Nephrographic and pyelographic analysis of CT urography: principles, patterns, and pathophysiology

AJR Am J Roentgenol. 2013 Jun;200(6):1210-4. doi: 10.2214/AJR.12.9691.

Abstract

Objective: Careful analysis of the nephrogram is an integral component of the evaluation of the kidneys during CT urography. This is a review of the anatomy and physiology required to produce a normal nephrogram, as well as the basic principles affecting the interpretation of the nephrogram.

Conclusion: The eight abnormal nephrographic patterns will be illustrated and discussed. This review will enable the reader to recognize and understand the abnormal nephrographic patterns encountered in practice.

Publication types

  • Review

MeSH terms

  • Contrast Media
  • Diagnosis, Differential
  • Humans
  • Kidney Diseases / diagnostic imaging*
  • Kidney Diseases / physiopathology*
  • Radiographic Image Interpretation, Computer-Assisted / methods*
  • Tomography, X-Ray Computed / methods*
  • Urography / methods*

Substances

  • Contrast Media