Citation:O'Regan, K. N., O'Connor, O. J., McLoughlin, P. and Maher, M. M. (2009) 'The Role of Imaging in the Investigation of Painless Hematuria in Adults', Seminars in Ultrasound, CT and MRI, 30(4), pp. 258-270. doi: 10.1053/j.sult.2009.03.006
The radiologic investigation of asymptomatic hematuria has changed significantly due to the introduction of new imaging modalities and innovative techniques, such as computed tomography urogaphy, which allows a comprehensive evaluation of the entire urinary tract in a single study. There is still a role for “older” imaging modalities, such as intravenous urography and ultrasound, and their use is still advocated in younger patients with a lower risk of malignancy to minimize radiation dose. Combined modality imaging can also be useful for characterization of lesions. Guidelines have recently been published for the radiologic investigation of hematuria; these are discussed in this article.
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