MEDIX, God. 16 Br. 91  •  Pregledni članak  •  Radiologija HR ENG

Kako odabrati pravilno snimanje – radiološka dijagnostika urotraktaChoosing the right modality – diagnostic imaging of urinary tract

Ranka Štern Padovan, Vice Šunjara, Maja Hrabak Paar, Mario Lušić

U radiologiji urotrakta koriste se sve suvremene te još uvijek prisutne pojedine konvencionalne radiološke metode pregleda. Brojne metode i raznolika patologija uvjetuju kompleksnost odabira radioloških pretraga i analize rezultata. Ultrazvučni pregled je u urotraktu u pravilu inicijalan, a često i jedini pregled. Kompjutorizirana tomografija (CT) urotrakta ima vrlo velike dijagnostičke mogućnosti, no ključan je pravilan odabir protokola i područja snimanja kako bi se uskladila potreba zaštite bolesnika od zračenja i nuspojava kontrastnog sredstva s potrebom postavljanja konačne dijagnoze što većeg broja patoloških stanja. Magnetska rezonancija (MR) koristi se u pregledu zdjelice i nekim drugim specifičnim indikacijama te kao metoda za razrješavanje dvojbenih nalaza. Konvencionalne metode pregleda danas se rabe sve manje, uz nekoliko specifičnih indikacija u kojima su još uvijek važna dijagnostika. 

Ključne riječi:
bolesti mokraćnog sustava; dijagnostika mokraćnog sustava; radiološke pretrage mokraćnog sustava

Članak u cijelosti pročitajte u tiskanom izdanju MEDIX, God. 16 Br. 91

Radiologic imaging of the urinary tract uses all currently available radiological modalities and some conventional radiologic examination methods. The availability of numerous techniques and diverse pathology of urinary tract make the selection of appropriate radiologic examination and interpretation of the results quite complex. Ultrasound of the urinary tract is usually the first and often the only imaging examination performed. Computed tomography (CT) has wide diagnostic application, but selection of the appropriate acquisition protocol and area of acquisition is crucial in order to balance the need for protection of the patient from radiation and risk of contrast-medium side effects with the need to establish the final diagnosis in as many pathological conditions as possible. Magnetic resonance imaging (MRI) is used in the examination of the pelvis and some other indications. It is also the method of choice when dubious findings have to be clarified. Conventional examination methods are used less often, except in specific indications where they are still an important diagnostic modality. 

Key words:
urinary tract, diagnosis; urinary tract, radiology; urologic diseases