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Cornerstones of CT urography: a shared document by the Italian board of urogenital radiology

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Abstract

CT urography is a single term used to refer to different scanning protocols that can be applied for a number of clinical indications. If, on the one hand, this highlights the role of the radiologist in deciding the most suitable technique to perform according to the patient’s needs, on the other hand, a certain confusion may arise due to the different technical and clinical variables that have to be taken into account. This has been well demonstrated by a previous work based on an online questionnaire administered to a population of Italian radiologists that brought out similarities as well as differences across the national country. Defining precise guidelines for each clinical scenario, although desirable, is a difficult task to accomplish, if not even unfeasible. According to the prementioned survey, five relevant topics concerning CT urography have been identified: definition and clinical indications, opacification of the excretory system, techniques, post-processing reconstructions, and radiation dose and utility of dual-energy CT. The aim of this work is to deepen and share knowledge about these main points in order to assist the radiology in the daily practice. Moreover, a synopsis of recommendations agreed by the Italian board of genitourinary imaging is provided.

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Funding

The authors declare that they did not receive any funding for this work and they have no conflict of interest.

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Authors and Affiliations

  1. Section of Radiological Sciences, Department of Biomedical Sciences and Morphological and Functional Imaging, University of Messina, Policlinico “G. Martino”, Via Consolare Valeria, 1, 98100, Messina, Italy

    Giorgio Ascenti & Giuseppe Cicero

  2. Diagnostic and Interventional Radiology Department, IRCCS Ospedale San Raffaele-Turro, Università Vita-Salute San Raffaele, Milan, Italy

    Gianpiero Cardone

  3. Department of Emergency Radiology, Careggi University Hospital, Florence, Italy

    Elena Bertelli & Vittorio Miele

  4. Complex Unit of Radiology, Department of Diagnostic and Interventional Radiology, Azienda Socio Sanitaria Territoriale (ASST) Lodi, Lodi, Italy

    Maurizio Papa & Antonio Pio Francioso

  5. Radiology Department, San Giovanni Di Dio E Ruggi D’Aragona Hospital, Salerno, Italy

    Vincenzo Ciccone

  6. Radiology Unit, San Salvatore Hospital, L’Aquila, Italy

    Rosa Manetta

  7. Unit of Diagnostic Imaging, Department of Radiological Sciences, Azienda Ospedaliero-Universitaria Senese, “Santa Maria Alle Scotte” General Hospital, Viale Mario Bracci, 16, Siena, 53100, Italy

    Francesco Gentili

  8. Unit of Diagnostic Imaging, Department of Medical, Surgical and Neuro Sciences and of Radiological Sciences, University of Siena, Azienda Ospedaliero-Universitaria Senese, Siena, Italy

    Maria Antonietta Mazzei

  9. Department of Radiological Sciences, Ospedali Riuniti Ancona, Università Politecnica Delle Marche - University Hospital, Via Tronto 10, 60126, Ancona, Italy

    Chiara Floridi & Andrea Giovagnoni

  10. Department of Life, Health and Environmental Sciences, University of L’Aquila, 67100, L’Aquila, Italy

    Ernesto Di Cesare

  11. Diagnostic Imaging Department, Villa Scassi Hospital-ASL 3, Corso Scassi 1, Genoa, Italy

    Nicoletta Gandolfo

  12. University of Parma, Parma Hospital, Via Gramsci 14, 43126, Parma, Italy

    Massimo De Filippo

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  1. Giorgio Ascenti
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Correspondence to Giuseppe Cicero.

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Ascenti, G., Cicero, G., Cardone, G. et al. Cornerstones of CT urography: a shared document by the Italian board of urogenital radiology. Radiol med 128, 601–611 (2023). https://doi.org/10.1007/s11547-023-01623-8

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