Presentation on theme: "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."— Presentation transcript:
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 M.D Clinic Manager: Andrzejewska Ewa, Prof. PhD Barbara Popek, Joanna Pietrzyk
Uro CT Investigation of: Pathological changes in urinay tract Progression of changes Evaluation of other organs 3D reconstructions
Children are not small adults. A debate about use of uro CT in children is still current. https://www.google.pl/search
Limitations: Greater harmfulness of X-ray in children The need for general anesthesia in babies Intravenously administred contrast
1) M. Riccabona, F. E. Avni and co-authors Pediatr Radiol (2010) 40:1315–1320 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) 42:1275–1283 ESPR Uroradiology Task Force and ESUR Paediatric Working Group—Imaging 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 May; 37(2): 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
Aim Analysis of cases difficult in terms of the diagnostic, in which uro- CT was used
Case 1 9-year old boy Polytrauma USG → subcapsular hematoma of spleen?
Case 1, Uro CT
Case 1, uro CT
Case 2 14-year old girl Nocturnal and daytime enuresis USG → right kidney: normal calices and renal pelvis, blurred shape of upper polar
Case 2, uro CT
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
Case 3, uro CT
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.