Department of Radiology, University Hospital of Rouen, 1 rue de Germont, Rouen, 76031, France.
Pediatr Radiol. 2010 May;40(5):732-8. doi: 10.1007/s00247-009-1538-5. Epub 2010 Feb 25.
MR urography (MRU) has been widely accepted as a substitute to intravenous urography for investigating children with a dilated urinary tract after preliminary assessment by US and voiding cystourethrography. Hydronephrosis is by far the main indication for MRU because upper tract dilatation is a frequent condition in infants and children. Recent advances in technology have allowed MR to go beyond morphology and to assess renal function parameters such as split renal function and drainage. In this article we report our routine practice of the F0 MRU technique. The main advantages of our protocol are no requirement for general anaesthesia, no bladder catheterization, use of low-dose gadolinium-based contrast agent (0.05-0.1 mmol/kg) and total acquisition time of 30 min or less.
磁共振尿路成像(MRU)已被广泛接受,可替代静脉尿路造影,用于经超声和排尿性膀胱尿道造影初步评估后存在尿路扩张的患儿。肾积水是迄今为止进行 MRU 的主要适应证,因为上尿路扩张是婴儿和儿童的常见情况。最近技术的进步使得磁共振成像超越了形态学,可以评估肾功能参数,如分肾功能和引流。本文报告了我们常规使用的 F0 MRU 技术。我们方案的主要优势是不需要全身麻醉,无需导尿,使用低剂量钆基造影剂(0.05-0.1mmol/kg),总采集时间为 30 分钟或更短。