Multi-Detector Row Computed Tomography Urography (MDCTU) in the Evaluation of Microscopic Hematuria in Adults

Mohamed A. Mahmoud¹, Mustafa Z. Mahmoud^1,2*, Mohammed A. Ali Omer^3,4, Mohamed E. M. Garalnabi⁴, Ahmed Abukonna¹, Maram A. Fagiri¹

¹Basic Sciences Department, College of Medical Radiological Sciences, Sudan University of Science and Technology, Khartoum, Sudan.
²Radiology and Medical Imaging Department, College of Applied Medical Sciences, Salman Bin Abdulaziz University, Al-Kharj, Kingdom of Saudi Arabia.
³Department of Radiologic Technology, College of Applied Medical Sciences, Qassim University, Al-Qassim, Kingdom of Saudi Arabia.
⁴Radiotherapy and Nuclear Medicine Department, College of Medical Radiological Sciences, Sudan University of Science and Technology, Khartoum, Sudan.

DOI: 10.4236/ojrad.2015.51004                

Abstract

Multi-detector row computed tomography urography (MDCTU) becomes the imaging modality of choice for evaluation of the kidneys and urinary tract. The aim of this study was to discuss and illustrate the role of MDCTU, on a 32-row CT scanner in the evaluation a variety of entities that were frequently associated with microscopic hematuria in adults. This prospective cohort study was performed in the period of August 2013 to October 2014. Fifty positive participants to microscopic hematuria were examined at the radiology department of Alnilin Diagnostic Medical Center and Antalya Medical Center. Computed tomography urography (CTU) scanning was performed using two powerful performances, high speed multi-detector row on 32-row CT scanners (Siemens Healthcare Global, Somatom Emotion Duo Eco). Statistical analysis was done through the standard Statistical Package for the Social Sciences (SPSS Inc., Chicago, IL, USA) version 15 for windows. MDCTU established the correct cause of microscopic hematuria in (44; 88%) of participants. In (6; 12%) of participants, no cause of hematuria was identified based on the standard of references. The causes of hematuria in (41; 82%) participants were diseases in the upper urinary tract, while urinary bladder neoplasms (2; 4%) and diverticulum (1; 2%) were the causes of hematuria (3; 6%) in the lower urinary tract. Thirty two-row MDCTU scanner demonstrated satisfactory results in the investigation of microscopic hematuria, being able to demonstrate a wide spectrum of diseases affecting the urinary tract is the main advantage of the technique.

Keywords

Hematuria, Imaging, Three-Dimensional, Multi-Detector Computed Tomography, Urologic Diseases

Conflicts of Interest

The authors declare no conflicts of interest.

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