Multidetector computed tomography urography (MDCTU) for diagnosing urothelial malignancy

• Published in: Clinical radiology Vol. 62; no. 4; pp. 324 - 332
• Main Authors: Anderson, E.M, Murphy, R, Rennie, A.T.M, Cowan, N.C
• Format: Journal Article
• Language: English
• Published: Amsterdam Elsevier Ltd 01.04.2007; Elsevier
• Subjects: Biological and medical sciences; Carcinoma, Transitional Cell - diagnostic imaging; Humans; Investigative techniques, diagnostic techniques (general aspects); Kidney Calices - diagnostic imaging; Kidney Neoplasms - diagnostic imaging; Medical sciences; Nephrology. Urinary tract diseases; Pelvic Neoplasms - diagnostic imaging; Radiation Dosage; Radiodiagnosis. Nmr imagery. Nmr spectrometry; Radiology; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects); Tomography, X-Ray Computed - adverse effects; Tomography, X-Ray Computed - methods; Ureteral Neoplasms - diagnostic imaging; Urinary Bladder Neoplasms - diagnostic imaging; Urinary lithiasis; Urinary system; Urography - methods; Urologic Neoplasms - diagnostic imaging; Urothelium - diagnostic imaging; Kidney disease; Nuclear medicine; Urinary system disease; Radiodiagnosis; Helical computed tomography; Urinary tract disease; Malignant tumor; Urinary tract; Urinary stone; Multidetector scanner; Renal lithiasis; Urography; Urinary bladder; Radiology; Medical imagery; Computerized axial tomography; Diagnosis; Cancer
• ISSN: 0009-9260; 1365-229X
• DOI: 10.1016/j.crad.2006.10.008

Multidetector computed tomography (MDCT) is well established for the detection of stones and renal masses, but more recently MDCT urography (MDCTU) is becoming widely used for examination of the entire urinary tract aimed specifically for diagnosing urothelial lesions. Evidence is rapidly accumulating to support the use of MDCTU in this manner. Familiarity with the MDCTU signs of urothelial malignancy is a prerequisite for optimum radiological practice. This article provides a review of the appearances of transitional cell cancer in the upper urinary tract and bladder.