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The use of CT in diagnostics of vascular-ureteral conflict (clinical observations)

https://doi.org/10.24835/1607-0763-2019-2-76-81

Abstract

Purpose. To study various ways of diagnosing a vascular-pelvic-ureteral conflict using CT and the abillity to use it in routine work.

Materials and methods. Split-bolus contrastenhanced CT, and computer processing and subsequent three-dimensional modeling have been studieds, data from three patients are presented.

Results. Split-bolus contrasting allowed to estimate the ratio of the renal pelvis system and arteries in one series of images, but the methodology of this study is not specific, depends on the institution and on the patient's condition. Three-dimensional modeling is a more universal technique; it is postprocessing of standard urinary tract examination.

Findings. The use of both techniques allows to reliably visualize the compression of collecting system and ureter by abnormal vessels, and to eliminate other signs of hydronephrosis.

About the Authors

P. M. Zelter
Samara State Medical University
Russian Federation

Pavel M. Zelter – cand. of med. sci., Head of radiology department of Clinics 

K. Marks str., 165B, Samara. Phone: +7-917-942-12-34. 



A. V. Kolsanov
Samara State Medical University
Russian Federation
Aleksandr V. Kolsanov – doct. of med. sci., Head of the chair of operative surgery and clinical anatomy


D. V. Solovov
Samara State Medical University
Russian Federation
Dmitrii V. Solovov – radiologist of radiology department of Clinics of Samara Medical State University, assistant of the chair of radiology


A. V. Kapishnikov
Samara State Medical University
Russian Federation
Aleksandr V. Kapishnikov – doct. of med. sci., Head of the chair of radiology


M. S. Peksheva
Saint-Petersburg St.Elisabeth state hospital
Russian Federation
Marina S. Peksheva – radiologist of radiological department


References

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Review

For citations:


Zelter P.M., Kolsanov A.V., Solovov D.V., Kapishnikov A.V., Peksheva M.S. The use of CT in diagnostics of vascular-ureteral conflict (clinical observations). Medical Visualization. 2019;(2):76-81. (In Russ.) https://doi.org/10.24835/1607-0763-2019-2-76-81

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ISSN 1607-0763 (Print)
ISSN 2408-9516 (Online)