Sep 06, 1980 full text full text is available as a scanned copy of the original print version. Patients with the strongest clinical evidence of haematuria were the most likely to have abnormal urograms, and to. Urography urography uses imaging and contrast material to evaluate or detect blood in urine, kidney or bladder stones, and cancer in the urinary tract. Learn vocabulary, terms, and more with flashcards, games, and other study tools. The renal calyces, renal pelvis, ureters, and urinary bladder are all visible on the radiographs. Intravenous urography is still the basic radiological examination of the urinary tract. Intravenous urography is a test that uses xrays and a special dye to help assess your kidneys, ureters, bladder and urethra note. The following list of medications are in some way related to, or used in the treatment of this condition. Intravenous urography ivu may confirm a leak from the bladder. The ureters are the narrow tubes that carry urine from the kidneys to the bladder. Full text full text is available as a scanned copy of the original print version.
Get a printable copy pdf file of the complete article 542k, or click on a page image below to browse page by page. An ivp outlines the kidneys, showing their size and internal structure. The arrangements, and the way tests are performed, may vary between different hospitals. Unlike a kidneys, ureters, and bladder xray kub, which is a plain that is, noncontrast radiograph, an ivp uses contrast to highlight the urinary tract. Intravenous urography is radiography of kidneys, ureters, and bladder following injection of contrast medium into a peripheral vein. Download fulltext pdf iomeprol versus iopromide for intravenous urography article pdf available in british journal of radiology 67802. The declining use of urography in clinical practice presents a challenge for instruction. This scan is used to detect abnormalities of the urinary system, including the kidneys, ureters, and bladder. It is widely held that the application of intravenous urography ivu in clinical practice has been slowly surpassed by ct urography as the modality of choice in renal and urinary studies carver, 2006. Intravenous excretory urography using optiray in office. Imaging and biopsy renal imaging intravenous urography ivu. Conventional excretory urography eu is a radiographic examination in which anatomic and physiologic abnormalities of the urinary tract are detected through a timed series of images of the abdomen and pelvis after the intravenous iv injection of iodinated contrast medium cm fig. Intravenous pyelogram aftercare instructions what you.
Excretory urography, also known as intravenous pyelogram, is performed using conventional xray after the intravenous administration of radiographic contrast material. The test uses a colourless dye, also called contrast medium. Intravenous urography ivu tests and procedures sehat. This exam has been largely replaced by ct urography. This shows up the soft tissues of the urinary system on a normal xray.
Our standard procedure for intravenous urography with optional images is outlined in the, table, 6, 10. Intravenous urography definition of intravenous urography. Intravenous urography ivu has been considered an integral component of the nephrourological workup since its introduction by swick in 1929. This technique is still performed for pediatric patients and occasionally for younger adult patients. With the recent advances in small animal ultrasonagraphy, excretory urography has become an underutilized procedure. During the test, the radiologist injects a contrast dye into one. Definition it is the radiographic examination of the urinary tract including the renal parenchyma, calyces and pelvis after the intravenous injection of the contrast media. Urography uses imaging and contrast material to evaluate or detect blood in urine, kidney or bladder stones, and cancer in the urinary tract.
Intravenous urography ivu, intravenous pyelography ivp when injected intravenously, most contrast media are rapidly excreted by the kidneys, and a series of radiographs taken after the injection will demonstrate the urinary tract. Terms in this set 24 intravenous urography ivu the primary radiography exam of the kub after the administration of contrast. Intravenous pyelogram, also called intravenous urogram, is a radiological procedure used to examine the urinary system including the kidneys, ureters and urinary bladder. Intravenous urography ivu, also referred to as intravenous pyelography ivp or excretory urography eu, is a radiographic study of the renal parenchyma, pelvicalyceal system, ureters and the urinary bladder. Oct 05, 1974 prior use of other tests may increase the effectiveness of urography. The urethra is the tube from your bladder that passes out urine. A series of xrays are taken of the abdomen at various time. The most common cause of blockage is a kidney stone. In the evaluation of patients with impairment of renal function it is often important to delineate the anatomic status of the urinary tract. Urography is also often performed using computed tomography ct or magnetic resonance imaging mri. However, other imaging modalities such as ultrasonography, computed tomography, and magnetic resonance imaging are being used with increasing frequency. Intravenous urography is a rather simple procedure in rabbits.
Asked in urinary tract infections bladder infections. References to any names, marks, products, or services of third parties or hypertext links to third. In some instances, information regarding renal function and disease pathophysiology can also be obtained. Intravenous urography ivu intravenous pyelogram ivp, intravenous urography, ivu, excretory urography procedure overview what is an intravenous pyelogram. This flow did nt demo a clear image in a general xray. Intravenous urography e radiological examination of the urinary tract performed following the intravenous injection of iodinated contrast e is the classical means by which to assess the kidneys and ureters. Feb 09, 2016 an ivu intravenous urography is an xray of your urinary tract consisting of kidneys, ureters and bladder following an injection of a clear dye called contrast into a vein in your arm.
Excretory urography is a type of contrast study used to verify and localize upper urinary tract disease. Intravenous urography intravenous urography ivu, also referred to as intravenous pyelography ivp or excretory urography eu, is a radiographic study of the renal p. Intravenous urography also known as intravenous pyelography is an xray procedure which is used to assess problems in your kidneys, ureters, bladder and urethra. An intravenous urogram ivu is a test that looks at the whole of your urinary system. Full text get a printable copy pdf file of the complete article 623k, or click on a. Intravenous urography also referred to as excretory urography eu and intravenous pyelography ivp is a radiographic contrast study for evaluation of the kidneys and ureters, including the termination of the ureters at the urinary bladder. The use of intravenous urography health and social care. Experiences with the nonionic contrast medium optiray 300 were analyzed in 120 consecutive patients who underwent intravenous urography. Although originally performed using plain radiographic techniques, advanced imaging modalities have been progressively refined such that computed tomography ct andor magnetic resonance imaging mri have largely replaced excretory urography eu as the. Intravenous pyelography with kidney, ureter and bladder kub xray. The urinary tract includes the kidneys, ureters, bladder, and the urethra. The intravenous pyelogram may be performed as an emergency procedure or on an outpatient basis.
This procedure can also show how well the urinary tract is. This week i intend to explore the debate between the uses of these two examinations to reach conclusions regarding the suitability of. Drugs used for intravenous urography the following list of medications are in some way related to, or used in the treatment of this condition. Our standard procedure for intravenous urography with optional images is outlined in the,table,6,10. Ct ivu ct urography uses ct scanners to take images of the genitourinary tract. Urography is an examination used to evaluate the kidneys, ureters and bladder. The study also called excretory urography that captures the essence of what is happening excretion a contrast material through the organs of the urinary system. An intravenous pyelogram ivp is a special xray exam of the kidneys, bladder, and ureters the tubes that carry urine from the kidneys to the bladder. This image should be obtained with appropriate technique 6575 kvp, high milliamperage. The ivp test also gives information about the functioning of the kidneys. Pdf iomeprol versus iopromide for intravenous urography. Studies on 1,476 intravenous urographic examinations done in a 15month period showed that the proportion of abnormal results varied widelyfrom 20% in patients with abdominal pain other than renal colic to 92% of those in prostatism.
The use of intravenous urography health and social care essay radiography scrutiny of urinary piece of land via endovenous injection of contrast media giving liquid substances straight into a vena. The clinical safety of optiray was outstanding, no adverse reactions were noted. An ivu intravenous urography is an xray of your urinary tract consisting of kidneys, ureters and bladder following an injection of a clear dye called contrast into a vein in your arm. Contrast media is given by intravascular injection. In this way, the various organs or structures can be viewed and studied. Intravenous urography article about intravenous urography. An ivp is an imaging test used to look at the kidneys and ureters. An intravenous pyelogram ivp is a type of xray that looks at your kidneys and bladder and the ducts ureters that connect them. Prior use of other tests may increase the effectiveness of urography. Like any other imaging study, intravenous urography should ideally be tailored to answer a specific clinical question, 4, 5. A presentation about intravenous urography also known as intravenous pyeography. Until recently, it was considered to be the gold standard for imaging in acute renal colic. The ureters are tubes which go from each kidney to your bladder.
Technique and interpretation1 learning objectives for test 1 after reading this article and taking the test, the reader will be able to. The presentation contains 41 slides, and is divided into 4 parts. The role of all modalities, including conventional radiography, intravenous urography ivuexcretory urography, ultrasonography, retrograde pyelography, multidetector computed tomography urography mdctu, and magnetic resonance urography mru, is discussed. Intravenous urography is a test which x rays the urinary system using intravenous dye for diagnostic purposes. An intravenous pyelogram ivp, also called an intravenous urogram ivu, is a radiological procedure used to visualize abnormalities of the urinary system, including the kidneys, ureters, and bladder. In pocket companion to brenner and rectors the kidney eighth edition, 2011. Of the many ways to obtain images of the urinary system, the intravenous injection of a contrast agent has been traditionally considered the best.
This investigation should be done repeatedly, since the data obtained in these animals are variable. Intravenous urography perth envision medical imaging. A contrast medium is injected intravenously, and serial xray films are taken as the medium is cleared from the blood by the kidneys. Whether or not bowel preparation should be used before intravenous urography ivu remains a controversial issue. Intravenous pyelography with kidney, ureter and bladder kub xray and tomography. Intravenous urography an overview sciencedirect topics. Despite strongly held views on both sides there is little scientific evidence to support either viewpoint. Get a printable copy pdf file of the complete article 542k, or click on a. For this purpose retrograde pyelography is customarily e. Allergic diathesis was recorded prior to the examination in 12. Intravenous pyelography without kidney, ureter and bladder kub xray, with tomography. This procedure can also show how well the urinary tract is working. Of interest to examine the patient before performing any procedure should not be taken lightly. Ivu intravenous urogram or ivp intravenous pyelogram.
Rectal contrast media through which this will affect the large intestine will look white on xray film. View full size version of normal intravenous urography. Contraindication for the intravenous urography include. May 25, 2014 a presentation about intravenous urography also known as intravenous pyeography. Intravenous urography in the patient with renal insufficiency. Current procedural terminology urography pyelography. Oct 17, 2018 an intravenous pyelogram ivp may be performed to detect a problem of the kidneys, ureters, and bladder. The pictures produced are called intravenous urograms ivu or intravenous pyelograms ivp. Apply the rules of urographic interpretation to the evaluation of urinary tract disease. List of intravenous urography medications 6 compared. All drug classes nonionic iodinated contrast media 6. Method intravenous urography introduced in medicine in 1929, since then the procedure has not lost its diagnostic value and is performed in any medical institution. Urinary system contrast studies overview and intravenous.
Feb 03, 2020 intravenous pyelogram ivp is an xray to see the urinary tract. Precautions before use of contrast media in intravenous urogram the reaction cannot be expected to contrast media, and all patients should be cared for and tidy during the procedure. Intravenous urography definition intravenous urography is a test which x rays the urinary system using intravenous dye for diagnostic purposes. Sep 27, 2014 do watch retrograde urethrogram rug interpretation basics 1 amazing the ivu is a special diagnostic test that follows the. The preliminary kidney, ureter, bladder kub radiograph is an indispensable part of the sequence. An ivu can show if cancer is growing in any part of your urinary system. It is, however, associated with significant disadvantages in terms of cost and toxicity. This practice parameter has been developedby the american college of radiology acr and the society of abdominal radiology sar to assist physicians supervising the performance or interpretation of excretory urography eu. Diagnostic quality of the radiographs was excellent. An intravenous pyelogram ivp is a type of xray that allows visualization of the kidneys and ureters after the injection of a contrast dye. In most cases, the ivp becomes an emergency procedure because you might arrive at the emergency department with symptoms usually pain in the back and abdomen that suggest a blockage to the flow of urine through the ureter. Oct 22, 2017 urography is a radiologic technique used for the evaluation of the genitourinary systemspecifically, the kidneys, ureters, and bladder. Intravenous urography ivu is considered an integral imaging component of the nephrourological workup in a wide array of clinical settings.
Contraindications may, therefore, be relative the majority or absolute. Contrast media is inserted into the rectum with the help of rectal catheter. Start studying urinary system contrast studies overview and intravenous urography procedure. Most often, the ivp is done to locate a suspected obstruction to the flow of urine through the collecting system. Always follow the instructions given by your doctor or local hospital. This exam has been largely replaced by ct urography terminology.
Intravenous urography is a radiographic study of the urinary system using an intravenous contrast agent dye of the many ways to obtain images of the urinary system, the intravenous injection of a contrast agent has been traditionally considered the best, although other modalities, such as computed tomography ct or ultrasound, are better. The kidneys are two beanshaped organs located in the back abdomen, on both sides of the spine. Full text get a printable copy pdf file of the complete article 623k, or click on a page image below to browse page by page. Intravenous urography has long been the cornerstone of the imaging evaluation of urinary tract disease. The goal of this clinical research study is to use computed tomography urography ctu scans and intravenous urography ivu scans to check the status of urothelial cancer, in order to try to learn the level of effectiveness of possibly using ctu by itself in future patients. Factors that increase the risk to the patient can be considered under three headings. Urography with conventional xray is known as intravenous pyelogram ivp. How the test is performed an ivp is done in a hospital radiology department or a health care providers office. Jul 24, 2019 ct urography an atlas pdf story time just got better with prime book box, a subscription that delivers hand picked childrens books every 1, 2, or 3 months at 40% off list price. An intravenous pyelogram ivp uses xrays and iodinated contrast to look at the urinary tract kidneys, ureters, and bladder. Some prefer the term urogram to refer to visualization of the kidney parenchyma, calyces, and pelvis.
1281 214 493 565 7 448 802 1163 639 323 1124 1341 359 564 455 1074 63 295 505 1188 558 1040 168 878 913 1005 1272 1069 87 380 111 783 46 1247 534 182 24 496 93 61 1011 473 1456 221 1369 302