Hämaturie: Intravenöse Urographie, Ultraschall, oder beides?

Autor:	Delaere Kp, van Engelshove Jm, Speelman Hr, Kessels Ag, de Korte Pj, Bongaerts Ah
Rok vydání:	1996
Předmět:	medicine.medical_specialty business.industry Urinary system Ultrasound Gold standard (test) Malignancy medicine.disease Surgery medicine Radiology Nuclear Medicine and imaging Radiology Renal colic medicine.symptom business Prospective cohort study Upper urinary tract Pyelogram
Zdroj:	RöFo - Fortschritte auf dem Gebiet der Röntgenstrahlen und der bildgebenden Verfahren. 165:524-528
ISSN:	1438-9010 1438-9029
DOI:	10.1055/s-2007-1015806
Popis:	PURPOSE To compare the diagnostic value of intravenous urography (IVU), ultrasound (US) and their combination in detecting upper urinary tract malignancies in patients with haematuria. MATERIALS AND METHODS In a prospective study, 360 consecutive patients who consulted the urologist for haematuria without renal colic were scheduled for IVU and US on the same day. The two procedures were performed by two different radiologists and reported independently. Histology or clinical follow-up of one year served as the gold standard. RESULTS 63 patients dropped out. Of the remaining 297 patients, 9 (3%) had a malignancy in the upper urinary tract. Sensitivity and specificity with regard to the upper urinary tract pathology were 67% and 91% for IVU and 56% and 94% for US, respectively. For both techniques combined this was 79% and 88%, respectively. CONCLUSION An acceptable sensitivity for detecting upper urinary tract malignancies is obtained only by combining IVU and US.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::189442e1d6124b9039f41b6818ae798f https://doi.org/10.1055/s-2007-1015806 Zobrazit plný text záznamu