Abstract
, Chairman of the British Society of UrogenitalRadiology and Consultant Uroradiologist, The Churchill Hospital,Old Road, Headington, Oxford OX3 7LJ, UKT: +44 (0)1865 225955; E: nigel.cowan@nds.ox.ac.ukThis article raises some important issues both clinical andnon-clinical. I shall concentrate on the clinical issues here.The intravenous urogram (IVU) has for a long time been thefavourite imaging test of both the uroradiologist andurologist alike. There are five principal clinical scenarios inwhich multidetector-row CT provides the preferredexamination in most urological practice:1. unenhanced CT for acute loin pain;2. CT urography for investigation of haematuria whenmalignancy is suspected;3. CT urography for pre-operative PCNL planning;4. CT arteriography for assessment of living, related trans-plant renal donors; and5. CT kidneys for investigation of a renal mass.There is much supporting evidence accumulating in theliterature.
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