FAST IMAGING MR ASSESSMENT OF URETERONEPHROSIS DURING PREGNANCY

被引:40
作者
ROY, C
SAUSSINE, C
JAHN, C
LEBRAS, Y
STEICHEN, G
DELEPAUL, B
CAMPOS, M
CHAMBRON, J
JACQMIN, D
机构
[1] Service de Radiologie A, Hôpitaux Universitaires de Strasbourg, Hopital Civil, 67091 Strasbourg Cedex, Pavillon Chirurgie A, Place l'Hopital
[2] Service d'Urologie, Hôpitaux Universitaires de Strasbourg, Hopital Civil, 67091 Strasbourg Cedex, Pavillon Chirurgie A, Place l'Hopital
关键词
HYDRONEPHROSIS; PREGNANCY; URINARY CALCULI; MAGNETIC RESONANCE (MR); KIDNEY; MR STUDIES;
D O I
10.1016/0730-725X(95)00036-G
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Purpose: to assess the value of the fast imaging sequence called RARE-MR-Urography (RMU) for the diagnosis of pathologic ureterohydronephrosis during pregnancy. Materials and Methods: 15 pregnant women with an acute flank pain were examined with RMU. Results were compared with those of ultrasonography (US), X-rays, and the evolution of symptoms, Results: the accuracy of RMU in the detection of urinary tract dilatation and the Localization of the level of obstruction was excellent (100%). The determination of the type of obstruction, intrinsic vs. extrinsic, was always exact. RMU alone cannot specify the exact nature of the intrinsic obstruction. Ultrasonography gave less sensitive information in terms of level (60%) and type of obstruction (53%). Conclusion: RMU is able to differentiate a physiological from a pathologic ureterohydronephrosis during pregnancy. It could be considered as a procedure of choice for special cases when US failed to establish this differential diagnosis.
引用
收藏
页码:767 / 772
页数:6
相关论文
共 25 条
  • [1] Swartz, Reichling, Hazards of radiation exposure for pregnant women, JAMA, 239, pp. 1907-1911, (1978)
  • [2] Webb, Ultrasonography in the diagnosis of renal obstruction. Sensitive but not very specific, Br. Med. J., 301, pp. 944-946, (1990)
  • [3] Hennig, Nauerth, Friedburg, RARE Imaging: A fast imaging method for clinical MR, Magn. Reson. Med., 3, pp. 823-833, (1986)
  • [4] Hennig, Friedburg, Strobel, Rapid nontomographic approach to MR-Myelography without contrast agents, J. Comput. Assist. Tomogr., 10, pp. 375-378, (1986)
  • [5] Hennig, Friedburg, Clinical applications and methodological developments of the RARE technique, Magn. Reson. Imaging, 6, pp. 391-395, (1988)
  • [6] Vinee, Stover, Sigmund, Et al., MR Imaging of pericardial cyst, Journal of Magnetic Resonance Imaging, 2, pp. 593-596, (1992)
  • [7] Takehara, Ichijo, Tooyama, Et al., Breath-hold MR cholangiopancreatography with a long-echo-train fast spin echo sequence and a surface coil in chronic pancreatitis, Radiology, 192, pp. 73-78, (1994)
  • [8] Sigmund, Stover, Zimmerhackl, Et al., RARE-MR-Urography in the diagnosis of upper urinary tracrt abnormalities in children, Pediatr. Radiol., 21, pp. 416-420, (1991)
  • [9] Sigmund, Stover, Zimmerhackl, Et al., Cystic diseases of the kidney in children: MRI, including RARE-MR-hydrography, Eur. Radiol., 1, pp. 27-32, (1991)
  • [10] Roy, Saussine, Jahn, Vinee, Beaujeux, Campos, Gounot, Chambron, Evaluation of RARE-MR-Urography in the assessment of uretero-hydronephrosis, J. Comput. Assist. Tomogr., 18, pp. 601-608, (1994)