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Clinic of Pediatric Surgery and Oncology, Medical University of Lodz Tutors: Zbigniew Jankowski M.D., Ph.D., Janusz Jaboski M.D., Ph.D., Magorzata Lewandowska M.D Clinic Manager: Andrzejewska Ewa, Prof. PhD Barbara Popek, Joanna Pietrzyk

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Uro CT Investigation of: Pathological changes in urinay tract Progression of changes Evaluation of other organs 3D reconstructions

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Children are not small adults. A debate about use of uro CT in children is still current. https://www.google.pl/search

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Limitations: Greater harmfulness of X-ray in children The need for general anesthesia in babies Intravenously administred contrast

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1) M. Riccabona, F. E. Avni and co-authors Pediatr Radiol (2010) 40:13151320 ESPR uroradiology task force and ESUR paediatric working group: imaging and procedural recommendations in paediatric uroradiology, part III. Minutes of the ESPR uroradiology task force minisymposium on intravenous urography, uro-CT and MR-urography in childhood 2) M. Riccabona, F. E. Avni, M.B. Damasioand with co-authors Pediatr Radiol (2012) 42:12751283 ESPR Uroradiology Task Force and ESUR Paediatric Working GroupImaging recommendations in paediatric uroradiology, Part V: childhood cystic kidney disease, childhood renal transplantation and contrast-enhanced ultrasonography in children 3) M.B. Damasio, K. Darge, M. Riccabona European Journal of Radiology (2012) Multi-detector CT in the paediatric urinary tract 4) M.P.Hiorns Urol Clin North Am. 2010 May; 37(2): 307-18 Imaging of the urinary tract: the role of CT and MRI 5 ) E. Sorantin, S. Weissensteiner, G. Hasenburger, M. Riccabona European Journal of Radiology(2012) CT in children dose protection and general considerations when planning a CT in a child

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Aim Analysis of cases difficult in terms of the diagnostic, in which uro- CT was used

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Case 1 9-year old boy Polytrauma USG subcapsular hematoma of spleen?

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Case 1, Uro CT

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Case 1, uro CT

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Case 2 14-year old girl Nocturnal and daytime enuresis USG right kidney: normal calices and renal pelvis, blurred shape of upper polar

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Case 2, uro CT

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Case 3 15-year old boy Right-side hydronephrosis and subpelvical obstruction of the ureter (diagnosis by USG, cystography, urography, renoscyntygraphy) Postponed operation other imaging studies

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Case 3, uro CT

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Conclusions CT urography is useful method for evaluation of the urinary tract The necessity of reducing radiation exposure from medical imaging is to determine the role of uro-CT in the diagnosis of pediatric patients.

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Wiem obrazek (znajdzie si)