MRI Evaluation of the Urothelial Tract: Pitfalls and Solutions

AJR Am J Roentgenol. 2016 Dec;207(6):W108-W116. doi: 10.2214/AJR.16.16348. Epub 2016 Sep 9.

Abstract

Objective: MR urography (MRU) can be an alternative to CT urography (CTU) for imaging of the kidneys, urinary bladder, and collecting systems. MRU can be a challenging examination to perform and interpret, which may result in technical and interpretive errors being made. This article highlights the pitfalls associated with MRU and discusses how to recognize and avoid them.

Conclusion: When performed properly, MRU may provide imaging quality generally comparable to that of CTU, and it enables comprehensive evaluation of the entire urinary tract.

Keywords: MR urography; MRI; gadolinium; kidney; urinary bladder.

Publication types

  • Review

MeSH terms

  • Diagnosis, Differential
  • Diagnostic Errors / prevention & control*
  • Evidence-Based Medicine
  • Humans
  • Image Enhancement / methods*
  • Magnetic Resonance Imaging / methods*
  • Patient Positioning / methods*
  • Reproducibility of Results
  • Sensitivity and Specificity
  • Urinary Tract / diagnostic imaging*
  • Urinary Tract / pathology
  • Urologic Diseases / diagnostic imaging*
  • Urologic Diseases / pathology