Nnyocha redio dị oke mkpa iji kwado data ahụike ma kwado ndị dọkịta urologists n'ịhazi njikwa ndị ọrịa kwesịrị ekwesị. N'ime usoro onyonyo dị iche iche, a na-ewere ugbu a dị ka ọkọlọtọ ntụaka maka nyocha nke ọrịa urological n'ihi oke nnweta ya, oge nyocha ngwa ngwa, na nyocha zuru oke. Karịsịa, nyocha urography CT.
AKỤKỌ IHE MERE EME
N'oge gara aga, a na-ejikarị urography intravenous (IVU), nke a na-akpọkwa "utery urography" na/ma ọ bụ "intravenous pyelography," enyocha usoro mmamịrị. Usoro a gụnyere rediograf nkịtị mbụ wee tinye ọgwụ mgbochi mmiri nke ihe na-agbaze mmiri (1.5 ml/kg ibu ahụ). Mgbe nke ahụ gasịrị, a na-enweta usoro onyonyo n'oge ụfọdụ. Ihe ndị bụ isi nke usoro a gụnyere nyocha akụkụ abụọ na nyocha na-efu nke anatomy dị n'akụkụ.
Mgbe e webatara ihe onyonyo kọmputa, a na-eji IVU eme ihe nke ukwuu.
Agbanyeghị, ọ bụ naanị n'afọ 1990 ka e tinyere teknụzụ helical n'ọrụ, oge nyocha ngwa ngwa nke mere na enwere ike ịmụ akụkụ buru ibu nke ahụ, dịka afọ, n'ime sekọnd ole na ole. Site na mmalite nke teknụzụ nchọpụta ọtụtụ ihe n'afọ 2000, e mere ka mkpebi oghere dịkwuo mma, na-enye ohere ịchọpụta urothelium nke urinary tract na eriri afọ elu, e wee guzobe CT-Urography (CTU).
Taa, a na-ejikarị CTU eme ihe n'inyocha ọrịa urological.
Kemgbe mmalite nke CT, a maara na X-ray spectra nke ike dị iche iche nwere ike ịmata ọdịiche dị n'etiti ihe ndị dị na ọnụọgụ atọm dị iche iche. Ọ bụ naanị na 2006 ka e tinyere ụkpụrụ a n'ọrụ nke ọma n'ọmụmụ ihe gbasara anụ ahụ mmadụ, nke mechara mee ka e webata usoro CT (DECT) ike abụọ mbụ n'ime omume ahụike kwa ụbọchị. DECT egosila ozugbo na ọ dabara adaba maka nyocha nke ọnọdụ ọrịa nke usoro urinary tract, site na mmebi ihe na calculi urinary ruo na nnabata iodine na ọrịa kansa urological.
uru
Usoro CT ọdịnala na-agụnyekarị onyonyo precontrast na multiphase postcontrast. Ihe nyocha CT nke oge a na-enye data volumetric nke enwere ike ịmegharị n'ọtụtụ planes na ọkpụrụkpụ mpekere dị iche iche, si otú a na-ejigide mma onyonyo dị mma. CT urography (CTU) na-adaberekwa na ụkpụrụ polyphasic, na-elekwasị anya na usoro "mmịpụta" mgbe ihe na-eme ihe dị iche batara na sistemụ nchịkọta na eriri afọ, nke bụ isi na-emepụta urogram IV nke nwere ọdịiche anụ ahụ ka mma nke ukwuu.
Oke
Ọ bụrụgodị na ihe onyonyo kọmputa nke e ji ihe dị iche mee bụ ihe a na-atụ anya ya maka onyonyo mbụ nke usoro mmamịrị, a ga-eleba anya n'ihe ndị dị n'ime ya. A na-ewere mkpughe radieshon na nsí nephrotoxicity dị ka nnukwu ihe ndọghachi azụ. Ibelata dose radieshon dị oke mkpa, ọkachasị maka ndị ọrịa na-eto eto.
Nke mbụ, a ga-atụlekarị usoro onyonyo ndị ọzọ dịka ultrasound na MRI. Ọ bụrụ na teknụzụ ndị a enweghị ike inye ozi achọrọ, a ga-eme ihe dịka usoro CT si dị.
A naghị ekwe ka a nwalee CT nke nwere mmetụta dị iche iche nye ndị nwere nsogbu ahụ n'ahụ ha na ihe ndị na-akpata nfụkasị ahụ na ndị nwere nsogbu akụrụ. Iji belata ọrịa nephropathy nke na-akpata nfụkasị ahụ, ekwesighi inye ndị nwere glomerular filtration rate (GFR) nke na-erughị 30 ml/min ka a ghara inye ha ihe ndị na-egosi ọdịiche n'ahụ ha na uru ha, a kwesịkwara iji ya nke ọma n'ime ndị nwere GFR dị n'etiti 30 ruo 60 ml/min na ndị ọrịa.
ỌDỊNỊHU
N'oge ọhụrụ nke ọgwụgwọ ziri ezi, ikike ịchọpụta data ọnụọgụgụ site na onyonyo redio bụ ihe ịma aka dị ugbu a na nke ga-abịa n'ọdịnihu. Lambin mepụtara usoro a, nke a maara dị ka rediomics, na 2012 ma dabere na echiche na onyonyo ahụike nwere njirimara ọnụọgụgụ nke nwere ike igosipụta pathophysiology dị n'okpuru anụ ahụ. Ojiji nke nnwale ndị a nwere ike imeziwanye mkpebi ahụike ma chọta oghere karịsịa na oncology, na-enye ohere, dịka ọmụmaatụ, inyocha gburugburu ebe obibi kansa na nhọrọ ọgwụgwọ metụtara ya. N'ime afọ ole na ole gara aga, emeela ọtụtụ ọmụmụ ihe na ojiji nke usoro a, ọbụlagodi na nyocha nke carcinoma urothelial, mana nke a ka bụ ihe nyocha.
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LnkMed bụ ụlọ ọrụ na-enye ngwaahịa na ọrụ maka ngalaba redio nke ụlọ ọrụ ahụike. Ọgwụ sirinji ndị a na-emepụta ma na-emepụta nke nwere nrụgide dị elu, gụnyereCT otu injector,CT injector isi abụọ,Ngwa MRI injectornaNgwa injector mgbasa ozi dị iche iche nke angiography, ereela ihe dị ka nkeji 300 n'ụlọ na mba ofesi, ha enwetawokwa otuto nke ndị ahịa. N'otu oge ahụ, LnkMed na-enyekwa agịga na ọkpọkọ nkwado dịka ihe oriri maka ụdị ndị a: Medrad, Guerbet, Nemoto, wdg, yana njikọ nrụgide dị mma, ihe nchọpụta ferromagnetic na ngwaahịa ọgwụ ndị ọzọ. LnkMed ekwerela mgbe niile na ịdị mma bụ isi ihe mmepe, ọ na-arụsikwa ọrụ ike inye ndị ahịa ngwaahịa na ọrụ dị elu. Ọ bụrụ na ị na-achọ ngwaahịa onyonyo ahụike, biko kpọtụrụ anyị ma ọ bụ kparịta ụka.
Oge ozi: Maachị-20-2024
