Kidneys/urinary tracts

 

X-ray (urography)
Used with special indications

- Investigation of hereditary anomalies
- Investigation before endo-urological procedures
- With suspected fistula and other urethral pathology

NB: X-ray is being replaced more and more by CT

Ultrasound
-
Assessment of hydronephrosis
- Suspected glomerulonephritis
- Tumours
- Cysts
- Polycystic kidney disease
- For investigation of recurrent urine. (the patient must come with a full bladder)
- Suspected bladder tumour (the patient must come with a full bladder)

NB: If there is a strong suspicion of bladder tumour, the patient should be referred for cystoscopy.

CT without contrast
-
Stone diseases, assess concretions and any blockages

CT with contrast (CT Urography)
-
Uro-endothelial tumours,
- Suspected renal artery stenosis, in combination with CT angiography of renal arteries
- Macroscopic hematuri
- Trauma
- Pyelonephritis
- Suspected vesico-urethral reflux

MRI
- Suspected renal artery stenosis, in combination with MRI angiography of renal arteries.  Preferred with younger patients to reduce exposure of radiation.

A concept developed by radiologists
Tor Ole Kjellevand and Knut Korsbrekke.