Abstract Archives of the RSNA, 2014
PDE146
Renal Pelvic Dilatation (RPD): Normal or Abnormal?
Education Exhibits
Presented in 2014
Certificate of Merit
Melkamu Dessie Adeb MD, Presenter: Nothing to Disclose
Jeanne S. Chow MD, Abstract Co-Author: Nothing to Disclose
Dana Spergel Schwartz MD, Abstract Co-Author: Nothing to Disclose
Kassa Darge MD, PhD, Abstract Co-Author: Nothing to Disclose
• Discuss optimal evaluation methods for renal pelvic dilation (RPD) on postnatal imaging.
• Discuss the value of renal pelvis antero-posterior diameter (APD) in imaging evaluation of RPD.
• Discuss factors influencing evaluation of RPD.
• Discuss the role of renal pelvis APD and alternative methods such as the hydronephrosis index (HI) in evaluation of RPD and in guiding management decisions such as performing pyeloplasty.
Imaging findings in RPD
Sample cases from US, IVP, MRU, fMRU
Renal pelvis APD: is there a “cut off” between normal and obstructed?
Factors affecting evaluation of RPD:
Technique
Timing of examination
Hydration status
Bladder filling
Patient positioning
Alternative methods of RPD evaluation
Grading systems of fetal/neonatal hydronephrosis and RPD
Postnatal imaging:
Choice of imaging modality
Three factors affecting choice of imaging modality:
- Evaluation of morphology
- Evaluation of function
- Evaluation of reflux
http://abstract.rsna.org/uploads/2014/14016044/14016044_539h.pdf
Adeb, M,
Chow, J,
Schwartz, D,
Darge, K,
Renal Pelvic Dilatation (RPD): Normal or Abnormal?. Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL.
http://archive.rsna.org/2014/14016044.html