Scribd Logo
Upload

Welcome to Scribd!

  • Uroma16 Spot Test 2

    Uploaded by

    HardiTariqHamma
    11 views2 pages
    This document contains summaries of 4 imaging case studies: 1. A MAG-3 renogram showing obstructed left kidney likely due to PUJO, using technetium-99m with a radiation dose of 0.5-0.7 mSv. 2. A KUB x-ray showing a left ureteric stent and stones in the left mid and upper ureter. 3. A bone scan using technetium-99m to detect bone metastases with a radiation dose of 6.5 mSv. 4. A CT KUB scan demonstrating a left PUJ stone and hydronephrosis with a radiation dose of 4.5 mS

    Original Description:

    Original Title

    Uroma16 Spot Test 2 (1)

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    This document contains summaries of 4 imaging case studies: 1. A MAG-3 renogram showing obstructed left kidney likely due to PUJO, using technetium-99m with a radiation dose of 0.5-0.7 mSv. 2. A KUB x-ray showing a left ureteric stent and stones in the left mid and upper ureter. 3. A bone scan using technetium-99m to detect bone metastases with a radiation dose of 6.5 mSv. 4. A CT KUB scan demonstrating a left PUJ stone and hydronephrosis with a radiation dose of 4.5 mS

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    11 views2 pages

    Uroma16 Spot Test 2

    Uploaded by

    HardiTariqHamma
    This document contains summaries of 4 imaging case studies: 1. A MAG-3 renogram showing obstructed left kidney likely due to PUJO, using technetium-99m with a radiation dose of 0.5-0.7 mSv. 2. A KUB x-ray showing a left ureteric stent and stones in the left mid and upper ureter. 3. A bone scan using technetium-99m to detect bone metastases with a radiation dose of 6.5 mSv. 4. A CT KUB scan demonstrating a left PUJ stone and hydronephrosis with a radiation dose of 4.5 mS

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    SPOT TEST

    Imaging and radiology

    Case 1 Case 2

    1. What radiological test is this and what does it show? 1. What x-ray film is this and why is it different from an
    2. What is the typical radio-nucleotide used for this study, abdominal x-ray?
    what is its half-life and how is it excreted? 2. What does the x-ray show?
    3. Approximately how long does this study take to perform? 3. What percentage of urinary tract stones are radio-
    4. What is the normal background radiation in the UK? opaque and what are their likely compositions?
    5. What is the radiation exposure for this procedure? 4. What x-ray images are normally required for an
    IVU?
    5. What contrast media is required for an intravenous
    urogram (IVU) and what is the radiation dose of an
    IVU?

    Case 3
    Case 4

    1. What imaging modality is this, what is the


    diagnosis?
    1. What is this study?
    2. What is the radiation exposure for this study?
    2. What radio-isotope is used and how is it detected?
    3. What advantages does this study have over an IVU?
    3. What is the radiation dose for this study?
    4. What is the sensitivity and specificity for CT in
    4. How long does it take to perform this scan?
    diagnosing renal tract stones?

    urology news | MARCH/APRIL 2016| VOL 20 NO 3 | www.urologynews.uk.com


    SPOT TEST

    Radiology and imaging – answers

    Case 1 containing stones eg Calcium


    1. MAG-3 renogram, obstructed left oxalate or calcium phosphate.
    kidney likely secondary to (pelvi- 4. Plain KUB, immediate nephrogram,
    ureteric junction obstruction) five minute film, 10 minutes, 20
    PUJO. minutes and a post-micturition
    2. MAG-3: mercaptoacetyltriglycine study +/- delayed films if required.
    attached to technetium 99m, 5. Non-ionic, low-osmolality contrast
    half-life six hours. 90% tubular agent (e.g. Omnipaque 1ml/Kg),
    excretion, 10% filtered at the 2.5mSv.
    glomerulus.
    3. 20-30 minutes. Case 3
    4. 2.5-3mSv (Higher in Aberdeen / 1. Radionuclide bone scan.
    Cornwall, approximately 8mSv). 2. Technetium 99m, Gamma camera.
    5. Approximately 0.5-0.7mSv. 3. 6.5mSv.
    4. 2-4 hours
    Case 2
    1. KUB x-ray (kidney / ureter / Case 4
    bladder). Film is taken at oblique 1. Plain CT KUB, coronal AUTHOR
    angle so the patient’s pelvis is easily reconstruction demonstrating
    Nick Rukin,
    demonstrated / imaged, whereas left PUJ stone with associated Consultant Urological Surgeon,
    an AXR is taken horizontally. hydronephrosis. Royal Wolverhampton
    2. 4.5mSv Hospital NHS Trust, UK.
    2. Left ureteric stent in-situ with
    calcified lower end, left mid 3. Quick scan (20-30 seconds), easy E: nickrukin@nhs.net
    Twitter: @nickrukin
    ureteric stone and a large left upper to interpret, no IV contrast needed,
    pole stone. can establish differential diagnosis.
    3. 75-85% are radio-opaque, calcium 4. Sensitivity >95%, specificity >96%.

    urology news | MARCH/APRIL 2016| VOL 20 NO 3 | www.urologynews.uk.com

    You might also like