Survey of the Best Medical Imaging Techniques Applied to Detect Urological Pathologies: Case of Lebanese Health Sector

Christelle Francis, Jeanne Rita Youssef, Maria Elias, Victoria Saad, Roy Abi Zeid Daou
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Abstract

In recent years, medical imaging has made a huge progress in urology. Several diagnostic hypotheses are proposed after a clinical examination, and to select the right diagnosis, one calls upon the complementary examinations, and the imaging comes at first hand, playing a distinguished role. There are different imaging techniques that aid in the exploration of the urinary tract: KUB (Kidney, Ureter, Bladder) radiograph, ultrasound, IVU (IntraVenous Urography), Computed Tomography Urography (Uro-Scan) and Magnetic Resonance Urography (Uro-MRI). Due to the diversity of examinations that allow the diagnosis of different urinary pathologies, there is an importance and a responsibility to choose the most optimal radiological examination for diagnosis of the disease while ensuring the protection and the comfort of the patient during the examination. Thus, the aim of this work is to enquire about the technique used to detect the urological pathologies and to show the most adequate technique for each pathology. For that, a survey was conducted over radiologists, urologists as well as emergency physicians, in hospitals and medical centers, throughout the Lebanese territories. The results found can be summarized by the following points: (1) Uro-Scan is the technique that replaced the IVU, (2) there is a lack of knowledge, use and training on the Uro-MRI technique and (3) the optimal examination technique for almost all urological pathologies is the Uro-Scan.
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用于检测泌尿系统病理的最佳医学成像技术的调查:黎巴嫩卫生部门的案例
近年来,医学影像学在泌尿外科方面取得了巨大的进步。临床检查后提出几种诊断假设,为了选择正确的诊断,需要补充检查,影像学是第一手的,起着重要的作用。有不同的成像技术,以帮助探索尿路:KUB(肾,输尿管,膀胱)x线摄影,超声,IVU(静脉尿路摄影),计算机断层尿路摄影(尿路扫描)和磁共振尿路摄影(尿路mri)。由于检查的多样性,可以诊断不同的泌尿系统疾病,选择最优的放射检查来诊断疾病,同时确保检查期间患者的保护和舒适,这是非常重要和有责任的。因此,这项工作的目的是询问用于检测泌尿系统病理的技术,并为每种病理显示最适当的技术。为此,对黎巴嫩各地医院和医疗中心的放射科医生、泌尿科医生和急诊医生进行了调查。结果可以总结为以下几点:(1)尿路扫描是取代IVU的技术;(2)缺乏对尿路mri技术的认识、使用和培训;(3)几乎所有泌尿系统疾病的最佳检查技术是尿路扫描。
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