Direct Cystography Normal Images, Prepared by Dr Isabel Berrocal (Costa Rica).
Female 6 year old, due to UTI underwent direct cystography. Bladder filling and emptying study showed activity within normal limits. With little residual volume. No VUR was noted.
Direct isotope cystography allows the evaluation of vesicoureteral reflux. it does require bladder catheterization, but it is more sensitive than indirect cystography and similarly to radiological cystography. Compared to the latter it yields less radiation dose.
INDICATIONS:
1) Vesicoureteral reflux monitoring.
2) Bladder emptying assessment
References:
D'Errico G. The role of nuclear medicine in evaluation of vesicoureteral reflux and/or reflux nephropathy. Rays. 2002 Apr-Jun;27(2):149-54.
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