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Pediatrik Hastalarda Manyetik Rezonans Ürografi İle İntravenöz Piyelografinin Etkinliğinin Karşılaştırılması

Yıl 2018, Cilt: 28 Sayı: 2, 76 - 80, 01.03.2018

Berhan Pirimoğlu Gökhan Polat

Öz

Amaç: İntravenözpiyelografi İVP böbrek fonksiyonlarını ve anatomik özelliklerini gösteren bir yöntemdir. Fakat iyonizan radyasyon içermesi nedeniylepediatrik yaş grubunda kullanılması uygun değildir. Bu nedenle son zamanlarda kullanımı yaygınlaşan manyetik rezonansürografi MRÜ ile üriner patolojiler değerlendirilmeye çalışılmaktadır. Bizde çalışmamızda MRÜ’ninüriner sistem dilatasyonlarını göstermekte İVP ile arasındaki farkları incelemeyi amaçladık.Gereç ve Yöntem: Bu retrospektif çalışmada 40 pediatrik yaş grubundaki hastanın İVP ve MRÜ tetkikleri incelendi.Tetkikler arasındaki pelvikalisiyel sistem dilatasyon dereceleri karşılaştırıldı. Bulgular: MRÜ ile İVP arasında pelvikalisiyel sistem dilatasyon derecelerini saptama konusunda anlamlı farklılık izlenmedi P

Anahtar Kelimeler

Manyetik rezonansürografi intravenözpiyelografi pelvikalisiyeldilatasyon

Kaynakça

  • Erdoğmuş BY, B.; Bozkurt, M. MR Ürografi. Tıp Araştır- maları Dergisi. 2003;1(3):53-6.
  • Hamza Y, Sulieman A, Abuderman A, Alzimami K, Omer H. Evaluation of Patient Effective Doses in Ct Urography, Intravenous Urography and Renal Scintigraphy. Radi- at Prot Dosim. 2015 Jul;165(1-4):452-6. PubMed PMID: WOS:000358449300098. English.
  • Nawfel RD, Judy PF, Schleipman AR, Silverman SG. Patient radiation dose at CT urography and conventional urog- raphy. Radiology. 2004 Jul;232(1):126-32. PubMed PMID: WOS:000222161300016. English.
  • Erdoğmuş BB, M.; Bakır, Z. Üriner sistem obstrüksiyonla- rında HASTE tekniğinin ve ekskretuar MR ürografinin tanı değeri. Tanısal ve Girişimsel Radyoloji. 2004;10:309-15.
  • Battal B, Kocaoglu M, Akgun V, Aydur E, Dayanc M, Ili- ca T. Feasibility of MR urography in patients with urinary diversion. J Med Imag Radiat On. 2011 Dec;55(6):542-50. PubMed PMID: WOS:000297949300002. English.
  • Emad-Eldin S, Abdelaziz O, El-Diasty TA. Diagnostic va- lue of combined static-excretory MR Urography in child- ren with hydronephrosis. J Adv Res. 2015 Mar;6(2):145- 53. PubMed PMID: 25750748. Pubmed Central PMCID: PMC4348446.
  • Blandino A, Gaeta M, Minutoli F, Salamone I, Magno C, Scribano E, et al. MR urography of the ureter. American Journal of Roentgenology. 2002 Nov;179(5):1307-14. Pub- Med PMID: WOS:000178725800035. English.
  • Nolte-Ernsting CCA, Adam GB, Gunther RW. MR urog- raphy: examination techniques and clinical applications. European Radiology. 2001;11(3):355-72. PubMed PMID: WOS:000167273600001. English.
  • Roy C, Ohana M, Host P, Alemann G, Labani A, Wattiez A, et al. MR urography (MRU) of non-dilated ureter with diuretic administration: Static fluid 2D FSE T2-weighted versus 3D gadolinium T1-weighted GE excretory MR. Eur J Radiol Open. 2014;1:6-13. PubMed PMID: 26937423. Pub- med Central PMCID: PMC4750612.
  • Semins MJ, Feng Z, Trock B, Bohlman M, Hosek W, Mat- laga BR. Evaluation of acute renal colic: a comparison of non-contrast CT versus 3-T non-contrast HASTE MR urography. Urolithiasis. 2013 Feb;41(1):43-6. PubMed PMID: 23532422.
  • Jung P, Brauers A, Nolte-Ernsting CA, Jakse G, Gunther RW. Magnetic resonance urography enhanced by gado- linium and diuretics: a comparison with conventional urography in diagnosing the cause of ureteric obstruction. Bju International. 2000 Dec;86(9):960-5. PubMed PMID: WOS:000165663900002. English.
  • Nolte-Ernsting CCA, Tacke J, Adam GB, Haage P, Jung P, Jakse G, et al. Diuretic-enhanced gadolinium excretory MR urography: comparison of conventional gradient-echo sequences and echo-planar imaging. European Radiology. 2001;11(1):18-27. PubMed PMID: WOS:000166064500002. English.
  • Algin O, Ozmen E, Metin MR, Ozcan MF, Sivaslioglu AA, Karaoglanoglu M. Contrast-material-enhanced MR urography in evaluation of postoperative lower urinary tract fistulae and leakages. Magn Reson Imaging. 2012 Jun;30(5):734-9. PubMed PMID: 22459436.
  • Karaali KÇ, C.; Dündar,F.; Şenol,U.; Danışman,A.; Bir- can,O. Mr Urography In The Evaluatıon Of Urınary System Obstructıons. Türk Üroloji Dergisi. 2004;30(3):354-9.
  • Zielonko J, Studniarek M, Markuszewski M. MR urograp- hy of obstructive uropathy: diagnostic value of the met- hod in selected clinical groups. European Radiology. 2003 Apr;13(4):802-9. PubMed PMID: WOS:000182354700022. English.
  • Dickerson EC, Dillman JR, Smith EA, DiPietro MA, Lebowitz RL, Darge K. Pediatric MR Urography: Indi- cations, Techniques, and Approach to Review. Radiog- raphics. 2015 Jul-Aug;35(4):1208-30. PubMed PMID: WOS:000358450400019. English.
  • Epelman M, Victoria T, Meyers KE, Chauvin N, Servaes S, Darge K. Postnatal imaging of neonates with prenatally diagnosed genitourinary abnormalities: a practical appro- ach. Pediatr Radiol. 2012 Jan;42 Suppl 1:S124-41. PubMed PMID: 22395725.

Yıl 2018, Cilt: 28 Sayı: 2, 76 - 80, 01.03.2018

Berhan Pirimoğlu Gökhan Polat

Öz

Objective: Intravenous pyelography IVP is a method of showing renal functions and anatomical features. However, it is not appropriate to use it in the pediatric age group because of ionizing radiation. For this reason, we are trying to evaluate urinary pathologies with magnetic resonance urography MRU , which has become popular in recent years. In our study, we aimed to investigate the differences between MRU and IVU, showing dilution of urinary system. Materials and Methods: Male and female rats were administered with L-thyroxine intraperitoneally at a dose of 0.2 mg/kg for 21 days to induce hyperthyroidism. Morris water maze MWM was used to assess learning and memory performance. Results: There was no significant difference in the detection of pelvicalyceal dilatation between MRU and IVP P

Anahtar Kelimeler

Magnetic resonance urography ıntravenous pyelography pelvicalisal dilatation

Kaynakça

  • Erdoğmuş BY, B.; Bozkurt, M. MR Ürografi. Tıp Araştır- maları Dergisi. 2003;1(3):53-6.
  • Hamza Y, Sulieman A, Abuderman A, Alzimami K, Omer H. Evaluation of Patient Effective Doses in Ct Urography, Intravenous Urography and Renal Scintigraphy. Radi- at Prot Dosim. 2015 Jul;165(1-4):452-6. PubMed PMID: WOS:000358449300098. English.
  • Nawfel RD, Judy PF, Schleipman AR, Silverman SG. Patient radiation dose at CT urography and conventional urog- raphy. Radiology. 2004 Jul;232(1):126-32. PubMed PMID: WOS:000222161300016. English.
  • Erdoğmuş BB, M.; Bakır, Z. Üriner sistem obstrüksiyonla- rında HASTE tekniğinin ve ekskretuar MR ürografinin tanı değeri. Tanısal ve Girişimsel Radyoloji. 2004;10:309-15.
  • Battal B, Kocaoglu M, Akgun V, Aydur E, Dayanc M, Ili- ca T. Feasibility of MR urography in patients with urinary diversion. J Med Imag Radiat On. 2011 Dec;55(6):542-50. PubMed PMID: WOS:000297949300002. English.
  • Emad-Eldin S, Abdelaziz O, El-Diasty TA. Diagnostic va- lue of combined static-excretory MR Urography in child- ren with hydronephrosis. J Adv Res. 2015 Mar;6(2):145- 53. PubMed PMID: 25750748. Pubmed Central PMCID: PMC4348446.
  • Blandino A, Gaeta M, Minutoli F, Salamone I, Magno C, Scribano E, et al. MR urography of the ureter. American Journal of Roentgenology. 2002 Nov;179(5):1307-14. Pub- Med PMID: WOS:000178725800035. English.
  • Nolte-Ernsting CCA, Adam GB, Gunther RW. MR urog- raphy: examination techniques and clinical applications. European Radiology. 2001;11(3):355-72. PubMed PMID: WOS:000167273600001. English.
  • Roy C, Ohana M, Host P, Alemann G, Labani A, Wattiez A, et al. MR urography (MRU) of non-dilated ureter with diuretic administration: Static fluid 2D FSE T2-weighted versus 3D gadolinium T1-weighted GE excretory MR. Eur J Radiol Open. 2014;1:6-13. PubMed PMID: 26937423. Pub- med Central PMCID: PMC4750612.
  • Semins MJ, Feng Z, Trock B, Bohlman M, Hosek W, Mat- laga BR. Evaluation of acute renal colic: a comparison of non-contrast CT versus 3-T non-contrast HASTE MR urography. Urolithiasis. 2013 Feb;41(1):43-6. PubMed PMID: 23532422.
  • Jung P, Brauers A, Nolte-Ernsting CA, Jakse G, Gunther RW. Magnetic resonance urography enhanced by gado- linium and diuretics: a comparison with conventional urography in diagnosing the cause of ureteric obstruction. Bju International. 2000 Dec;86(9):960-5. PubMed PMID: WOS:000165663900002. English.
  • Nolte-Ernsting CCA, Tacke J, Adam GB, Haage P, Jung P, Jakse G, et al. Diuretic-enhanced gadolinium excretory MR urography: comparison of conventional gradient-echo sequences and echo-planar imaging. European Radiology. 2001;11(1):18-27. PubMed PMID: WOS:000166064500002. English.
  • Algin O, Ozmen E, Metin MR, Ozcan MF, Sivaslioglu AA, Karaoglanoglu M. Contrast-material-enhanced MR urography in evaluation of postoperative lower urinary tract fistulae and leakages. Magn Reson Imaging. 2012 Jun;30(5):734-9. PubMed PMID: 22459436.
  • Karaali KÇ, C.; Dündar,F.; Şenol,U.; Danışman,A.; Bir- can,O. Mr Urography In The Evaluatıon Of Urınary System Obstructıons. Türk Üroloji Dergisi. 2004;30(3):354-9.
  • Zielonko J, Studniarek M, Markuszewski M. MR urograp- hy of obstructive uropathy: diagnostic value of the met- hod in selected clinical groups. European Radiology. 2003 Apr;13(4):802-9. PubMed PMID: WOS:000182354700022. English.
  • Dickerson EC, Dillman JR, Smith EA, DiPietro MA, Lebowitz RL, Darge K. Pediatric MR Urography: Indi- cations, Techniques, and Approach to Review. Radiog- raphics. 2015 Jul-Aug;35(4):1208-30. PubMed PMID: WOS:000358450400019. English.
  • Epelman M, Victoria T, Meyers KE, Chauvin N, Servaes S, Darge K. Postnatal imaging of neonates with prenatally diagnosed genitourinary abnormalities: a practical appro- ach. Pediatr Radiol. 2012 Jan;42 Suppl 1:S124-41. PubMed PMID: 22395725.
Toplam 17 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Bölüm Original Article
Yazarlar

Berhan Pirimoğlu Bu kişi benim

Gökhan Polat Bu kişi benim

Yayımlanma Tarihi 1 Mart 2018
Yayımlandığı Sayı Yıl 2018 Cilt: 28 Sayı: 2

Kaynak Göster

Vancouver Pirimoğlu B, Polat G. Pediatrik Hastalarda Manyetik Rezonans Ürografi İle İntravenöz Piyelografinin Etkinliğinin Karşılaştırılması. Genel Tıp Derg. 2018;28(2):76-80.


Genel Tıp Dergisi Creative Commons Atıf-GayriTicari 4.0 Uluslararası Lisansı (CC BY NC) ile lisanslanmıştır.