Abstract
Multi-detector row computed tomography urography (MDCTU) becomes the imaging modality of choice for evaluation of the kidneys and urinary tract. The aim of this study was to discuss and illustrate the role of MDCTU, on a 32-row CT scanner in the evaluation a variety of entities that were frequently associated with microscopic hematuria in adults. This prospective cohort study was performed in the period of August 2013 to October 2014. Fifty positive participants to microscopic hematuria were examined at the radiology department of Alnilin Diagnostic Medical Center and Antalya Medical Center. Computed tomography urography (CTU) scanning was performed using two powerful performances, high speed multi-detector row on 32-row CT scanners (Siemens Healthcare Global, Somatom Emotion Duo Eco). Statistical analysis was done through the standard Statistical Package for the Social Sciences (SPSS Inc., Chicago, IL, USA) version 15 for windows. MDCTU established the correct cause of microscopic hematuria in (44; 88%) of participants. In (6; 12%) of participants, no cause of hematuria was identified based on the standard of references. The causes of hematuria in (41; 82%) participants were diseases in the upper urinary tract, while urinary bladder neoplasms (2; 4%) and diverticulum (1; 2%) were the causes of hematuria (3; 6%) in the lower urinary tract. Thirty two-row MDCTU scanner demonstrated satisfactory results in the investigation of microscopic hematuria, being able to demonstrate a wide spectrum of diseases affecting the urinary tract is the main advantage of the technique.
Highlights
The prevalence of asymptomatic microscopic hematuria in adults ranges from 0.19 to 21 percent [1]
Multi-detector row computed tomography urography (MDCTU) on a 32-row computed tomography (CT) scanner established the correct cause of microscopic hematuria in (44; 88%) of participants
The results of our study demonstrated that a wide variety of causes for the hematuria could be successfully detected by MDCTU on a 32-row CT scanner
Summary
The prevalence of asymptomatic microscopic hematuria in adults ranges from 0.19 to 21 percent [1]. The range is wide because of differing definitions of clinically significant microscopic hematuria and the varying ages of the study populations. Mohr et al identified genitourinary neoplasms in (1%) and moderately serious urological disease in another (18.2%) of their patients with microscopic hematuria [2]. In a series of 200 patients, Carson et al found neoplasms in 13% and moderately serious renal disease in (35.5%) [3]. In a select group of men 50 years or older who presented with asymptomatic micro hematuria, Messing et al identified malignancies in (26%) and significant urological disease in (53%) [4]
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