Multi Detector Computed Tomography Urography in the Evaluation of Hematuria

Dr. Prashant Dubey, Dr. Sanjay B Shahu, Dr. Hariram, Dr. Ruchika

Abstract: Background: Computed Tomography Urography (CTU) is a highly sensitive modality for evaluating hematuria and detecting urinary tract pathologies, surpassing traditional intravenous urography in diagnostic accuracy. Aim: To assess the role of multi - detector CT urography in diagnosing causes of hematuria. Methods: A cross - sectional observational study was conducted at the Radiology Department, Pacific Institute of Medical Sciences, Udaipur, from June 2023 to November 2024. CTU was performed on 150 patients using a 128 - slice MDCT scanner (SIEMENS SOMATOM Perspective) with a three - phase protocol. Results: The study population (mean age 44.4 years) had a slight male predominance. Painless and macroscopic hematuria were more common. Urolithiasis was the most frequent cause (76.67%), followed by TCC (9.33%) and RCC (8%). Renal pathologies predominated. Conclusion: CTU is a valuable, non - invasive tool in the diagnostic evaluation of hematuria, effectively identifying diverse etiologies and anatomical sites.

Keywords: Hematuria, Computed Tomography Urography, CT Urography, Urolithiasis, Transitional Cell Carcinoma (TCC), Renal Cell Carcinoma (RCC), Multi - detector CT, Urinary Tract Imaging, Painless Hematuria, Urinary Tract Malignancy