Clinic of Pediatric Surgery and Oncology, Medical University of Lodz Tutors: Zbigniew Jankowski...
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Clinic of Pediatric Surgery and Oncology, Medical University of Lodz Tutors: Zbigniew Jankowski M.D., Ph.D., Janusz Jabłoński M.D., Ph.D., Małgorzata Lewandowska
Clinic of Pediatric Surgery and Oncology, Medical University of
Lodz Tutors: Zbigniew Jankowski M.D., Ph.D., Janusz Jaboski M.D.,
Ph.D., Magorzata Lewandowska M.D Clinic Manager: Andrzejewska Ewa,
Prof. PhD Barbara Popek, Joanna Pietrzyk
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Uro CT Investigation of: Pathological changes in urinay tract
Progression of changes Evaluation of other organs 3D
reconstructions
Slide 3
Children are not small adults. A debate about use of uro CT in
children is still current. https://www.google.pl/search
Slide 4
Limitations: Greater harmfulness of X-ray in children The need
for general anesthesia in babies Intravenously administred
contrast
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1) M. Riccabona, F. E. Avni and co-authors Pediatr Radiol
(2010) 40:13151320 ESPR uroradiology task force and ESUR paediatric
working group: imaging and procedural recommendations in paediatric
uroradiology, part III. Minutes of the ESPR uroradiology task force
minisymposium on intravenous urography, uro-CT and MR-urography in
childhood 2) M. Riccabona, F. E. Avni, M.B. Damasioand with
co-authors Pediatr Radiol (2012) 42:12751283 ESPR Uroradiology Task
Force and ESUR Paediatric Working GroupImaging recommendations in
paediatric uroradiology, Part V: childhood cystic kidney disease,
childhood renal transplantation and contrast-enhanced
ultrasonography in children 3) M.B. Damasio, K. Darge, M. Riccabona
European Journal of Radiology (2012) Multi-detector CT in the
paediatric urinary tract 4) M.P.Hiorns Urol Clin North Am. 2010
May; 37(2): 307-18 Imaging of the urinary tract: the role of CT and
MRI 5 ) E. Sorantin, S. Weissensteiner, G. Hasenburger, M.
Riccabona European Journal of Radiology(2012) CT in children dose
protection and general considerations when planning a CT in a
child
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Aim Analysis of cases difficult in terms of the diagnostic, in
which uro- CT was used
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Case 1 9-year old boy Polytrauma USG subcapsular hematoma of
spleen?
Slide 8
Case 1, Uro CT
Slide 9
Case 1, uro CT
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Case 2 14-year old girl Nocturnal and daytime enuresis USG
right kidney: normal calices and renal pelvis, blurred shape of
upper polar
Slide 11
Case 2, uro CT
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Case 3 15-year old boy Right-side hydronephrosis and
subpelvical obstruction of the ureter (diagnosis by USG,
cystography, urography, renoscyntygraphy) Postponed operation other
imaging studies
Slide 13
Case 3, uro CT
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Slide 15
Conclusions CT urography is useful method for evaluation of the
urinary tract The necessity of reducing radiation exposure from
medical imaging is to determine the role of uro-CT in the diagnosis
of pediatric patients.
