on NCCT were hydronephrosis in 56 hydroureter in 52, perinephric stranding in 12,periuretic fat stranding in 25, ureteric wall thickening in 18, renal mass in 1 and renal cyst in 18 each. The findings detected on CT IVU were similar in addition nonexcreotry kidney detected in 10 patients, delayed excretion in 26 patients, ureteric stricture detected in 8 patients. .In addition possibility of renal mass and angiomayolipoma suggested on NCCT KUB were better after CT IVU. CONCLUSION : NCCT KUB is superior in detecting calculus, especially for stones in the mid or lower ureter. Characteristic of obstruction– partial or total was only detected by IVU. An added benefit of NCCT is lowering radiation, cost effectiveness, deciding HU of calculus as well usefulness in patients with high creatinine.</p>

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Solanki Kunal G, Makwana Viral B Prospective Comparative Study of Noncontrast Ct Kub and Ct Ivu Indian Journal of Applied Research, Vol.6, Issue : 2 February 2016

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