ROLE OF MRI IN THE DIAGNOSIS OF URETERAL OBSTRUCTION IN CANCER PATIENTS (LITERATURE REVIEW)
https://doi.org/10.21294/1814-4861-2017-16-3-86-91
Abstract
Complications related to the impairment of the urinary flow along the urinary tract in cancer patients are the important aspect in determining the treatment strategies for these patients. The level of ureteral obstruction is an especially important factor in diagnosis of this pathology. The excretory urography and computed tomography are effective tools in determining the level of ureteral obstruction, but their capabilities in identifying the causes of urodynamic disturbances in cancer patients are limited by the evaluation of the presence/absence of concrements. The magnetic resonance imaging (MRI) is considered as the safe alternative method. It is characterized by high tissue specificity and is able to detect not only the level of ureteral obstruction, but also the cause of its occurrence. It is especially important to note that even using contrast enhancement, MRI is a safe diagnostic tool, emitting no ionizing radiation. The MRI-based accurate diagnostic algorithm for this cohort of patients decreases the number of diagnostic procedures, especially the invasive ones. It provides opportunity to start etiological treatment earlier, thus safeguarding a kidney function.
About the Author
Y. E. Suraeva
N.N. Blokhin Russian Cancer Research Center, Ministry of Health of the Russian Federation, Moscow
Russian Federation
Russian Federation
Postgraduate
24, Kashirskoye shosse, 115478-Moscow
References
1. Christopher J.H., Nadir I.O., Christopher R. Current trends in urethral stricture management. Asian J Urol. 2014; 1 (1): 46–54.
2. Browne C., Davis N.F., Mac Craith E., Lennon G.M., Mulvin D.W., Quinlan D.M., Mc Vey G.P., Galvin D.J. A narrative review on the pathophysiology and management for radiation cystitis. Adv Urol. 2015; 2015: 346812. doi: 10.1155/2015/346812.
3. Borghese M., Corigliano N., Gabriele R., Antoniozzi A., Izzo L., Barbaro M., Caporale A. Benign schwannoma of the pelvic retroperitoneum. Report of a case and review of the literature. G Chir. 2000 May; 21 (5): 232–8.
4. Faba O.R., Gaya J.M., Breda A., Del Dago P.J., Pisano F., Salas D., Palou J. Resection of the Intramural Portion of the Distal Ureter During Transurethral Resection of Bladder Tumors: Predictive Factors for Secondary Stenosis and Development of Upper Urinary Tract Recurrence. J Urol. 2016; 196 (1): 52–56. doi: 10.1016/j.juro.2016.01.038.
5. Deng F., Liu X., Li Y., Zhou Y., Tang J., Tang Y., Dai Y. Ureteral obstruction by prostate cancer leads to spontaneous ureteric rupture: a case report. Int J Clin Exp Med. 2015; 8 (9): 16842–16844.
6. Smirnov Yu.A., Bogacheva T.M., Valeev R.G. Ultrasound diagnosis in assessing the local diagnosis of cervical cancer. Kazan Medical Journal. 2012; 93 (5): 735–738. [in Russian]
7. Kormosh N.G., Laktionov K.P. Surgical strategy for recurrence of ovarian cancer. Oncogynecology. 2014, 2: 17–26. [in Russian]
8. Davydov M.I. Statistics of malignant neoplasms in Russia and CIS countries in 2005. Bulletin of the Blokhin Cancer Research Center. 2006; 17 (3). Suppl. 1: 202. [in Russian]
9. Boiko V.V., Krivorot’ko I.V. 10-year experience of combined operations with locally advanced rectal cancer. International Medical Journal. 2009; 1: 50–57. [in Russian]
10. Moosavi B., Fasih N., Virmani V., Kielar A. Beyond ureterolithiasis: gamut of abnormalities affecting the ureter. Clin Imaging. 2016; 40 (4): 678–690. doi: 10.1016/j.clinimag.2016.01.003.
11. Song L., Xie M., Zhang Y., Xu Y. Imaging techniques for the diagnosis of male traumatic urethral strictures. J X-ray Sci Technol. 2013; 21 (1): 111–123. doi: 10.3233/XST-130358.
12. Papachristou F., Pavlaki A., Printza N. Urinary and serum biomarkers in ureteropelvic junction obstruction: a systematic review. Biomarkers. 2014; 19 (7): 531–40. doi: 10.3109/1354750X.2014.943292.
13. Stus’ V.P, Moiseenko N.N, Dubovskaya N.V. Long-term results of treatment of official ureteral lesions during gynecological and obstetric interventions. Ukrainian scientific and practical journal of urologists, andrologists and nephrologists, 2014; 18 (2): 11–19. [in Russian]
14. Klaipetch A., Namwongprom S., Ekmahachai M., Lojanapiwat B. Excretory urography and renal scintigraphy for chronic obstructed kidney: does nonopacity mean nonsalvageability? Singapore Med J. 2013; 54 (5): 267–270.
15. Esmaeili M., Esmaeili M., Ghane F., Alamdaran A. Comparison Between Diuretic Urography (IVP) and Diuretic Renography for Diagnosis of Ureteropelvic Junction Obstruction in Children. Iran J Pediatr. 2016 Feb; 26 (1): e4293. doi: 10.5812/ijp.4293.
16. Tzeng W.S., Wu R.H., Huang S.K.M., C.W., Liao A.C., Lin V.C. A comparison of pyelography and various reconstructions of multidetector helical computed tomography urography images for diagnosing urinary obstruction. Clin Imaging. 2012; 36 (6): 773–779. doi: 10.1016/j. clinimag.2011.11.015
17. Deng J., Lu X., Liu Y. Ectopic insertion of a duplicated ureter into prostatic urethra: Demonstration by 3D multi-detector computed tomography urography. Journal of X-ray science and technology. 2016; 24 (5): 661–664.
18. Juri H., Tsuboyama T., Kumano S., Inada Y., Koyama M., Azuma H., Narumi Y. Detection of bladder cancer: comparison of low-dose scans with AIDR 3D and routine-dose scans with FBP on the excretory phase in CT urography. Br J Radiol. 2016; 89 (1058): 20150495. doi: 10.1259/ bjr.20150495.
19. Park J.J., Park B.K., Kim C.K. Single-phase DECT with VNCT compared with three-phase CTU in patients with haematuria. Eur Radiol. 2016; 26 (10): 3550–57. doi: 10.1007/s00330-016-4206-9.
20. Moloney F., Murphy K.P., Twomey M., O'Connor O.J., Maher M.M. Haematuria: An Imaging Guide. Adv Urol. 2014; 2014: 414125. doi: 10.1155/2014/414125.
21. Sudah M., Masarwah A., Kainulainen S., Pitkänen M., Matikka H., Dabravolskaite V., Aaltomaa S., Vanninen R. Comprehensive MR Urography Protocol: Equally Good Diagnostic Performance and Enhanced Visibility of the Upper Urinary Tract Compared to Triple-Phase CT Urography. Plos one 2016; 11 (7): e0158673.
22. Sharma A., Sodhi K.S., Saxena A.K., Bhatia A., Menon P., Rao K.L., Khandelwal N. Comparison of intravenous urography and magnetic resonance urography in preoperative evaluation of pelvi-ureteric junction obstruction in children. J Indian Assoc Pediatr Surg. 2016; 21 (4): 169–174.
23. Çifçi E., Çoban G., Çiçek T., Gönülalan U. The diagnostic value of magnetic resonance urography using a balanced turbo field echo sequence. Eur Radiol. 2016; 26 (12): 4624–4631.
24. Roy C., Ohana M., Host P., Alemann G., Labani A., Wattiez A., Lang H. MR urography (MRU) of non-dilated ureter with diuretic administration: Static fluid 2D FSE T2-weighted versus 3D gadolinium T1- weighted GE excretory MR. Eur J Radiol Open. 2014; 6 (1): 6–13. doi: 10.1016/j.ejro.2014.08.001.
25. Childs D.D., Leyendecker J.R., Gianini J., Hall C. Contrastenhanced magnetic resonance urography at 3T: clinical feasibility. J Comput Assist Tomogr. 2013; 37 (1): 29–36. doi: 10.1097/ RCT.0b013e3182711fd9
26. Boss A., Martirosian P., Fuchs J., Obermayer F., Tsiflikas I., Schick F., Schäfer J.F. Dynamic MR urography in children with uropathic disease with a combined 2D and 3D acquisition protocol--comparison with MAG3 scintigraphy. Brit J Radiol. 2014; 87 (1044): 20140426. doi: 10.1259/bjr.20140426
27. Leyendecker J.R., Barnes C.E., Zagoria R.J. Urography: Techniques and Clinical Applications. Radiographics. 2008 Jan-Feb; 28 (1): 23–46. doi: 10.1148/rg.281075077.
28. Sudah M., Vanninen R., Partanen K., Heino A., Vainio P., AlaOpas M. MR urography in evaluation of acute flank pain: T2-weighted sequences and gadolinium-enhanced three-dimensional FLASH compared with urography. AJR Am J Roentgenol 2001; 176: 105–112.
29. Shokeir A.A., El-Diasty T., Eassa W., Mosbah A., Mohsen T., Mansour O., Dawaba M., El-Kappany H. Diagnosis of noncalcareous hydronephrosis: role of magnetic resonance urography and noncontrast computed tomography. Urology. 2004; 63: 225–229.
Review
For citations:
Suraeva Y.E. ROLE OF MRI IN THE DIAGNOSIS OF URETERAL OBSTRUCTION IN CANCER PATIENTS (LITERATURE REVIEW). Siberian journal of oncology. 2017;16(3):86-91. (In Russ.) https://doi.org/10.21294/1814-4861-2017-16-3-86-91
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