Also called intravenous pyelography has as its purpose the study of the contrast medium in the urinary tract. Like any other imaging study, intravenous urography should ideally be tailored to answer a specific clinical question, 4, 5. Intravenous urography procedure and indications cypress college radt 247 radiographic positioning with 8th edition of textbook of radiographic positioning and related anatomy by kenneth l. It is a special xray examination to outline the urinary tract which includes the kidneys, ureters and bladder. Cone hundred and twenty minute study ofsecond intravenous urography onmay i6,1963,hours after thefirst, shows alarge quantity ofcontrast material subcapsularly outlining theupper pole. Intravenous urography also known as intravenous pyelography is an xray procedure which is used to assess problems in your kidneys, ureters, bladder and urethra. Intravenous urography ivu introduction and definition biology.
Imaging and biopsy renal imaging intravenous urography. The patient may eat and drink unless your referring doctor has another examination or procedure for you after the ivu examination. This exam has been largely replaced by ct urography terminology. An intravenous pyelogram ivp is a type of xray that allows visualization of the kidneys and ureters after the injection of a contrast dye. Learn vocabulary, terms, and more with flashcards, games, and other study tools. May 25, 2014 a presentation about intravenous urography also known as intravenous pyeography. As the kidneys clear an intravenously injected contrast medium from the blood, the size and shape of the kidneys, their calices and pelvises, the ureters, and the bladder can be evaluated, and. Before the 1980s, strict fluid restriction and various bowel preparation regimes were advocated. Intravenous urogram definition of intravenous urogram by. The preliminary kidney, ureter, bladder kub radiograph is an indispensable part of the sequence. Get a printable copy pdf file of the complete article 542k, or click on a page image below to browse page by page. Our standard procedure for intravenous urography with optional images is outlined in the, table, 6, 10. 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. However, when a special contrast agent is given intravenously, your urinary tract will show up clearly.
This image should be obtained with appropriate technique 6575 kvp, high milliamperage. Oct 05, 1974 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. 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. This is a short presentation for my students, not a complete lecture. The premedication procedure that may be used to reduce the risk of reactions prior to performing an intravenous urography procedure on a patient who uses glucophage check chart or ask patient actions that a technologist may take to find out if the patient is using glucophage. It is used to evaluate the stomach, liver, intestines and spleen and may be used to help diagnose unexplained pain, nausea or vomiting. From the radiology information system, we obtained information about age, sex, referring physician, indication, and diagnosis. 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. An intravenous pyelogram examination helps the radiologist assess abnormalities in the urinary system. A series of xrays are taken of the abdomen at various time. Intravenous urography ivu is a common investigation for haematuria and renal colic.
The total number of lesions demonstrated was less than 1 per cent. The following list of medications are in some way related to, or used in the treatment of this condition. How the test is performed an ivp is done in a hospital radiology department or a health care providers office. Magnetic resonance urography as an imaging modality for urinary. Intravenous urography ivu tests and procedures sehat. Ultimately, most modern mr urographic studies combine t1 and t2weighted sequences in the axial and coronal planes. Intravenous urography is the main exploratory radiological technique allowing morphologic and functional assessment of the urinary organs 2, 7. Which procedure should be performed if the bladder isnot seen in the ap projection to demonstrate the entire urinary system. Ordinarily, standard xrays pass through the soft tissues of the body, such as your urinary tract making them difficult to see. We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. After intravenous injection the material circulates systemically throughout all body systems. Intravenous urography ivu intravenous pyelogram ivp, intravenous urography, ivu, excretory urography procedure overview what is an intravenous pyelogram. This exam has been largely replaced by ct urography. Urography urography uses imaging and contrast material to evaluate or detect blood in urine, kidney or bladder stones, and cancer in the urinary tract.
The pictures produced are called intravenous urograms ivu or intravenous pyelograms ivp. We studied the referrals for intravenous urography and their outcome during the year 2000 in a university department before the switch to unenhanced computed tomography ct and ct urography. Toxic levels are only just above the currently accepted doses of 24. The intravenous catheter will be removed before the participant leaves the ctrc, unless the participant is to remain in house, per protocol. Outcome of intravenous urography in the year 2000 springerlink. The renal calyces, renal pelvis, ureters, and urinary bladder are all visible on the radiographs. Despite the advent of computed tomography ct urography, ivu is still frequently performed in many radiology departments throughout england and wales. The department of radiology provides a comprehensive range of imaging services, both diagnostic and imageguided interventional procedures to diagnose and treat many medical conditions. On the other, the t1weighted mru technique imitates conventional intravenous pyelography and is, therefore, referred to as excretory mr urography.
From a variety of other ways to get the image of the excretory system, the injection of intravenous contrast agent into the traditionally is considered the best and safe way. Technique and interpretation1 learning objectives for test 1 after reading this article and taking the test, the reader will be able to. Full text full text is available as a scanned copy of the original print version. Intravenous pyelogram ivp abdominal xray uses a very small dose of ionizing radiation to produce pictures of the inside of the abdominal cavity. 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. A presentation about intravenous urography also known as intravenous pyeography. Using advanced imaging equipment, our qualified and experienced.
Their plasma half life is relatively short, and they are selectively concentrated and excreted via the nephrons. An intravenous pyelogram ivp, is a diagnostic procedure that uses a contrast agent and xrays to obtain pictures of your urinary tract. Estimation of pediatric radiation doses in intravenous. Magnetic resonance urography in duplex kidney with ectopic ureteral insertion. Jan 17, 2018 this is a short presentation for my students, not a complete lecture. The urinary tract includes the kidneys, ureters, bladder, and the urethra. 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 dose of contrast to be used for iv urography in neonates and infants is discussed. Intravenous therapy or iv therapy is the giving of liquid substances directly into a vein. Dten minute study onmay 17, 19636ohours after first and 24 hours after. 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. The intravenous pyelogram may be performed as an emergency procedure or on an outpatient basis. Our standard procedure for intravenous urography with optional images is outlined in the,table,6,10. It is a medical procedure used to visualise the kidney and lower urinary tract to help diagnose problems such as infections. The ureters are tubes which go from each kidney to your bladder. Intravenous pyelogram aftercare instructions what you. Intravenous urogram synonyms, intravenous urogram pronunciation, intravenous urogram translation, english dictionary definition of intravenous urogram. The infant survived with respiratory support during his first few days of life. Ct urography can combine the superb diagnostic capabilities of. Intravenous urography procedure and indications flashcards. Pdf the aim was to develop clinical guidelines for multidetector computed tomography urography.
Urography flashcards flashcard machine create, study. Ymda daha fazla kontrast madde olmasyndan kaynaklanabileceui d. A normal intravenous urography ivu with the following films. A new nonionic, lowosmolar iodinated contrast media, ioversol, was compared with another lowosmolar, nonionic contrast media, iohexol, in 80 patients undergoing intravenous urography. Analysis of intravenous urography findings in a tertiary reference. The purpose of the this study was to measure the entrance surface air kerma esak and body organs, and the effective doses in intravenous urography ivu xray examinations in sudanese hospitals. Intravenous urography is a radiographic study of the urinary system using an intravenous contrast agent dye. The mean effective he dose for 158 prone unenhanced ct kub studies performed over a 3 month period was calculated retrospectively using standardised ctdosimetry effective dose software. 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.
Some prefer the term urogram to refer to visualization of the kidney parenchyma, calyces, and pelvis after. Intravenous urography article about intravenous urography. Traditionally, intravenous urography ivu, also known as intravenous pyelogram ivp or excretory urography exu, is commonly performed to investigate the. Intravenous urography definition of intravenous urography.
The dose rate for intravenous administration is 880mg of iodine per kilo of body weight. Oct 17, 2018 the intravenous pyelogram may be performed as an emergency procedure or on an outpatient basis. Any information contained in this pdf file is automatically generated from digital material. Your doctor has referred you to the xray department for an ivu examination intravenous urogram. Ct and mr urography are painless and proven effective in detecting urinary tract issues. Intraosseous urography compared with intravenous urography. The kidneys are two beanshaped organs located in the back abdomen, on both sides of the spine. Imaging and biopsy renal imaging intravenous urography ivu. Intravenous urography in evaluation of acute retention. Of the many ways to obtain images of the urinary system, the intravenous injection of a contrast agent has been traditionally considered the best. 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. Get a printable copy pdf file of the complete article 552k, or click on a page image below to browse page by page. Estimation of pediatric radiation doses in intravenous urography.
The presentation contains 41 slides, and is divided into 4 parts. Analysis of intravenous urography findings in a tertiary reference center. Thank you for your interest in spreading the word about the bmj. Urography is also often performed using computed tomography ct or magnetic resonance imaging mri. The word intravenous simply means within a vein, but is most commonly used to refer to iv therapy. An intravenous pyelogram ivp, also called an intravenous urogram ivu, is a radiological procedure used to visualize abnormalities of the urinary system. Intravenous urography ivu introduction and definition. Urography with conventional xray is known as intravenous pyelogram ivp.
Intravenous urography is a test which x rays the urinary system using intravenous dye for diagnostic purposes. It is the routine practice in this hospital to perform intravenous urography on all patients admitted with acute urinary retention. The mean effective he dose for 158 prone unenhanced ct kub studies. Introduction urography is a radiologic technique used for the. Akciuer radyografisi ve bilgisayarly tomografi incelemelerinde emboliye ait herhangi bir bulgu g. A contrast medium is injected intravenously, and serial xray films are taken as the medium is cleared from the blood by the kidneys. Patients were assessed for changes in vital signs, patient tolerance heat and pain, and other adverse effects. Congenital anomalies of kidney and ureter longdom publishing sl. 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. 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. Intravenous pyelography ivp,also known as excretory urography, is used to evaluate the structure and excretory function of the kidneys, ureters, and bladder. About europe pmc funders joining europe pmc governance. The urethra is the tube from your bladder that passes out urine.