Imashusho ya radiologiya ningirakamaro kugirango yuzuze amakuru yubuvuzi no gushyigikira urologiste mugushiraho imiyoborere ikwiye y’abarwayi. Muburyo butandukanye bwo gufata amashusho, computing tomografiya (CT) kuri ubu ifatwa nkigipimo ngenderwaho mugusuzuma indwara zifata urologiya kubera kuboneka kwinshi, igihe cyo gusikana vuba, no gusuzuma neza. By'umwihariko, CT urography.
AMATEKA
Mu bihe byashize, urography yo mu mitsi (IVU), nanone yiswe “gusohora urography” na / cyangwa “pyelography yo mu maraso,” yakoreshwaga mbere na mbere mu gusuzuma inzira y'inkari. Tekinike ikubiyemo radiografi yambere isanzwe ikurikirwa no guterwa inshinge ziva mumashanyarazi (1.5 ml / kg uburemere bwumubiri). Nyuma, urukurikirane rwamashusho ruboneka mugihe cyihariye. Inzitizi nyamukuru zubu buhanga zirimo gusuzuma ibipimo bibiri no kubura isuzuma rya anatomiya yegeranye.
Nyuma yo gutangiza tomografi yabazwe, IVU yakoreshejwe cyane.
Ariko, gusa mu myaka ya za 90, hamwe nogukoresha tekinoroji ya tekinike, ibihe byo gusikana byihuta cyane kuburyo ahantu hanini h'umubiri, nko munda, hashobora kwigwa mumasegonda. Hamwe n’ikoranabuhanga rya disiketi nyinshi mu myaka ya za 2000, imyanzuro y’ahantu yaravuguruwe, bituma hamenyekana urotelium yo mu gice cyo hejuru cy’inkari n’uruhago, maze hashyirwaho CT-Urography (CTU).
Muri iki gihe, CTU ikoreshwa cyane mu gusuzuma indwara zifata urologiya.
Kuva mu minsi ya mbere ya CT, birazwi ko X-ray yerekana imbaraga zitandukanye zishobora gutandukanya ibikoresho byimibare itandukanye. Mu 2006 ni bwo iri hame ryakoreshejwe neza mu kwiga inyama z'umuntu, amaherezo biganisha ku kwinjiza sisitemu ya mbere y’ingufu ebyiri CT (DECT) mu bikorwa by’ubuvuzi bwa buri munsi. DECT yahise yerekana ko ibereye gusuzuma isuzuma ryimiterere yinkari zinkari, kuva kumeneka ryibintu muri calculine yinkari kugeza gufata iyode mungaruka mbi za urologiya.
inyungu
Gakondo ya CT protocole mubisanzwe irimo precontrast na multiphase amashusho ya postcontrast. Scaneri ya kijyambere ya CT itanga amakuru yububiko bushobora kongera kubakwa mu ndege nyinshi kandi hamwe nuburinganire bwibice, bityo bikagumana ubwiza bwibishusho. CT urography (CTU) nayo yishingikiriza ku ihame rya polifasike, yibanda ku cyiciro cya "gusohora" nyuma yuko umukozi utandukanye amaze kuyungurura muri sisitemu yo gukusanya no mu ruhago, cyane cyane agakora urogramu ya IV hamwe no gutandukanya ibice bitandukanye.
LIMIT
Nubwo itandukaniro-ryongerewe imbaraga ryabazwe tomografiya nigipimo ngenderwaho cyo kwerekana amashusho yambere yinkari, imbogamizi zigomba gukemurwa. Imirasire hamwe no gutandukanya nephrotoxicity bifatwa nkibibi bikomeye. Kugabanya imishwarara yimirasire ni ngombwa cyane, kubarwayi bakiri bato.
Ubwa mbere, ubundi buryo bwo gufata amashusho nka ultrasound na MRI bigomba guhora bisuzumwa. Niba tekinoroji idashobora gutanga amakuru asabwa, hagomba gufatwa ingamba kuri protocole ya CT.
Isuzuma ryongerewe imbaraga rya CT ryandujwe ku barwayi allergique ya radiocontrast hamwe n’abarwayi bafite imikorere mibi yimpyiko. Kugirango ugabanye nepropatique iterwa no gutandukana, abarwayi bafite igipimo cyo kuyungurura isi (GFR) kiri munsi ya 30 ml / min ntibagomba guhabwa itangazamakuru ritandukanye batabanje gusuzuma neza ingaruka nibyiza, kandi bigomba gukoreshwa ubwitonzi kubarwayi bafite GFR murwego 30 kugeza 60 ml / min mu barwayi.
Ejo hazaza
Mubihe bishya byubuvuzi busobanutse, ubushobozi bwo kumenya amakuru yumubare uva mumashusho ya radiologiya nikibazo kiriho nigihe kizaza. Ubu buryo buzwi ku izina rya radiomics, bwahimbwe bwa mbere na Lambin mu mwaka wa 2012 kandi bushingiye ku gitekerezo kivuga ko amashusho y’amavuriro arimo ibintu byinshi bishobora kwerekana imiterere y’imiterere y’imitsi. Gukoresha ubu bushakashatsi bishobora guteza imbere gufata ibyemezo byubuvuzi no kubona umwanya cyane cyane muri onkologiya, bigatuma, urugero, gusuzuma mikorobe ya kanseri no guhindura uburyo bwo kuvura. Mu myaka mike ishize, ubushakashatsi bwinshi bwakozwe ku ikoreshwa ryubu buryo, ndetse no mu gusuzuma kanseri ya urothelia, ariko ibyo biracyari uburenganzira bw’ubushakashatsi.
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LnkMed itanga ibicuruzwa na serivisi kubijyanye na radiologiya yinganda zubuvuzi. Itandukaniro rinini ryumuvuduko ukabije wa siringi yatejwe imbere kandi ikorwa nisosiyete yacu, harimoCT inshinge imwe,CT inshinge ebyiri,Injiza ya MRInaangiografiya itandukanye itangazamakuru, yagurishijwe kugeza kuri 300 mu gihugu no hanze yacyo, kandi yatsindiye ishimwe ryabakiriya. Muri icyo gihe, LnkMed itanga kandi inshinge zifasha hamwe nigituba nkibikoreshwa mubirango bikurikira: Medrad, Guerbet, Nemoto, nibindi, hamwe ningutu zingutu, ibyuma bya ferromagnetic nibindi bicuruzwa byubuvuzi. LnkMed yamye yemera ko ubuziranenge aribwo shingiro ryiterambere, kandi yagiye ikora cyane kugirango itange abakiriya ibicuruzwa na serivisi nziza. Niba ushaka ibicuruzwa byerekana amashusho yubuvuzi, ikaze kugisha inama cyangwa kuganira natwe.
Igihe cyo kohereza: Werurwe-20-2024
