An intravenous pyelogram ivp is a type of xray that looks at your kidneys and bladder and the ducts ureters that connect them. Abdominal andor pelvic ct examinations may be performed during andor after administering intravenous iv contrast medium using appropriate injection techniques 102,103. Bring your referral letter or request form and all xrays taken in the last 2 years with you. Intravenous pyelogram health encyclopedia university. Oct 05, 1974 studies on 1,476 intravenous urographic examinations done in a 15month period showed that the proportion of abnormal results varied widelyfrom 20% in patients with abdominal pain other than renal colic to 92% of those in prostatism. This document is an educational tool designed to assist practitioners in providing appropriate radiologic care for patients. Oct 22, 2017 urography is a radiologic technique used for the evaluation of the genitourinary systemspecifically, the kidneys, ureters, and bladder.
Of interest to examine the patient before performing any procedure should not be taken lightly. Radiologic investigations of the renal drainage, or collecting system are performed by various procedures classified under the general term urography. Intravenous pyelogram ivp or intravenous urogram ivu date. Start studying urinary system contrast studies overview and intravenous urography procedure.
Scribd is the worlds largest social reading and publishing site. Apply the rules of urographic interpretation to the evaluation of urinary tract disease. Intravenous urography, results were compared with the european guidelines on quality. Urography with conventional xray is known as intravenous pyelogram ivp.
Intravenous urography antegrade urography retrograde urography 2. Thank you for your interest in spreading the word about the bmj. An intravenous pyelogram can show the size, shape, and position of the urinary tract, and it can evaluate the collecting system inside the kidneys. Intravenous pyelogram ivp intravenous pyelogram ivp is an xray exam that uses an injection of contrast material to evaluate your kidneys, ureters and bladder and help diagnose blood in the urine or pain in your side or lower back. Information about your procedure from the british association of urological surgeons baus. Canadian guidelines for the management of asymptomatic.
This procedure can also show how well the urinary tract is working. A retrospective, observational study was conducted in a tertiary reference center. An ivp outlines the kidneys, showing their size and internal structure. All drug classes nonionic iodinated contrast media 6. Intravenous pyelogram ivp also referred to as intravenous urography or ivu is a technique used for imaging the kidneys that has been available since the 1920s and was considered the gold standard for detecting kidney stones.
The aim is to illustrate the collecting systems, ureters and bladder with intravenous contrast, albeit in a single acquisition as opposed to the multiple and more dynamic traditional ivu. Intravenous urography procedure and indications flashcards. May 25, 2014 a presentation about intravenous urography also known as intravenous pyeography. The ureters are tubes which go from each kidney to your bladder. The procedures are laid out under a number of subheadings, which follow a standard sequence. The purpose of the this study was to measure the entrance surface air kerma esak and body organs, and the effective doses in intravenous urography ivu xray examinations in sudanese hospitals. Urography is an examination used to evaluate the kidneys, ureters and bladder. In hi tt t t t di i this test, contrast media is injected into bloodstream and a series of xray are then taken at timed intervals. Urinary system contrast studies overview and intravenous. Intravenous urogram is also known as intravenous pyelogram. Although originally performed using plain radiographic techniques, advanced imaging modalities have been progressively refined such that computed tomography ct andor magnetic resonance imaging mri have largely replaced excretory urography eu as the.
Get a printable copy pdf file of the complete article 552k, or click on a page image below to browse page by page. An intravenous urogram ivu is a test that looks at the whole of your urinary system. Intravenous pyelography ivp patient information and consent. Practice parameters and technical standards are not inflexible rules or requirements of practice and. Dten minute study onmay 17, 19636ohours after first and 24 hours after. Intravenous pyelography with kidney, ureter and bladder kub xray and tomography. It is widely available, easy to perform, and is able to detect transitional cell carcinoma of the upper urinary tract with an acceptable degree of sensitivity. An intravenous pyelogram ivp uses xrays and iodinated contrast to look at the urinary tract kidneys, ureters, and bladder. This is followed by intravenous contrast, a suitable delay 510minutes, and imaging for optimum excretory.
The diagnostic yield of intravenous urography article pdf available in nephrology dialysis transplantation 152. An intravenous pyelogram ivp is a special xray examination of the kidneys, bladder, and ureters. Ivu or intravenous urography is a radiological procedure used to visualise abnormalities of the urinary system,including the kidneys,ureter and bladder. Clinical task list northern virginia community college.
Information about your procedure from the british association. Cone hundred and twenty minute study ofsecond intravenous urography onmay i6,1963,hours after thefirst, shows alarge quantity ofcontrast material subcapsularly outlining theupper pole. Intravenous pyelography ivp,also known as excretory urography, is used to evaluate the structure and excretory function of the kidneys, ureters, and bladder. A magnetic resonance imaging an mri urogram creates images of the kidneys, the ureters tubes that transport urine from the kidneys to the bladder, and the bladder in order to evaluate their condition and to assist with the diagnosis and treatment of problems. Any information contained in this pdf file is automatically generated from digital material. The reaction cannot be expected to contrast media, and all patients should be cared for and tidy during the procedure. This image should be obtained with appropriate technique 6575 kvp, high milliamperage. Intravenous urography perth envision medical imaging. Intravenous pyelogram ivp diagnostic imaging pathways.
Abdominal radiology sar to assist physicians supervising the performance or interpretation of excretory. Our standard procedure for intravenous urography with optional images is outlined in the, table, 6, 10. Intravenous urography has been utilized and reported in several species. The dose of contrast to be used for iv urography in neonates and infants is discussed. Intravenous urography ivu, also referred to as intravenous pyelography ivp or excretory urography eu, is a radiographic study of the renal parenchyma, pelvicalyceal system, ureters and the urinary bladder. The presentation contains 41 slides, and is divided into 4 parts. Estimation of pediatric radiation doses in intravenous urography. Intravenous urography is a test which x rays the urinary system using intravenous dye for diagnostic purposes. Intravenous excretory urography using optiray in office. With the recent advances in small animal ultrasonagraphy, excretory urography has become an underutilized procedure.
As the kidneys clear an intravenously injected contrast medium from the blood, the size and shape of the kidneys, their calices and pelvises, the ureters, and the bladder can be. The innocuousness of the more recent mediums for intravenous urography suggested their use in the diagnosis of a ruptured bladder in a case lately coming under observation. The test uses a colourless dye, also called contrast medium. An mri urogram is very similar to the procedure known as an intravenous. This technique is still performed for pediatric patients and occasionally for younger adult patients. Urography uses imaging and contrast material to evaluate or detect blood in urine, kidney or bladder stones, and cancer in the urinary tract.
This is a short presentation for my students, not a complete lecture. Imaging of urinary tract with injection of contrast into a vein. It is used to evaluate the stomach, liver, intestines and spleen and may be used to help diagnose unexplained pain, nausea or vomiting. Intravenous urography ivu is the study that has been traditionally used to investigate the upper urinary tract. During the test, the radiologist injects a contrast dye into one of your veins. It is a special xray examination to outline the urinary tract which includes the kidneys, ureters and bladder. Urography urography uses imaging and contrast material to evaluate or detect blood in urine, kidney or bladder stones, and cancer in the urinary tract. Intravenous pyelogram ivp atlantic general hospital.
Intravenous urography definition of intravenous urography. An ivp may provide enough information to allow your doctor to treat you with medication and avoid surgery. The clinical safety of optiray was outstanding, no adverse reactions were noted. Information about your procedure from the british association of urological surgeons baus published. Intravenous pyelography without kidney, ureter and bladder kub xray. Drugs used for intravenous urography the following list of medications are in some way related to, or used in the treatment of this condition. Excretory urography, also known as intravenous pyelogram, is performed using conventional xray after the intravenous administration of radiographic contrast material. Precautions before use of contrast media in intravenous urogram. Like any other imaging study, intravenous urography should ideally be tailored to answer a specific clinical question, 4, 5. An intravenous pyelogram ivp is a type of xray that allows visualization of the kidneys and ureters after the injection of a contrast dye. This guide will allow the radiographers to carry out the procedure. An intravenous pyelogram ivp is a special xray exam of the kidneys, bladder, and ureters the tubes that carry urine from the kidneys to the bladder. Depending on where your procedure was scheduled, check in at the radiology reception area. In most cases, the ivp becomes an emergency procedure because you might arrive at the emergency department with symptoms usually pain in the back and abdomen that suggest a blockage to the flow of urine through the ureter.
Voi editing but this can be a timeconsuming postprocessing procedure. Acrsar practice parameter for the performance of excretory. This involves taking xrays of the kidney andor ureter the tube that. Intravenous urography ivu has been the initial imaging technique of choice for diagnosis of various. The urethra is the tube from your bladder that passes out urine. Definition it is the radiographic examination of the urinary tract including the renal parenchyma, calyces and pelvis after the intravenous injection of the contrast media. This shows up the soft tissues of the urinary system on a normal xray. However, techniques usually involve initial noncontrast imaging in evaluation of renal tract calculi. The ureters are the narrow tubes that carry urine from the kidneys to the bladder. Intravenous urography also known as intravenous pyelography is an xray procedure which is used to assess problems in your kidneys, ureters, bladder and urethra. A contrast medium is injected intravenously, and serial xray films are taken as the medium is cleared from the blood by the kidneys. Ivu intravenous urogram or ivp intravenous pyelogram. Allergic diathesis was recorded prior to the examination in 12. Experiences with the nonionic contrast medium optiray 300 were analyzed in 120 consecutive patients who underwent intravenous urography.
In essence, ct urography is performed in place of intravenous urography, for cases thought not to be due to stone disease cf. An ivp is an imaging test used to look at the kidneys and ureters. An intravenous pyelogram examination helps the radiologist assess abnormalities in the urinary system. We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. Jan 17, 2018 this is a short presentation for my students, not a complete lecture. Get a printable copy pdf file of the complete article 542k, or click on a page image below. It gives both anatomical and functional information, albeit with a relatively higher dose of radiation. Intravenous urography ivu intravenous pyelogram ivp, intravenous urography, ivu, excretory urography procedure overview what is an intravenous pyelogram. An ivp is used to diagnose infections, kidney stones, lower back or side pain and other issues.
The general order is outlined below, together with certain points that are omitted from the discussion of each procedure to avoid repetition. This practice parameter has been developedby the american college of radiology acr and the society of. Pdf analysis of intravenous urography findings in a. To analyze intravenous urography ivu findings in a tertiary reference center. Our standard procedure for intravenous urography with optional images is outlined in the,table,6,10. Excretory urography is a type of contrast study used to verify and localize upper urinary tract disease. Intravenous pyelography without kidney, ureter and bladder kub xray, with tomography. Urography is also often performed using computed tomography ct or magnetic resonance imaging mri.
Intravenous urography definition intravenous urography is a test which x rays the urinary system using intravenous dye for diagnostic purposes. How the test is performed an ivp is done in a hospital radiology department or a health care providers office. It is a radiology procedure to view the urine system including kidney, bladder and ureter. Magnetic resonance urography in patients with contributory. The premedication procedure that may be used to reduce the risk of reactions prior to performing an intravenous urography procedure on a patient who uses glucophage check chart or ask patient actions that a technologist may take to find out if the patient is using glucophage. Ct urography ctu or ctivu has now largely replaced traditional ivu in imaging the genitourinary tract. An ivu can show if cancer is growing in any part of your urinary system. This scan is used to detect abnormalities of the urinary system, including the kidneys, ureters, and bladder. Acrspr practice parameter for the performance of computed. The terms intravenous urography and intravenous pyelography are used as synonyms for eu. Traditionally, intravenous urography ivu, also known as intravenous pyelogram ivp or excretory urography exu, is commonly performed to investigate the.
Full text full text is available as a scanned copy of the original print version. Full text is available as a scanned copy of the original print version. Your doctor has referred you to the xray department for an ivu examination intravenous urogram. Intravenous pyelography ivp patient information and consent form dear patient, if you may be or are pregnant, please inform the staff at the infopoint of your pregnancy before the examination. Procedures protocols should be adequate considering patient different. Your doctor has referred you for an xray examination of the kidneys and the urinary tract ivp. Please arrive 30 minutes prior to the scheduled time of your examination. An intravenous pyelogram ivp is an xray exam of your urinary tract kidneys, ureters, and bladder. An intravenous pyelogram ivp, also called an intravenous urogram ivu, is a radiological procedure used to visualize abnormalities of the urinary system, including the kidneys, ureters, and bladder. Get a printable copy pdf file of the complete article 542k, or click on a page image below to browse page by page.
The optimization of xray procedures is fundamental and necessary to achieve alara principals. Technique and interpretation1 learning objectives for test 1 after reading this article and taking the test, the reader will be able to. Minor deviations from this sequenc wile l b e found in the text where this i fels tto be more appropriate. In some instances, information regarding renal function and disease pathophysiology can also be obtained.
Intravenous pyelography with kidney, ureter and bladder kub xray. Current procedural terminology urography pyelography. Intravenous urography ivu tests and procedures sehat. Health and public safety division radiography page 2 of 8 41 question female patient of childbearing age about date of last menstrual period or possible pregnancy and take the appropriate action e. Intravenous urogram is roughly examination allows the doctor to see structures like the cortex, renal, calyceal, renal pelvis, pyeloureteric junction, bladder and ureteric drainage. Toxic levels are only just above the currently accepted doses of 24. The preliminary kidney, ureter, bladder kub radiograph is an indispensable part of the sequence. Intravenous pyelogram an overview sciencedirect topics.
Excretory urography intravenous pyelography relies on the administration of intravenous contrast to enhance the urinary tract and thereby have it stand out against the remainder of the abdominal tissues. However, fewer centres are offering ivu and the study 12 approved cua. Results may vary pending location of administration, but, in general, excellent visualization of the kidneys and surrounding vascular supply is readily apparent. Oct 17, 2018 the intravenous pyelogram may be performed as an emergency procedure or on an outpatient basis. Diagnostic quality of the radiographs was excellent. This exam has been largely replaced by ct urography. References to any names, marks, products, or services of third parties or hypertext links to third. The renal calyces, renal pelvis, ureters, and urinary bladder are all visible on the radiographs. Intravenous pyelogram ivp abdominal xray uses a very small dose of ionizing radiation to produce pictures of the inside of the abdominal cavity.
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