Role of multi- slice CT urography over ultrasonography in patients with hematuria  

作　　者：DUWADI Ayushma JIN Ji-yang 

机构地区：[1]School of Medicine,Southeast University [2]Department of Radiology,Zhongda Hospital,Southeast University

出　　处：《东南大学学报（医学版）》2015年第3期420-424,共5页Journal of Southeast University(Medical Science Edition)

摘　　要：Objective:Understanding the role of Multi-slice CT Urography(MSCTU)over Ultrasonography(US)in patients presenting with hematuria.Materials and Methods:Retrospective study enrolled 131 patients presenting with hematuria[microscopic hematuria(n=60)]and macroscopic hematuria(n=71)]who have undergone both MSCTU and US of urinary tract system simultaneously.Results of tests were compared with respective surgical and histopathological analysis of lesion.The cases obtained were bladder carcinoma,ureter carcinoma,renal carcinoma,urinary tract calculi and bladder inflammation.PASW-18thstatistical tool was used for obtaining statistical analysis and final interpretation of results.Results:The sensitivity and specificity of MSCTU and US for recognition of lesions presenting with macroscopic hematuria were 95.38%,83.33%and 81.54%,66.67%respectively and for those with microscopic hematuria were 96.08%,88.89%and 86.27%,77.8%respectively.The positive and negative likelihood ratios of MSCTU and US in macroscopic category were 5.73,0.055 and 2.46,0.277 respectively while for those in microscopic category were 8.65,0.044 and 3.88,0.176 respectively.In context to the sensitivity of MSCTU and US in patients presenting with macroscopic hematuriathedifferenceswere significant(McNemar's test,P=0.039)suggesting the tests are not similar whereas for those with microscopic hematuria the differences were not significant(Mc Nemar's test,P=2.68)indicatingsimilarity between these tests.Conclusion:Diagnostic efficacy of MSCTU is found to be far superior over US for patients presenting with macroscopic hematuria,thus current practice of using it as a first line modality seems to be justified.However,for those presenting with microscopic hematuria MSCTU and ultrasonography shows near to similar resultsin accordance to MSCTU,thus US alone seems sufficient to exclude significant urinary tract lesions.Objective： Understanding the role of Multi-slice CT Urography（MSCTU） over Ultrasonography（US）in patients presenting with hematuria. Materials and Methods：Retrospective study enrolled 131 patients presenting with hematuria[microscopic hematuria（ n = 60） ] and macroscopic hematuria（ n = 71）]who have undergone both MSCTU and US of urinary tract system simultaneously. Results of tests were compared with respective surgical and histopathological analysis of lesion. The cases obtained were bladder carcinoma,ureter carcinoma,renal carcinoma,urinary tract calculi and bladder inflammation. PASW-18 thstatistical tool was used for obtaining statistical analysis and final interpretation of results. Results： The sensitivity and specificity of MSCTU and US for recognition of lesions presenting with macroscopic hematuria were 95. 38%,83. 33% and 81. 54%,66. 67% respectively and for those with microscopic hematuria were 96. 08%,88. 89% and 86. 27%,77. 8 % respectively. The positive and negative likelihood ratios of MSCTU and US in macroscopic category were 5. 73,0. 055 and 2. 46,0. 277 respectively while for those in microscopic category were 8. 65,0. 044 and 3. 88,0. 176 respectively. In context to the sensitivity of MSCTU and US in patients presenting with macroscopic hematuriathedifferenceswere significant（ McNemar＇s test,P = 0. 039） suggesting the tests are not similar whereas for those with microscopic hematuria the differences were not significant（ Mc Nemar＇s test,P = 2. 68） indicatingsimilarity between these tests. Conclusion：Diagnostic efficacy of MSCTU is found to be far superior over US for patients presenting with macroscopic hematuria,thus current practice of using it as a first line modality seems to be justified. However,for those presenting with microscopic hematuria MSCTU and ultrasonography shows near to similar resultsin accordance to MSCTU,thus US alone seems sufficient to exclude significant urinary tract lesions.

关 键 词：multi-slice computed urography ULTRASONOGRAPHY urinary tract microscopic hematuria macroscopic hematuria 

分 类 号：R445[医药卫生—影像医学与核医学] R695[医药卫生—诊断学]