【医院科室培训-影像学学习】_Urinary system Genital system-北京协和医院学习.pptVIP

Ureter abnormalities? Urography Size, number, location of the kidney Parenchyma No enhancement; delayed; fade; intensified Calyx pelvis Dilated; traction; distortion; filling defect; destruction Ureter ： Dilated / stenosis / filling defect / destruction bladder： Dilated / stenosis / filling defect / destruction Urinary systemGenital system X ray – plain film Contrast enhanced - X ray Urinary tract radiography (urography) intravenous pyelography (urography) retrograde pyelography (urography) Retrograde cystography Urography 1-2 mins：renal parenchyma 15－30 mins：calyx, pelvis Release pressure：ureter, bladder Minor calyx Major calyx Pelvis Contour Ureter Bladder Normal anatomy Ureter Segment? Stricture? Bladder Intramural portion CT enhanced scan phases Non-contrast phase Corticomedullary phase Excretive phase Parenchyma phase Cortex Medulla Pyramid Column Papilla Calyx Pelvis Sinus Vein Artery Finding ureter in CT images CTU Normal adrenal gland Hysterosalpingography 1 2 3 4 5 1 immature; 2 mature; 3 degenerative; 4 atrophic Genital system ( female ) Genital system ( male ) Prostate gland Male pelvis (Sagittal ) Female pelvis (Sagittal ) bladder Plain film Calcification ： Stone（deer horn ） TB Aneurysm RCC Location, size and contour Abnormalities? Dilated / hydrocele Right calyx/pelvis hydrocele