Elkin M
Department of Radiology, Albert Einstein College of Medicine, Bronx, NY 10461.
Radiology. 1990 May;175(2):297-306. doi: 10.1148/radiology.175.2.2183276.
For much of its history, uroradiology was dominated by the urologists. At the birth of the Radiological Society of North America, retrograde pyelography was well established. The major actors in the discovery of intravenous urography were urologists. Despite the availability of urography, the preeminence of retrograde pyelography was initially maintained because of its superior demonstration of the pelvicalyceal system. Selective renal angiography, high-dose intravenous urography, and nephrotomography provided excellent radiologic means for study of the renal parenchyma and put radiologists firmly in charge of uroradiology, a position further strengthened by the advent of ultrasonography and computed tomography.
在其发展历程的大部分时间里,泌尿放射学一直由泌尿科医生主导。北美放射学会成立之初,逆行肾盂造影术已相当成熟。静脉肾盂造影术的发现,主要参与者是泌尿科医生。尽管有了肾盂造影术,但逆行肾盂造影术因其对肾盂肾盏系统的出色显示,最初仍占据主导地位。选择性肾血管造影、大剂量静脉肾盂造影和肾断层摄影术为研究肾实质提供了出色的放射学手段,使放射科医生牢牢掌控了泌尿放射学,超声检查和计算机断层扫描的出现进一步巩固了这一地位。