Authors: Dieter H Szolar Manfred Tillich Klaus W Preidler
Publish Date: 2010/04/10
Volume: 20, Issue: 9, Pages: 2146-2152
Abstract
A total of 192 patients were assigned to different protocols with varying doses of contrast agent with and without oral hydration The attenuation was measured in the renal parenchyma in the unenhanced nephrographic and excretory phase and in the urinary tract in excretory phase imaging respectively Opacification of the urinary tract was graded on volume rendered imagesOral hydration did not significantly alter renal parenchymal enhancement in both the nephrographic and the excretory phase p 0001 but significantly decreased mean attenuation of the urinary tract in the excretory phase p ≤ 0001 and improved continuous opacification of all ureter segments p 001 Higher volumes of contrast medium improved renal parenchymal enhancement p ≤ 0001 and continuous opacification of the urinary tract p ≤ 001Oral hydration leads to lower attenuation values in the urinary tract but improves the continuous opacification of the tract Increase in contrast medium volume leads to higher renal parenchymal enhancement as well as to an increased continuous opacification of the urinary tract Decrease in contrast medium volume cannot be compensated for by oral hydration in terms of parenchymal enhancement
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