Articles
Articles are a collaborative effort to provide a single canonical page on all topics relevant to the practice of radiology. As such, articles are written and continuously improved upon by countless contributing members. Our dedicated editors oversee each edit for accuracy and style. Find out more about articles.
27 results found
Article
Prostate MRI (an approach)
Prostate MRI has become an increasingly frequent examination faced in daily radiological practice and is mainly conducted for the detection, active surveillance and staging of prostate cancer. This approach is an example of how to create a radiological report of a prostate MRI (usually mpMRI) wi...
Article
CT cystography
CT cystography is a variation of the traditional fluoroscopic cystogram. Instead of anterograde opacification of the urinary collecting system (as with CT urography), contrast is instilled retrograde into the patient's bladder, and then the pelvis is imaged with CT.
Indications
suspected bladd...
Article
Clitoral ultrasound
Clitoral ultrasound is a modality for imaging clitoral pathology, which can be the etiology of female sexual dysfunction. It can also be performed before and after gynecologic surgery to assess clitoral anatomy and blood flow. The exam involves a transperineal component.
Normal ultrasound anato...
Article
CT adrenals (protocol)
CT of the adrenal glands is a study utilized in patients with incidentally discovered adrenal lesions on other studies, in order to characterize the lesions, and to seek adrenal abnormalities in patients with hormonal biochemical abnormalities.
Indications
Characterize incidentally discovered ...
Article
MRI targeted prostate biopsy
MRI targeted prostate biopsy refers to an imaging targeted technique rather than the traditional systematic approach of a prostate biopsy after respective imaging with multiparametric MRI (mpMRI) of the prostate.
As a consequence of advances with multiparametric MRI (mpMRI) of the prostate in t...
Article
Urethrography
Urethrography refers to the radiographic study of the urethra using iodinated contrast media and is generally carried out in males.
Terminology
When the urethra is studied with instillation of contrast into the distal/anterior urethra it has been referred to as:
retrograde urethrography (RUG)...
Article
Acute non-traumatic abdominal pain in pregnancy
Acute non-traumatic abdominal pain in pregnancy requires a considered imaging approach due to the increased risks of fetal demise associated with undiagnosed diseases such as perforated acute appendicitis. Ultrasound is the first-line modality due to its wide availability and ability to diagnose...
Article
Adrenal washout
Adrenal washout can be calculated using the density value of an adrenal mass on non-enhanced, portal venous phase and 15-minute delayed CT scans (density measured in Hounsfield units (HU)). It is primarily used to diagnose adrenal adenoma.
absolute washout
[(HUportal venous phase) - (HUdelayed...
Article
Erectile dysfunction
Erectile dysfunction is a common condition. Doppler ultrasound is a highly accurate means of assessing patients with erectile dysfunction.
Pathology
Psychological factors (mental impulse) cause the transmission of parasympathetic impulses to the penis. This causes relaxation of arterioles and...
Article
Cystography
Cystography is a fluoroscopic study that images the bladder. It is similar to a voiding cystourethrogram (VCUG), and the difference between the studies is primarily one of emphasis; a cystogram focuses on the bladder and a VCUG focuses on the posterior urethra. The study has been adapted to CT a...
Article
Fetal urinary bladder
The fetal urinary bladder, also known as the bladder bubble, is visible as an anechoic cyst on ultrasound in most fetuses from 12-13 weeks of gestation 1.
The size of the bladder is denoted by measuring the longitudinal bladder diameter from superiorly to inferiorly in the sagittal plane. Age-r...
Article
Testicular and scrotal ultrasound
Testicular and scrotal ultrasound is the primary modality for imaging most of the male reproductive system. It is relatively quick, relatively inexpensive, can be correlated quickly with the patient's signs and symptoms, and, most importantly, does not employ ionizing radiation.
MRI is occasion...
Article
Pediatric urinary tract infection (NICE guideline)
The British National Institute for Health and Care Excellence (NICE) published the “Urinary tract infection in under 16s: diagnosis and management” in 2007 as a guideline for pediatric urinary tract infection (UTI) management, including imaging, prophylaxis and follow-up 1.
This article intend...
Article
Renal transplant ultrasound
The central approach of renal transplant ultrasound is to evaluate for possibly treatable surgical or medical complications arising in the transplanted kidney.
Institutions vary in the exact schedule of renal transplant ultrasound assessment, but it is common to obtain an initial ultrasound 24-...
Article
Acceleration index
Acceleration index is an indirect sonographic sign to assess renal artery stenosis 1.
Usage
Acceleration index is used in the Doppler assessment of the renal arteries when assessing for renal artery stenosis.
Measurement
Acceleration index is calculated by subtracting the initial systolic ve...
Article
Renal artery stenosis
Renal artery stenosis (RAS) (plural: stenoses) refers to a narrowing of a renal artery. When the process occurs slowly, it leads to secondary hypertension. Acute renal artery stenosis does not lead to hypersecretion of renin.
Pathology
When the stenosis occurs slowly, collateral vessels form a...
Article
Voiding cystourethrography
Voiding cystourethrography (VCUG), also known as a micturating cystourethrography (MCU), is a fluoroscopic study of the lower urinary tract in which contrast is introduced into the bladder via a catheter. The purpose of the examination is to assess the bladder, urethra, postoperative anatomy an...
Article
Transrectal ultrasound
Transrectal ultrasound (TRUS) is a technique that is used most commonly to evaluate
the prostate gland, including ultrasound-guided prostate biopsies
depth of invasion of colon/rectal cancer (for staging purposes)
It can also be used for guidance in placing a transrectal drain, or in rare pro...
Article
Renal imaging in nuclear medicine
Renal imaging in nuclear medicine is a method to assess the kidneys and collecting systems via multiple different radioactive tracers.
Dynamic renal imaging is performed using Tc-99m MAG3 or Tc-99m DTPA, and static renal imaging is performed with Tc-99m DMSA. In addition, Tc-99m DTPA can be use...
Article
Jewett-Strong-Marshall tumor staging system
Jewett-Strong-Marshall tumor staging system for bladder cancer is of historic interest only and has been superseded by the TNM staging system.
stage 0: epithelial
stage A: submucosal invasion but no involvement of muscle i.e. lamina propria
stage B: bladder wall or muscle invasion
B1: superf...