(5.2.3)--泌尿生殖系统正常及异常影像学表现实习英文版.pdf

《(5.2.3)--泌尿生殖系统正常及异常影像学表现实习英文版.pdf》由会员分享，可在线阅读，更多相关《(5.2.3)--泌尿生殖系统正常及异常影像学表现实习英文版.pdf（45页珍藏版）》请在淘文阁 - 分享文档赚钱的网站上搜索。

1、 Urinary systemUrinary systemGenital systemGenital systemPUMCH PUMCH Radiology Dept. Radiology Dept. X ray plain filmX ray plain film Contrast enhanced - X rayContrast enhanced - X ray Urinary tract radiography (urograUrinary tract radiography (urography) phy) intravenous pyelography (urograpintrave

2、nous pyelography (urography) hy) retrograde pyelography (urographretrograde pyelography (urography)y)Retrograde cystographyRetrograde cystography Urography Urography 1-2 mins ： renal parenchyma 15 30 mins ： calyx, pelvis Release pressure ： ureter, bladderMinor calyxMinor calyxMajor calyxMajor calyxP

3、elvisPelvisContour Contour Ureter Ureter Bladder Bladder Normal anatomyNormal anatomy Ureter Ureter Segment? Stricture?Segment? Stricture?Bladder Bladder Intramural portion CT enhanced scan phasesCT enhanced scan phasesNon-contrast phase Corticomedullary phaseExcretive phaseParenchyma phase Cortex M

4、edulla Pyramid Column Papilla CalyxPelvis Sinus Vein Artery Finding ureter in CT imagesFinding ureter in CT images CTUCTU Normal adrenal glandNormal adrenal gland Hysterosalpingography Hysterosalpingography 12345 1 immature; 2 mature; 3 degenerative; 4 atrophic 1 immature; 2 mature; 3 degenerative;

5、4 atrophic Genital system ( female )Genital system ( female ) Genital system ( male )Genital system ( male ) Prostate gland Prostate gland Male pelvis (Sagittal ) Female pelvis (Sagittal ) bladderbladder Plain film Plain film Calcification Calcification ：StoneStone （ deer horn deer horn ） TBTBAneury

6、sm Aneurysm RCCRCC Location, size and contourLocation, size and contour Abnormalities? Dilated / hydroceleDilated / hydrocele Right calyx/pelvis hydrRight calyx/pelvis hydrRight calyx/pelvis hydrRight calyx/pelvis hydroceleoceleoceleocele Ureter abnormalities? Urography Urography Size, number, locat

7、ion of the kidneySize, number, location of the kidneyParenchymaParenchyma No enhancement; delayed; fade; intensifiedNo enhancement; delayed; fade; intensifiedCalyx & pelvis Calyx & pelvis Dilated; traction; distortion; filling defect; destrDilated; traction; distortion; filling defect; destructionuc

8、tionUreter Ureter ：Dilated / stenosis / filling defect / destructionDilated / stenosis / filling defect / destruction bladderbladder ： Dilated / stenosis / filling defect / destructionDilated / stenosis / filling defect / destruction CT abnormalitiesCT abnormalities Kidney ： Location, size, number,

9、shape Parenchyma miscellaneous ） Calyx / pelvis （ stone 、 hydrocele 、 soft tissue mass ） Peri-renal (increased fat density, thickening of fascia) Ureter ： Dilated （ stone, tumor, trauma ） Wall thickening （ tumor, infection ） Calcification Soft tissue mass bladder ： mass （ tumor, clot, stone ） Wall thickening (diffused, localized) The end