par Struyven, Julien ;Osteaux, Michel Jean ;Huvenne, Raymond
Référence Journal belge de radiologie, 60, 3, page (281-287)
Publication Publié, 1977
Article révisé par les pairs
Résumé : The accuracy of CT in the detection of renal pathology is evaluated in 100 patients out of which 13 patients had normal kidneys and 69 had renal masses. Most patients were referred to CT because of IVP abnormalities. Investigations are performed using an Ohio Nuclear Delta Scan which obtains two simultaneous 13 mm thickness slides in 2 min 30 sec. Patients are scanned in dorsal decubitus and motion artifacts are reduced by administration of Glucagon. A first series of sections is repeated after IV injection of contrast media. Diagnostic criteria and normal anatomy are described. The results were compared with operative findings, punctures or clinical evidence. A review of CT findings in renal neoplasm, cysts, hydrophrenosis, inflammatory parenchymal lesions and other pathological processes is given. A diagnostic accuracy of nearly 90% for CT was observed, which is excellent when compared with ultrasound and selective renal arteriography. This non-invasive technique can obviate the need for arteriography in a significant number of morphological diseases of the kidney and even appreciate the extent of lesions of neoplastic processes.