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254385

Role of magnetic resonance urography delayed sequence in assessment of ureteric spasm.

Article

Last updated: 04 Jan 2025

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Abstract

Background: MRU is an excellent technique for the evaluation of the entire urinary tract. The aim of the study is to assess the capability of delayed sequence of MRU to distinguish between transient ureteric spasm that caused by ureteric peristalsis and ureteric stricture. Patients and Methods: The study carried on patients who referred for MRU examination.30 patients 15 males and 15 females. Adding multiple delayed sequential T2 coronal as well as sagittal fat suppressed single shot fast spin echo images after 2 ,4 or more minutes for visualization of the entire ureter and distinguish between transient ureteric spasm and fixed pathological stricture. Result : As regard ureteric spasm that caused by normal peristaltic movements, 36,7% of the examined cases (11 patients) showed relived spasm in the subsequent images repeated after 2 minutes ,while 43.3% (13 cases) showed relived spasm in the images repeated after more than 2 minutes. As regard pathological spasm 20% of cases (6 patients) had fixed true strictures which not relieved in the subsequent delayed images. Conclusion: T2-weighted MRU with multiple delayed sequence images is sufficient to identify all segments of the non-dilated ureter. It offers information on ureteral peristalsis and is able to distinguish between transient ureteric spasm due to peristalsis rather than the fixed pathological stricture. By adding multiple T2 fat suppressed single shot fast spin echo sequences after 2 ,4 or more minutes so, all ureteric segments could be visualized and the entire ureteric course could be evaluated .

DOI

10.21608/bmfj.2022.100082.1497

Keywords

MRU, ureteric peristalsis, Ureter

Authors

First Name

Hesham

Last Name

Elshiekh

MiddleName

-

Affiliation

Radiology, medicine, benha university, benha, egypt

Email

elshiekh.hesham@yahoo.com

City

-

Orcid

-

First Name

Eman

Last Name

Fathy

MiddleName

-

Affiliation

Diagnostic and interventional radiology Faculty of medicine Benha University

Email

emanfathy31183@gemil.com

City

-

Orcid

-

First Name

Israa

Last Name

Gahab

MiddleName

-

Affiliation

MBBCH

Email

israadahab2@gmail.com

City

-

Orcid

-

Volume

40

Article Issue

Special issue (Radiology)

Related Issue

42302

Issue Date

2023-07-01

Receive Date

2021-10-08

Publish Date

2023-07-01

Page Start

23

Page End

31

Print ISSN

1110-208X

Online ISSN

2357-0016

Link

https://bmfj.journals.ekb.eg/article_254385.html

Detail API

https://bmfj.journals.ekb.eg/service?article_code=254385

Order

3

Type

Original Article

Type Code

787

Publication Type

Journal

Publication Title

Benha Medical Journal

Publication Link

https://bmfj.journals.ekb.eg/

MainTitle

Role of magnetic resonance urography delayed sequence in assessment of ureteric spasm.

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Type

Article

Created At

24 Dec 2024