Virtual computed tomography cystoscopy in bladder pathologies



Título del documento: Virtual computed tomography cystoscopy in bladder pathologies
Revista: International braz j urol
Base de datos: PERIÓDICA
Número de sistema: 000296933
ISSN: 1677-5538
Autores: 1




Instituciones: 1Yuzuncu Yil University, School of Medicine, Van. Turquía
Año:
Periodo: Mar-Abr
Volumen: 32
Número: 2
Paginación: 147-154
País: Brasil
Idioma: Inglés
Tipo de documento: Artículo
Enfoque: Caso clínico, analítico
Resumen en inglés OBJECTIVE: Assessed the usefulness of virtual cystoscopy performed with multidetector computed tomography (CT) in patients with different urinary bladder pathologies compared to the conventional cystoscopy. MATERIALS AND METHODS: Eighteen patients with different bladder pathologies, which consisted of 11 tumors, 3 diverticula, 2 trabecular changes and 2 stones, were assessed with conventional cystoscopy and virtual CT cystoscopy. The results of virtual CT cystoscopy were compared with the findings of conventional cystoscopy. We determined the detection rate and positive predictive value of CT imaging based virtual cystoscopy in the diagnosis of urinary bladder lesions. RESULTS: CT scanning was well tolerated by all patients, and no complications occurred. Images in 16 (88%) of the 18 virtual cystoscopic examinations were either of excellent or good quality. All tumors except one, 2 trabecular changes and 2 stones were characterized with similar findings in the both of methods. The masses ranged from 0.4 to 7.0 cm in diameter. While conventional cystoscopy could not evaluate interior part of the diverticulum, virtual CT cystoscopy could demonstrate clearly within it. There were no false-positive findings in our series. CONCLUSION: Virtual CT cystoscopy is a promising technique to be used in the detection of bladder lesions. It should be considered especially at the evaluation of bladder diverticula. In the future, it may be possible or even advantageous to incorporate into the imaging algorithm for evaluation of bladder lesion
Disciplinas: Medicina
Palabras clave: Cirugía,
Diagnóstico,
Vejiga,
Patología,
Cistoscopía,
Tomografía,
Tumores,
Divertículos,
Litiasis
Keyword: Medicine,
Diagnosis,
Surgery,
Bladder,
Pathology,
Cystoscopy,
Tomography,
Tumors,
Diverticula,
Lithiasis
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