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Year :2017
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Month :
January
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Volume :
6
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Issue :
1
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Page :
RO33 - RO35
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Role of Computed Tomography in Diagnosis of Urological Lesions: Hospital Based Study
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Correspondence Address :
Ameet Chandrakant Panchmahalkar, Wajahat Salim, Shoeb Khan,
Dr. Ameet Chandrakant Panchmahalkar,
Assistant Professor, Department of Radiology,
Dr Shankar Rao Chavan Government Medical College and
Hospital, Nanded, Maharashtra-431606, India.
E-mail: dr_ameet_21@yahoo.com
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Introduction: Introduction: Computed Tomography (CT) of the suspected urological lesions by multidetector CT machine can give us a rapid image of the entire urinary tract over a single breath-hold. It is considered to be a very good modality for detection of urinary tract lesions like anomalies, inflammation, calculi as well as neoplasm.
Aim: To assess the role of multidetector CT in evaluation of suspected urological lesions in patients referred to Radiology Department of a tertiary care Mumbai Hospital.
Materials and Methods: It is an observational and descriptive study. It was done during January 2006 to December 2008 in the Department of Radiodiagnosis & Imaging at BYL Nair Hospital, Mumbai in Maharashtra state of India. About 100 patients who were referred to the department for CT with suspected urinary tract lesions were included in the study. A follow-up of patients was maintained for any surgery or laparoscopic examinations that were carried out. A histopathological diagnosis was obtained wherever feasible. Findings on CT were classified as diagnostic, contributory, false negative and false positive.
Results: Out of 100 patients, 58 were male and 42 were females. All the lesions were classified based on their organ of origin, 67 were of kidney origin, 11 were of combined kidney and ureteral origin, 4 were of ureteral origin and 18 were of urinary bladder origin. Of all the above lesions, 20 were found to be tumours, 6 were found to be masses, 15 were found to be inflammatory/infective, 46 were found to be calculus disease, 7 were found to be congenital, 2 were found to be traumatic and 4 were categorised as others which included cysts. Overall CT was diagnostic in 96 cases and contributory in 4 cases. There were no false positive or false negative cases.
Conclusion: From the study results, CT was found to be diagnostic in a large majority of cases across various pathological lesions of the urinary tract.
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