INTRAVENOUS UROGRAM OR INTRAVENOUS PYELOGRAMThis presentation covers in detail about the anatomy, patient preparation, procedure and pathologies.
It contains lots of images and timings for imaging.
you can look into this presentation for more ideas about IVU/ IVP.
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Ivu is a radiological investigation for visualization and assessment of the urinary tract.This presentation covers brief anatomy of urinary tract, indication and contraindication,contrast media dose and administration, routine and modified ivu procedure,its complication,ctivu and some abnormalities in the urinary tract.
Ivu is a radiological investigation for visualization and assessment of the urinary tract.This presentation covers brief anatomy of urinary tract, indication and contraindication,contrast media dose and administration, routine and modified ivu procedure,its complication,ctivu and some abnormalities in the urinary tract.
Learn Barium Meal & Follow Through for the beginners from a Radiology Resident.For some image description please go through the text book "David Sutton" because i have described these image during my presentation Verbally..There are many animations used inside this presentation so to see all the pictures which are placed layer by layer with the help of animations you simple need to download this presentation first.... Thanx.
Barium meal ppt presentation is very important for radiology resident , radiologist and radiographers. this slide contents lots of barium image and technique, position, indication and modification and lots of information. this presentation help alot thanks .
Venography is a radiological procedure for the evaluation of the veins by the help of intravenous radiological contrast media. It is also known as phlebography. Contrast venography is the gold standard for judging diagnostic imaging methods for deep venous thrombosis; although, because of its cost, invasiveness, the increased sensitivity of sonography to demonstrate pathology and other limitations this test is rarely performed.
An IVU (Intravenous Urography) is an x-ray of your urinary tract (consisting of kidneys, ureters and bladder) following an injection of a clear dye called contrast into a vein in your arm.
The pictures produced are called intravenous urograms (IVU) or intravenous pyelograms (IVP).
A series of x-rays are taken of the abdomen at various time intervals. This usually takes up to an hour, but occasionally it may be necessary to take additional delayed images, which may continue for several hours.
Routine IVP[edit]
This procedure is most common for patients who have unexplained microscopic or macroscopic hematuria. It is used to ascertain the presence of a tumour or similar anatomy-altering disorders. The sequence of images is roughly as follows:
plain or Control KUB image;
immediate X-ray of just the renal area;
5 minute X-ray of just the renal area.
15 minute X-ray of just the renal area.
At this point, compression may or may not be applied (this is contraindicated in cases of obstruction).
In pyelography, compression involves pressing on the lower abdominal area, which results in distension of the upper urinary tract.[1]
If compression is applied: a 10 minutes post-injection X-ray of the renal area is taken, followed by a KUB on release of the compression.
If compression is not given: a standard KUB is taken to show the ureters emptying. This may sometimes be done with the patient lying in a prone position.
A post-micturition X-ray is taken afterwards. This is usually a coned bladder view.
Image Assessment[edit]
Learn Barium Meal & Follow Through for the beginners from a Radiology Resident.For some image description please go through the text book "David Sutton" because i have described these image during my presentation Verbally..There are many animations used inside this presentation so to see all the pictures which are placed layer by layer with the help of animations you simple need to download this presentation first.... Thanx.
Barium meal ppt presentation is very important for radiology resident , radiologist and radiographers. this slide contents lots of barium image and technique, position, indication and modification and lots of information. this presentation help alot thanks .
Venography is a radiological procedure for the evaluation of the veins by the help of intravenous radiological contrast media. It is also known as phlebography. Contrast venography is the gold standard for judging diagnostic imaging methods for deep venous thrombosis; although, because of its cost, invasiveness, the increased sensitivity of sonography to demonstrate pathology and other limitations this test is rarely performed.
An IVU (Intravenous Urography) is an x-ray of your urinary tract (consisting of kidneys, ureters and bladder) following an injection of a clear dye called contrast into a vein in your arm.
The pictures produced are called intravenous urograms (IVU) or intravenous pyelograms (IVP).
A series of x-rays are taken of the abdomen at various time intervals. This usually takes up to an hour, but occasionally it may be necessary to take additional delayed images, which may continue for several hours.
Routine IVP[edit]
This procedure is most common for patients who have unexplained microscopic or macroscopic hematuria. It is used to ascertain the presence of a tumour or similar anatomy-altering disorders. The sequence of images is roughly as follows:
plain or Control KUB image;
immediate X-ray of just the renal area;
5 minute X-ray of just the renal area.
15 minute X-ray of just the renal area.
At this point, compression may or may not be applied (this is contraindicated in cases of obstruction).
In pyelography, compression involves pressing on the lower abdominal area, which results in distension of the upper urinary tract.[1]
If compression is applied: a 10 minutes post-injection X-ray of the renal area is taken, followed by a KUB on release of the compression.
If compression is not given: a standard KUB is taken to show the ureters emptying. This may sometimes be done with the patient lying in a prone position.
A post-micturition X-ray is taken afterwards. This is usually a coned bladder view.
Image Assessment[edit]
A presentation about Intravenous Urography (Also known as Intravenous Pyeography).
The presentation contains 41 slides, and is divided into 4 parts :
1 - Introduction.
2 - The procedure.
3 - Examples for abnormal findings.
4 - Studies comparing IVU accuracy with KUB & USG with CT Scan.
This presentation was prepared and presented by me in the tutorials of the Radiology Department of Sebha Medical Center.
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Prepare a presentation or a paper using research, basic comparative analysis, data organization and application of economic information. You will make an informed assessment of an economic climate outside of the United States to accomplish an entertainment industry objective.
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2. INTRAVENOUS UROGRAM
• Intravenous means the mode of
injecting contrast media through
vein.
• Urogram is the study of visualizing
kidney , ureters, bladder etc by
introducing contrast material.
3. HISTORY
• He developed a technique
in which a contrast
medium, UROSELECTAN
was injected into the
blood stream to see
kidneys, ureters and
bladder.
Dr. Moses Swick, American physician
and professor of urology.
4. What is Contrast media ??
• Radiographic contrast media are a type of contrast
material used to improve the visibility of internal
structures.
• Radiographic contrast medium are typically iodine or
barium.
5. KIDNEY ANATOMY
• The kidneys are paired retroperitoneal
structures.
• That are normally located between
T12-L3 vertebrae.
• Left kidney typically superior in
position than the right.
• The upper poles are normally oriented
more medially and posteriorly than the
lower poles.
13. PATIENT PREPARATION
• Bowel should be prepared with help of
laxatives and gas absorbers.
• Lab report values should be checked
before giving appointment.
• Clinical complaints should be asked.
14. PROCEDURE
POINTS FOR CONSIDERATION
• 1. Urinary bag to be clamped in catheterized patients..
• 2. Vaginal pack to be given for women with VUF before
injecting contrast.
15. PROCEDURE
• Informed Consent is to be obtained
• Procedure should be clearly explained to
the patient.
• Patient is asked to void before starting the
procedure.
• IV puncture is given using venflon
(18G-24G).
• Abdomen KUB scout film is taken in supine.
17. PROCEDURE
• Check the patency of the line by
flushing 10ml normal saline to
check the flow.
• Slowly the Contrast should be
injected to the patient.
• The patient should be frequently
asked for any allergic response or
any discomforts.
18. PROCEDURE
• A 5 mins film is taken in supine
after giving contrast.
19. PROCEDURE
• A 5 mins film is taken in supine
after giving contrast.
• Then following 10,15,20 mins
films are taken in same supine
position.
20. PROCEDURE
• A 5 mins film is taken in supine
after giving contrast.
• Then following 10,15,20 mins
films are taken in same supine
position.
21. PROCEDURE
• A 5 mins film is taken in supine
after giving contrast.
• Then following 10,15,20 mins
films are taken in same supine
position.
• 30 mins film is taken in prone
position.
22. PROCEDURE
• A 5 mins film is taken in supine
after giving contrast.
• Then following 10,15,20 mins
films are taken in same supine
position.
• 30 mins film is taken in prone
position.
• Then a full bladder is taken.
23. PROCEDURE
• Following post void is taken to
see the residual urine in the
bladder.
• Delayed film has to be taken
by upto 24 hrs incase of
obstructive uropathy.
24. FILM FORMAT
• To concise we take
• Scout AP
• 5 mins film
• 10 mins film SUPINE
• 20 mins film
• 30 mins film – Prone
• If necessary oblique views.
36. AFTER CARE
• Patient is asked to drink lot of water.
• Anti-allergic and antihistaminic drugs are given to the
patient if complains of any allergy.
37. PARAMETERS
VIEW kV mA mAs
AP 80-90 200 20-25
OBLIQUE 85-90 200 30-40
VIEW kV mA mAs
AP 70-80 1-2 2-3
OBLIQUE 85-90 1-2 2-4
He pioneered techniques for taking X-rays of the kidney, bladder and urinary tract.
In the late 1920's, He developed a technique in which a contrast medium, Uroselectan was injected into the bloodstream which stood out in X-ray photographs.
